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Ambulatory chest physiotherapy in mild-to-moderate acute bronchiolitis in children under two years of age - A

Frederico Ramos Pinto1, Ana Silva Alexandrino2, Liane Correia-Costa3,4,5

  • 1Department of Physical Medicine and Rehabilitation, Centro Hospitalar Universitário de São João, Alameda Professor Hernâni Monteiro, 4202-451 Porto, Portugal.

Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao
|June 28, 2021
PubMed

Insights

Chest physiotherapy significantly improved respiratory status in young children with bronchiolitis. This intervention offers a positive impact for managing mild-to-moderate cases.

Area of Science:

  • Pediatrics
  • Respiratory Medicine
  • Clinical Trials

Background:

  • Bronchiolitis is a common respiratory infection in infants and young children.
  • Early management focuses on supportive care, but effective interventions are sought.
  • ClinicalTrials.gov Identifier: NCT04260919.

Purpose of the Study:

  • To evaluate the effectiveness of chest physiotherapy (CP) in improving respiratory status.
  • To compare CP intervention against no intervention in children under two years old with mild-to-moderate bronchiolitis.

Main Methods:

  • A randomized controlled trial involving 45 children with bronchiolitis.
  • Intervention group received CP (passive prolonged slow expiration, rhinopharyngeal clearance, provoked cough).
  • Control group received no CP. Respiratory status assessed using Kristjansson Respiratory Score at multiple time points.

Main Results:

  • The intervention group showed a significant improvement in the Kristjansson Respiratory Score by day 15 compared to the control group.
  • The mean difference in scores indicated a notable positive effect of CP.
  • Statistical significance was observed, supporting the efficacy of the intervention.

Conclusions:

  • Chest physiotherapy demonstrates a positive impact on the respiratory status of children with mild-to-moderate bronchiolitis.
  • CP can be considered a beneficial component of care for this pediatric population.
  • Further research may explore long-term effects and optimal CP protocols.
Abstract

Keywords:
Bronchiolitischest physiotherapyoutpatients

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