Physiotherapy on Pneumonia in Childrens (VAP)
Pneumonia
About this trial
This is an interventional other trial for Pneumonia focused on measuring Pneumonia, Ventilator-Associated, Mechanical ventilation, Physical therapy
Eligibility Criteria
Inclusion Criteria:
- patients on invasive or non-invasive mechanical ventilation for less than 96 hours
- with pneumonia due to invasive mechanical ventilation,
- aged between 1 year and 8 years
Exclusion Criteria:
- Severe Respiratory Failure
- active bleeding
- acute cerebral disorder
- presence of orthopedic contraindications (bone fractures, dislocations, subluxations, postoperative, unstable spine)
- neurological impairment with minimal functionality
- neuromuscular disease
Sites / Locations
- Fundação Santa Casa de Misericórdia do Pará
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
rehabilitation
chest physical therapy
Phase 1 passive mobilization with 10 repetitions on each joint motion and muscle stretching to the upper. Phase 2 - ability to respond to 3 of 5 simple verbal commands. Beginning with passive, active-assisted or active exercises with 5 repetitions in each joint movement in the MMSS and MMII, following the sequence of phase 1. Phase 3 - exercises of MMSS with cycle ergometer - 1 series of 1 minute or passive, active-assisted, active or active-resistidos with 5 repetitions in each joint movement, following the sequence of phase 1.
respiratory exercises that include techniques of bronchial hygiene maneuvers with the objective of airway clearance, pulmonary reexpansion techniques for reversal of atelectasis, passive mobilization techniques with the aim of reducing deformities and preserving joint mobility