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Chest Physiotherapy in Pediatrics Patients With Pneumonia

Not Applicable
Completed
Conditions
Pneumonia
Interventions
Other: Positioning and cough
Other: Physiotherapy
Registration Number
NCT01017081
Lead Sponsor
Santa Casa de Porto Alegre
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ControlPositioning and coughNon-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.
PhysiotherapyPhysiotherapyPhysiotherapy: 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.
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Santa Casa de Porto Alegre

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Posto Alegre, Rio Grande do Sul, Brazil

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