Pneumonia
Conditions
Keywords
Pneumonia, Neurophysiological facilitation, Chest physical therapy, Blood gases
Brief summary
The goal of this clinical trial is to investigate the effect of respiratory neurophysiological facilitation techniques on arterial blood gases, the severity of respiratory distress and duration of hospital stay in hospitalized children with pneumonia.
Detailed description
Children who were hospitalized with a clinically and radiologically confirmed diagnosis of pneumonia will participate in this study. Selected Patients will be randomly assigned into two groups of equal number. One group will only receive conventional chest physical therapy program in form of (postural drainage, chest percussion, vibration and suction if needed). The other group will receive conventional chest physical therapy program along with respiratory neurophysiological facilitation techniques in form of (anterior basal lift, intercostal stretch, abdominal co-contraction). All patients will receive the treatment program once a day throughout the hospitalization period until discharge.
Interventions
The respiratory neurophysiological facilitation techniques in form of (anterior basal lift, intercostal stretch, abdominal co-contraction) once a day throughout the hospitalization period until discharge.
conventional chest physical therapy program in form of (postural drainage, chest percussion, vibration and suction if needed) once a day throughout the hospitalization period until discharge.
Sponsors
Study design
Eligibility
Inclusion criteria
* Children of both sexes, with age ranged from 6 months to 2 years old. * All children diagnosed with pneumonia. * All children should be vitally stable during the study period.
Exclusion criteria
* Medically unstable children. * Children with uncontrolled convulsions. * Children with Osteopenia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial blood gases | At baseline (after enrollment and before the first chest physiotherapy session) and on day 5 after completing the fifth session, assessed within 5 days of enrollment | Blood gas analysis is a commonly used diagnostic tool to evaluate the partial pressures of gas in blood and acid-base content. The blood sample is collected from the radial artery or the femoral artery. |
| Duration of hospitalization | From the date of hospital admission until the date of discharge, up to 20 days | — |
| The severity of respiratory distress | At baseline (after enrollment and before the first chest physiotherapy session) and on day 5 after completing the fifth session, assessed within 5 days of enrollment | Using the Pediatric Respiratory Severity Score to assess respiratory rate, wheezing, accessory muscle use, SpO2, and feeding difficulties. Each component was given 0 or 1 point and the total score was classified as mild (0-1 points), moderate (2-3 points), or severe (4-5 points) |
Countries
Egypt
Contacts
Cairo University