The purpose of this study is to determine wether a single chest physiotherapy session with slow expiratory technique (SET) improves infants with viral bronchiolitis quality of life (food intake and sleep) on the next 24 hours.
Bronchiolitis is the most common lower respiratory viral infection in infants. Nowadays bronchiolitis is the first reason of children hospitalisation worldwide. Symptoms are based on airway inflammation associated to an increased mucus production and cell necrosis leading to a multifactorial airway obstruction. Recommended treatments are supportive care based on oxygenation and rehydration. Airway clearance techniques represented by chest physiotherapy remain controversial. Considering that bronchiolitis impacts respiratory condition in young infants feeding and sleep may be reduced. Evaluating quality of life represented by feeding and sleep in hospitalized infants may be an important outcome in this population. The investigators hypothesized that chest physiotherapy with SET will improve children's quality of life, especially 24 hours food intake and sleep.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
42
Chest physiotherapy with SET, and standard treatment (medical treatment, health education, nasopharyngeal clearance, advice)
Standard pharmacological and non-pharmacological treatments (medical treatment, health education, rhinopharyngeal clearance, advices)
Groupe Hospitalier Du Havre
Le Havre, France
Food ingestion
Total Food ingestion within 24 hours after intervention measured by nurses or parents
Time frame: 24 hours following intervention
Sleep quality
Total Sleep Time
Time frame: 24 hours following intervention
Sleep quality
Desaturation\<90% (Pulse oximetry monitoring during sleep) count during diurnal and nocturnal sleep
Time frame: 24 hours following intervention
Oxygen saturation
Pulse oximetry monitoring
Time frame: Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention
Respiratory rate
Pulse oximetry monitoring
Time frame: Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention
Heart Rate
Pulse oximetry monitoring
Time frame: Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention
Respiratory Distress
Bronchiolitis Severity Score (described by Gajdos et al. as mentioned in the references). The Bronchiolitis Severity Score involves the calculation and addition of three subscores (age-based respiratory rate scale, score of 1-3; retractions, and wheeze scales, both running from 0 to 3). Total score ranges from 1 to 9, with higher scores indicating greater respiratory distress.
Time frame: Before intervention ; 5 minutes, 30 minutes and 24 hours after intervention
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.