Impact of Respiratory Physiotherapy in the Management of Infectious Pleural Effusion

Hospital de Granollers30 enrolled

Overview

Chest physiotherapy (CP) facilitates the absorption of fluid in the pleural cavity and reduces the formation of fibrous adhesions in patients with pleural infection, allowing a faster clinical, functional and radiological improve. The aim of the study is to determine if the CP associated with conventional medical treatment (CT) improves functional sequelae secondary to pleural infectious.

This is a multicenter, prospective and randomized trial. Objective: To determine if the Chest physiotherapy (CP) associated with conventional medical treatment (CT) improves functional sequelae secondary to pleural infectious disease, defined as an increased of 15% in Vital Functional Capacity (VFC). Adult patients with diagnosis of pleural infection will be included and randomized into two branches: control group - only CT and interventional one - CT plus CP.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pleural Diseases Infection

Interventions

Chest physiotherapyOTHER

Depending on the location of the pleural effusion different techniques are performed: 1. Postural control techniques; 2. Secretions drainage techniques; 3. Thoracic expansion techniques; 4. Diaphragmatic mobility techniques.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of infectious pleural effusion * Failure to meet any exclusion criteria. Exclusion Criteria: * Hemothorax. * Malignant pleural effusion. * Severe comorbidities (end-stage disease, neuromuscular diseases, etc) * Previous ribcage and/or diaphragmatic pathology. * Pregnancy. * Previous respiratory rehabilitation program completed. * Prior pleural pathology

Locations (1)

Inmaculada Castillo

Granollers, Barcelona, Spain

Outcomes

Primary Outcomes

Change in improving lung function

To determine if Respiratory Physiotherapy (RP) associated with conventional medical treatment (CT) improves functional sequelae secondary to infectious pleural effusion. All patients will performed spirometric studies at the beginning of the study, at 3 and 6 month.

Time frame: 3 months

Secondary Outcomes

Change in resolution of pleural effusion

To analysed if CP allows faster resolution of pleural effusion. A simple thoracic Rx will be performed to assess radiological changes every month till resolution of pleural sequelae.

Time frame: 3 months

Reduce hospital stay

To assess if CP added to medical therapy in patients with infectious pleural effusion decreased hospital stay

Time frame: 3 months

Data from ClinicalTrials.gov

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