Document Detail


Chest physical therapy is effective in reducing the clinical score in bronchiolitis: randomized controlled trial.
MedLine Citation:
PMID:  22499404     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effectiveness of chest physical therapy (CP) in reducing the clinical score in infants with acute viral bronchiolitis (AVB).
METHODS: Randomized controlled trial of 30 previously healthy infants (mean age 4.08 SD 3.0 months) with AVB and positive for respiratory syncytial virus (RSV), evaluated at three moments: at admission, then at 48 and 72 hours after admission. The procedures were conducted by blinded assessors to each of three groups: G1 - new Chest Physical therapy- nCPT (Prolonged slow expiration - PSE and Clearance rhinopharyngeal retrograde - CRR), G2 - conventional Chest Physical therapy- cCPT (modified postural drainage, expiratory compression, vibration and percussion) and G3 - aspiration of the upper airways. The outcomes of interest were the Wang's clinical score (CS) and its components: Retractions (RE), Respiratory Rate (RR), Wheezing (WH) and General Conditions (GC).
RESULTS: The CS on admission was reduced in G1 (7.0-4.0) and G2 (7.5-5.5) but was unchanged in G3 (7.5-7.0). We observed a change 48 hours after hospitalization in G1 (5.5-3.0) and G2 (4.0-2.0) and in 72 hours, there was a change in G1 (2.0-1.0).
CONCLUSION: The CP was effective in reducing the CS in infants with AVB compared with upper airway suction only. After 48 hours of admission, both techniques were effective and nCPT techniques were also effective in the 72 hours after hospitalization compared with cCPT techniques.
Authors:
Evelim L F D Gomes; Guy Postiaux; Denise R L Medeiros; Kadma K D S Monteiro; Luciana M M Sampaio; Dirceu Costa
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial     Date:  2012-04-12
Journal Detail:
Title:  Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))     Volume:  16     ISSN:  -     ISO Abbreviation:  Rev Bras Fisioter     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-07-17     Completed Date:  2012-12-10     Revised Date:  2013-08-21    
Medline Journal Info:
Nlm Unique ID:  101186153     Medline TA:  Rev Bras Fisioter     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  241-7     Citation Subset:  IM    
Affiliation:
Healthy Department, Physical Therapy, Universidade Nove de Julho, São Paulo, SP, Brazil. evelimgomes@uninove.br
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00884429
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MeSH Terms
Descriptor/Qualifier:
Bronchiolitis / therapy*
Female
Humans
Infant
Infant, Newborn
Male
Prospective Studies
Respiratory Therapy*
Severity of Illness Index
Single-Blind Method

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