Chest Physiotherapy in Pediatrics Patients With Pneumonia
Pneumonia
About this trial
This is an interventional supportive care trial for Pneumonia focused on measuring physiotherapy, children, clinical trial
Eligibility Criteria
Inclusion Criteria:
- 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)
Exclusion Criteria:
- 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
Sites / Locations
- Santa Casa de Porto Alegre
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Control
Physiotherapy
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.
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.