Children who are in a hospital with respiratory distress often have difficulty breathing, have thick mucus, and may find it hard to eat normally. Sometimes physical therapy is used to treat these children, but it is not entirely known which methods help the children's condition. The aim of this study is to evaluate the most common physiotherapy treatment method that is currently in use in Sweden for infants who are hospitalized with a lower respiratory infection.
All children under 2 years of age who are admitted to the hospital for a respiratory infection and who have previously been essentially healthy are asked to participate. The infants will be randomized to 3 groups, 1 control group and 2 intervention groups. The infants in the control group will receive the standard care at the clinic. In one intervention group the parents will receive instructions how to vary their child body position regularly, and in the other intervention group the child will receive physiotherapy regularly and the parents will carry out some treatment. Further actions in the form of inhalations or stimulation of deep breathing, will be used when needed. The children will be observed following a structured observational protocol regularly throughout the hospital stay.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
120
Comparing two experimental interventions with standard care
Comparing two experimental interventions with standard care
Skåne University Hospital
Malmö, Sweden
RECRUITINGCentrallasarettet
Vaxjo, Sweden
RECRUITINGTime to improvement
First improvement regarding any of the following: Wang respiratory score, use of supplemented oxygen, use of supplemented high air flow, use of tube feeding, hospital stay
Time frame: Baseline, after 20 minutes, and every third hour up to discharge from hospital, no more than two weeks
oxygen saturation
Change in percutanous oxygen saturation measured by probe on the foot
Time frame: Baseline and second assessment, directly following the first intervention (or interval) after 20 minutes
respiratory rate
Change in manually counted RR during one minute
Time frame: Baseline and second assessment, directly following the first intervention (or interval) after 20 minutes
Heart rate
Change in pulse oximeter
Time frame: Baseline and second assessment, directly following the first intervention (or interval) after 20 minutes
General condition, parents' assessment
Time to the first reduction in Numeric Rating Scale 0-10, (0 the best, 10 the worst)
Time frame: Baseline and every third hour up to discharge from hospital, no more than two weeks
Lung complications
Referral to an intensive care unit
Time frame: At discharge from the ward, no more than two weeks
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