What is the Effective Pulmonary Physiotherapy Method in Critically Care Patients?

Can High Frequency Chest Wall Oscillation Accelerate the Discharged of Intubated Intensive Care Patients?

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02645695

Enrollment

Registered

2016-01-05

Start date

2014-02-28

Completion date

2014-08-31

Last updated

2016-01-05

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

Conditions

Atelectasis

Keywords

Pulmonary Rehabilitation, Chest Physiotherapy, High Frequency Chest Wall Oscillation

Brief summary

Effects of the high frequent chest wall oscillation technique applied on the patients who were intubated in intensive care unit were investigated. A total of 30 patients who were intubated and under the mechanical ventilator supplied, were included in the study. While the control group (n=15) received routine pulmonary rehabilitation technique, the study group (n=15) was administered high frequency chest wall oscillation for 72 hours as 4 times of 15-minute intervals, in addition to the pulmonary rehabilitation technique. Patients 'APACHE-II scores, dry sputum weight, Lung Collapse Index and blood gas values were measured at the hours 24th, 48th and 72nd, and endotracheal aspirate culture was studied at initial and 72nd. In addition, patient outcomes were evaluated at the end of the first week.

Interventions

DEVICEroutine pulmonary rehabilitation

received routine pulmonary rehabilitation consisted of position giving technique (left lateral, supine, right lateral), chest wall percussion, postural drainage and airway aspiration at every 3 hours.

DEVICEchest wall vibration technique

administered chest wall vibration technique in addition to the routine pulmonary rehabilitation method for 72 hours. Chest vibration method was applied with 7-10 hz frequency given by a ped wrapped around the thorax and pulmonary rehabilitation with 3 mmHg pressure four times a day with 15-minute periods (TheVest® Model 205).

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* aged over 18 years * Patients with more than three days intubated, in critical care unit of Mengücekgazi Training and Research Hospital

Exclusion criteria

* Patients with rib fracture * acute hemorrhage * unstable intracranial pressure * existence of chest drainage tube and those have history of spinal surgery, * skin infection in the back and chest area and subcutaneous emphysema

Design outcomes

Primary

Measure	Time frame
change from baseline of Lung Collapse Index (LCI) values were recorded by listening both the lungs and scoring between 0 and 4 (0: normal expansion, 1: single lobe collapse, 2: 2 lobe collapse, 3: multiple lobe collapse) at six month	six month

Secondary

Measure	Time frame
weight of the dry sputum after six month	six month

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026