Chest Physiotherapy in Pediatrics Patients With Pneumonia

NCT01017081 | Completed

• 1 other identifier: FISIOPUL
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

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.

Conditions

Pneumonia

Keywords

physiotherapy; children; clinical trial

Study Arms (2)

Control

ACTIVE COMPARATOR

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.

Other: Positioning and cough

Physiotherapy

EXPERIMENTAL

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.

Other: Physiotherapy

Interventions

Physiotherapy OTHER

Physiotherapy: three times per day, for 10 to 12 minutes, during hospital admission

Physiotherapy

Positioning and cough OTHER

Non-mandatory request to maintain lateral positioning to improve air exchange and cough

Control

Eligibility Criteria

• Age: 1 Year - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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)

You may not qualify if:

• 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

Sponsors & Collaborators

• Santa Casa de Porto Alegre: lead
• Federal University of Rio Grande do Sul: collaborator

Study Sites (1)

Santa Casa de Porto Alegre

Posto Alegre, Rio Grande do Sul, 90020-160, Brazil

Location

MeSH Terms

Conditions

Pneumonia

Interventions

Physical Therapy Modalities; Patient Positioning

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Patient Care; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: November 19, 2009
• First Posted: November 20, 2009
• Study Start: September 1, 2001
• Primary Completion: September 1, 2002
• Study Completion: September 1, 2002
• Last Updated: November 20, 2009

Record last verified: 2009-11

Locations

BR (1)