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Updated: Jan 31, 2026
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Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
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Chest physiotherapy for pneumonia in children.
Gabriela Ss Chaves1, Diana A Freitas, Thayla A Santino
1Rehabilitation Science Program, Federal University of Minas Gerais, Belo Horizonte, Brazil.
The Cochrane Database of Systematic Reviews
|January 3, 2019
Summary
Chest physiotherapy may reduce mortality in children with pneumonia, but evidence is limited. More research is needed to confirm its effectiveness and optimal use in pediatric pneumonia treatment.
Area of Science:
- Pediatrics
- Respiratory Medicine
- Critical Care
Background:
- Pneumonia is a leading cause of death in children under five globally.
- Chest physiotherapy is a common adjuvant treatment for pediatric pneumonia.
- Its efficacy in improving respiratory outcomes requires robust evidence.
Purpose of the Study:
- To assess the effectiveness of chest physiotherapy in treating pediatric pneumonia.
- To evaluate its impact on time to clinical resolution and other key outcomes.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials (RCTs).
- Included six RCTs involving 559 children with pneumonia.
- Assessed outcomes including mortality, hospital stay duration, and clinical resolution.
Main Results:
- Bubble CPAP showed a potential reduction in mortality (low-quality evidence).
- Uncertainty remains regarding the impact on hospital stay duration and clinical resolution.
- Limited evidence on the improvement of oxygen saturation and respiratory rate.
Conclusions:
- Current evidence is insufficient to draw reliable conclusions on chest physiotherapy for pediatric pneumonia.
- Further high-quality RCTs with standardized methods and outcomes are necessary.
- Future research should focus on adequate sample sizes and specific physiotherapy techniques.
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