Physiotherapy for Infants With Bronchiolities

Lund University

Status: Unknown

Conditions: Respiratory Insufficiency; Infant Conditions

Treatments: Other: Individualized; Other: Non-individualized

Study type: Interventional

Funder types: Other

Identifiers

NCT03575091

2017/190

Details and patient eligibility

About

Children who are in a hospital with respiratory distress often have difficulty breathing, have thick mucus, and may find it hard to eat normally. Sometimes physical therapy is used to treat these children, but it is not entirely known which methods help the children's condition. The aim of this study is to evaluate the most common physiotherapy treatment method that is currently in use in Sweden for infants who are hospitalized with a lower respiratory infection.

Full description

All children under 2 years of age who are admitted to the hospital for a respiratory infection and who have previously been essentially healthy are asked to participate. The infants will be randomized to 3 groups, 1 control group and 2 intervention groups. The infants in the control group will receive the standard care at the clinic. In one intervention group the parents will receive instructions how to vary their child body position regularly, and in the other intervention group the child will receive physiotherapy regularly and the parents will carry out some treatment. Further actions in the form of inhalations or stimulation of deep breathing, will be used when needed. The children will be observed following a structured observational protocol regularly throughout the hospital stay.

Enrollment: 120 estimated patients

Sex: All

Ages: Under 24 months old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Infants hospitalized because of respiratory infections such as bronchiolitis, pneumonia or other airway obstructions.
• Age 0-24 months
• Born in gestation week 35 or later.
• Guardians understand written Swedish, English, Arabic or Persian

Exclusion criteria

• Previous cardiac or respiratory disease
• hospitalized more than 24 hours on this occasion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 3 patient groups

control group

No Intervention group

Description:

The infants will receive the standard care at the ward.

Non-individualized

Experimental group

Description:

The parents will be guided manually by the nursing staff and receive written information about how to change body positions of their child regularly throughout the hospital stay.

Treatment:

Other: Non-individualized

Individualized

Experimental group

Description:

The infant will receive frequent changes of body positions, stimulation to physical activity, and stimulation to deep breathing while bouncing on a large ball in the arms of an adult. Additional light chest compressions and inhalations may be given. A physiotherapist will perform the intervention at least once daily, and the parents will be manually guided and receive written information about how to change body positions of their child regularly in a similar way throughout the hospital stay.

Treatment:

Other: Individualized