Clinical Evaluation of the Response to Chest Physiotherapy in Children With Acute Bronchiolitis

Summary

The objective of this study is to evaluate the clinical response of children diagnosed with acute bronchiolitis, relative to a chest physiotherapy protocol. Comparing this treatment with standard care of the nursing staff and auxiliaries of infants patients aged 1 month to 2 years.

Conditions

• Bronchiolitis

Interventions

OTHER

Nebulization of hypertonic saline

application of hypertonic saline serum through a mask fogging or a box fogging

OTHER

Prolonged slow expiration technique (PSE)

Passive expiratory aid implemented baby. the child is placed supine on a hard surface. Thoracoabdominal slow manual pressure that begins at the end of a spontaneous and continuous exhalation to residual volume is exercised. Oppose reaches 2 or 3 breaths. Vibrations can accompany the art. The goal is to achieve a greater expiratory volume.

OTHER

Patient coughing Provocation (TP)

Tp is based on the mechanism reflects cough induced by stimulation of the buttons on the wall of the trachea extrathoracic mechanoreceptors. The child is placed supine. A short pressure is done with the thumb on the tracheal conduit (in the sternal notch) at the end of inspiration, or at the beginning of expiration. With the other hand holding the abdominal region we prevent the dissipation of energy and make the explosion tussive more effective. It is done after the PSE.

OTHER

inspiratory maneuver to rhinopharyngeal cleaning DRR

After the inspiratory reflection following the PSE, the TP or crying. At the end of expiratory time the child's mouth is closed with the back of his hand just finished his chest support, raising the jaw and forcing the child to an inspiration with the nose

OTHER

Aspiration of secretions

Suctioning with a probe by a vacuum system installed on the wall.

Sponsors & Collaborators

• Universidad Católica San Antonio de Murcia

  lead OTHER

Principal Investigators

• Enrique E Conesa Segura, PT · MurciaSalud

• Susana Beatriz S Reyes Dominguez, PhD,MD · MurciaSalud

• José J Rios Diaz, PhD, BiolSc, PT · Universidad Católica San Antonio de Murcia

• Eduardo E Ramos Elbal, MD · MurciaSalud

• Cristina C Palazón Carpe, MD · MurciaSalud

• Maria Ángeles M Ruiz Pacheco, MD · MurciaSalud

• Jaume J Enjuanes Llovet, MD · MurciaSalud

• Sara S Francés Tarazona, MD · MurciaSalud

• Sebastián S Gil Garcia, PT · MurciaSalud

• Maía de los Ángeles M Martinez-Salazar Arboleas, PT · MurciaSalud

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

1 Month

Max Age

2 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2015-01-31

Primary Completion

2015-03-31

Completion

2015-03-31