Chest Physiotherapy in Pediatrics Patients With Pneumonia

Santa Casa de Porto Alegre

Status: Completed

Conditions: Pneumonia

Treatments: Other: Physiotherapy; Other: Positioning and cough

Study type: Interventional

Funder types: Other

Identifiers

NCT01017081

FISIOPUL

Details and patient eligibility

About

Chest physiotherapy has been used to treat pediatric patients hospitalized with pneumonia however there was no evidence to support a beneficial effect in pediatric patients.

Enrollment: 72 patients

Sex: All

Ages: 1 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 1 to 12 years with acute community-acquired pneumonia (cough, tachypnea, fever and with a chest radiography with lobar, segmental or bronchopneumonia within the first 48 hours)

Exclusion criteria

• Severely ill patients (hospitalized in intensive care units)
• Pleural effusion treated with chest drainage
• Atelectasis detected by x-ray
• Pneumonia or pleural effusion in the previous six months
• Other pulmonary underlying disease, heart disease, cerebral palsy or immune deficiency

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Control

Active Comparator group

Description:

Non-mandatory request to maintain lateral positioning to improve air exchange, to cough in order to clear secretion, and to perform diaphragmatic and deep breathing, for five minutes, once a day, during hospital stay.

Treatment:

Other: Positioning and cough

Physiotherapy

Experimental group

Description:

Physiotherapy: Children younger than 5 years: Manual Thoracic vibration (TV), thoracic compression (TC), positive expiratory pressure (PEP), and forced exhalation with the glottis open ("huffing"). Children aged 5 years or older: same procedures in addition to the ventilatory patterns, and a forced expiratory technique (FET), consisting of one or two "huffs" (forced expirations) followed by a period of relaxed, controlled diaphragmatic breathing, three times per day, for 10 to 12 minutes, during hospital admission.

Treatment:

Other: Physiotherapy