Clinical Efficacy of Respiratory Pediatric Physiotherapy on a Child With Hospital Treated Pneumonia: Single-Blind Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pneumonia Childhood
- Sponsor
- Hospital Infantil de Mexico Federico Gomez
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- Respiratory difficulty
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The accumulation of secretions in the bronchopulmonary air network promotes the detriment of respiratory functions generating hypoxia and causing a decrease in the cardiac output requiring the use of mechanical ventilation and hemodynamic support. It is intended to control the accumulation of secretions by means of Respiratory Pediatric Physiotherapy (RPP) and to evaluate its effectiveness counting on biological plausibility.
Detailed Description
The OBJECTIVE of this research protocol is to evaluate the effectiveness of RPP compared to postural drainage plus compression to the muscle belly of the upper limbs, as an adjuvant treatment for children with pneumonia. It is expected that the clinical severity decreases by 1.5 in the Wang score (a modification of the Silverman score), with a standard deviation of 2.6 points and a decrease of two days in the hospital stay with a α 0.05 in a one-tail test, a P of 80% and a 95.5% confidence interval.
Investigators
Adrian Morales Muñoz
Principal Investigator
Hospital Infantil de Mexico Federico Gomez
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Presenting a fever state for more than three days. Performing physiotherapy increases the body's peripheral temperature.
- •Presenting an oxygen saturation below 80%.
- •Requiring mechanical ventilation.
- •Hemodynamic instability.
- •Presenting systemic inflammatory response syndrome.
- •Inotropic support.
- •Anatomical variants in the thorax.
- •Unstable thorax.
- •Esophageal atresia.
- •Pleural effusion, pneumothorax.
Outcomes
Primary Outcomes
Respiratory difficulty
Time Frame: 5 days
The Silverman score will be used with a range of 0 to 10 points, directly proportional between the sum and the respiratory difficulty.
Secondary Outcomes
- Hospital stay(7 days)