Effect of Neurophysiological Facilitation of Respiration on Blood Gases and Duration of Hospitalization in Children With Pneumonia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 36
- Locations
- 2
- Primary Endpoint
- Arterial blood gases
Study Overview
Brief Summary
The goal of this clinical trial is to investigate the effect of respiratory neurophysiological facilitation techniques on arterial blood gases, the severity of respiratory distress and duration of hospital stay in hospitalized children with pneumonia.
Detailed Description
Children who were hospitalized with a clinically and radiologically confirmed diagnosis of pneumonia will participate in this study. Selected Patients will be randomly assigned into two groups of equal number.
One group will only receive conventional chest physical therapy program in form of (postural drainage, chest percussion, vibration and suction if needed). The other group will receive conventional chest physical therapy program along with respiratory neurophysiological facilitation techniques in form of (anterior basal lift, intercostal stretch, abdominal co-contraction).
All patients will receive the treatment program once a day throughout the hospitalization period until discharge.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 6 Months to 2 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Children of both sexes, with age ranged from 6 months to 2 years old.
- •All children diagnosed with pneumonia.
- •All children should be vitally stable during the study period.
Exclusion Criteria
- •Medically unstable children.
- •Children with uncontrolled convulsions.
- •Children with Osteopenia.
Arms & Interventions
Conventional chest physical therapy
Children in this group will only receive conventional chest physical therapy program in form of (postural drainage, chest percussion, vibration and suction if needed).
Intervention: conventional chest physical therapy (Other)
Conventional chest physical therapy + Neurophysiological facilitation techniques
Children in this group will receive conventional chest physical therapy program along with respiratory neurophysiological facilitation techniques in form of (anterior basal lift, intercostal stretch, abdominal co-contraction).
Intervention: Respiratory neurophysiological facilitation techniques (Other)
Conventional chest physical therapy + Neurophysiological facilitation techniques
Children in this group will receive conventional chest physical therapy program along with respiratory neurophysiological facilitation techniques in form of (anterior basal lift, intercostal stretch, abdominal co-contraction).
Intervention: conventional chest physical therapy (Other)
Outcomes
Primary Outcomes
Arterial blood gases
Time Frame: At baseline (after enrollment and before the first chest physiotherapy session) and on day 5 after completing the fifth session, assessed within 5 days of enrollment
Blood gas analysis is a commonly used diagnostic tool to evaluate the partial pressures of gas in blood and acid-base content. The blood sample is collected from the radial artery or the femoral artery.
Duration of hospitalization
Time Frame: From the date of hospital admission until the date of discharge, up to 20 days
The severity of respiratory illness.
Time Frame: At baseline (after enrollment and before the first chest physiotherapy session) and on day 5 after completing the fifth session, assessed within 5 days of enrollment
Using the Pediatric Respiratory Severity Score to assess respiratory rate, wheezing, accessory muscle use, SpO2, and feeding difficulties. Each component was given 0 or 1 point and the total score was classified as mild (0-1 points), moderate (2-3 points), or severe (4-5 points)
The severity of respiratory distress
Time Frame: At baseline (after enrollment and before the first chest physiotherapy session) and on day 5 after completing the fifth session, assessed within 5 days of enrollment
Using the Pediatric Respiratory Severity Score to assess respiratory rate, wheezing, accessory muscle use, SpO2, and feeding difficulties. Each component was given 0 or 1 point and the total score was classified as mild (0-1 points), moderate (2-3 points), or severe (4-5 points)
Secondary Outcomes
No secondary outcomes reported
Investigators
Asmaa Ahmed Abd El-samad
Principal Investigator
Cairo University