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Published on: March 6, 2019
[What evidence for chest physiotherapy in infants hospitalized for acute viral bronchiolitis?]
S Bailleux1, D Lopes, A Geoffroy
1Service de pédiatrie générale, hôpital Antoine-Béclère, AP-HP, 157, rue de Porte de Trivaux, 92141 Clamart cedex, France.
Insights
Respiratory physiotherapy using increased expiratory acceleration showed no efficiency in hospitalized infants with bronchiolitis. Further trials are needed for non-hospitalized infants to evaluate this respiratory technique.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Physiotherapy
Context:
- Bronchioluitis is a common pediatric respiratory infection.
- Respiratory physiotherapy is a widely used intervention.
- Current techniques require further evaluation.
Purpose:
- To update the understanding of respiratory physiotherapy techniques in France.
- To evaluate the efficiency of a specific technique (increased expiratory acceleration) in hospitalized infants with bronchiolitis.
Summary:
- A randomized clinical trial investigated respiratory physiotherapy in infants hospitalized for bronchiolitis.
- The study found no significant efficiency of the "increased expiratory acceleration" technique.
- Results suggest the technique may not be beneficial for this patient group.
Impact:
- This study challenges the current application of respiratory physiotherapy for hospitalized infants with bronchiolitis.
- Findings indicate a need for re-evaluation of established physiotherapy protocols.
- Further research is recommended for non-hospitalized infants and alternative techniques.
Abstract:
This article updates the respiratory physiotherapy technique used in France, and the rationale for its use. This paper reports the results of a recent randomized clinical trial that did not show any efficiency of respiratory physiotherapy (using increased expiratory acceleration) in infants hospitalized for a first episode of bronchiolitis. Further trials are necessary for evaluating this technique in infants who are not hospitalized.
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