The purpose of this study is to determine whether chest physiotherapy with forced expiratory technique reduces delay of healing in acute bronchiolitis of children between 15 days and 24 months of age.
Bronchiolitis is the most common lower respiratory infection in infants, and the respiratory condition leading to the majority of hospital admissions in young children. It is also probably the most common serious illness of childhood lacking evidence-based treatment. Evidence against the effectiveness of chest physiotherapy with vibration and postural drainage techniques has been described but forced expiratory technique, as described in France, has never been evaluated. The investigators hypothesised that forced expiratory technique was able to reduce the duration of respiratory distress. Comparison(s): The investigators compare physiotherapy with forced expiratory techniques to simple aspiration of naso-pharyngeal secretions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
500
Chest Physiotherapy with Forced Expiratory Technique
Nasopharyngeal Aspiration
Jean Verdier Hospital
Bondy, France
Ambroise Paré Hospital
Boulogne-Billancourt, France
Antoine Béclère Hospital - Pediatric Department
Clamart, France
Kremlin Bicetre Hospital
Le Kremlin-Bicêtre, France
Delay for obtention of healing defined by all of these parameters at least 8 hours in a row : pulse oxymétry >94% AND normal feeding AND specific respiratory distress score lower than one as described in the protocol AND normal respiratory rate
Time frame: obtention
Safety of the forced expiratory technique
Time frame: during hospitalisation
Comparison of pulse oxymetry before/after chest physiotherapy
Time frame: during hospitalisation
Quality of Life Scale
Time frame: on discharge
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Trousseau Hospital
Paris, France
Necker - Enfants Malades Hospital
Paris, France
Robert Debré Hospital
Paris, France