The effect of active chest physiotherapy techniques on regional ventilation on preterm infants on ventilatory support.

Status

Completed

Phases

Phase 1

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12606000211561

Enrollment

Registered

2006-05-30

Start date

2006-10-05

Completion date

2007-06-08

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Chest physiotherapy (CPT) is a standard component of multidisciplinary care of preterm infants receiving artificial ventilation for respiratory failure. Despite this, there is limited evidence concerning its effectiveness. This study aims to quantify the effects of the physiotherapy techniques of percussion and vibration on respiratory function in the preterm infant. Data from the electrical impedance tomography (EIT) and the multiple breath washout (MBW) will be downloaded directly onto a computer. The data analyst will be blinded as to the intervention.

Interventions

Active chest physiotherapy techniques of cupping and vibrations will be compared with each other in a random order. The techniques will be performed for 1 minute and then the infants will be postioned and left to rest for 4 hours before the other intervention is performed.

Study design

Allocation

Randomised controlled trial

Intervention model

Crossover

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

0 to 35 Weeks

Healthy volunteers

Inclusion criteria

Neonates who:are heavier than 750 gramsare less than or equal to 34 weeks gestationare >24 hours of age demonstrate clinical and/or radiological indications for active chest physiotherapy intervention such as increased secretions, increased ventilatory parameters, focal changes on chest x-ray.

Exclusion criteria

Cardiopulmonary instability not allowing position changesPost surgical eg. Tracheoesophageal fistula, diaphragmatic hernia, gastroschisis, Spina BifidaKnown air leak syndrome (Pneumothorax, pulmonary interstitial emphysema)Poor skin integrityMothers under 18 years of age.

Outcome results