EBP – LA KINESITHERAPIE RESPIRATOIRE AVEC AFE SEMBLE APPORTER UN REEL BENEFICE AUX NOURRISSONS ATTEINTS DE BRONCHIOLITE
Bronchial Clearance Physiotherapy in Pediatrics. A Controlled, Randomized, Multicenter Study of the Short-Term Effects on Respiration during Outpatient Care for Infants with Acute Bronchiolitis
Sebban 1 D. Evenou 2 C. Jung 3,4 C. Fausser 1 S. Durand 5 M. Bibal 5 V. Geninasca 6 M. Saux 6 J.C. Jeulin 7
Journal of Child Science Vol. 11 No. 1/2021 © 2021. The Author(s).
Abstract
Objectives: The use of chest physiotherapy (CP) has not, to date, been shown to be
effective in the care of infants hospitalized for bronchiolitis. However, it has not yet
been studied in outpatient settings. The aim of our study was to examine the shortterm
benefit of CP with the increased exhalation technique (IET) on the respiratory
conditions of nonhospitalized infants.
Methods: Our research consisted of a multicenter, randomized, controlled, singleblind
study of infants under 1 year old. A decrease in the severity score of the infants’
respiratory condition was compared between two groups: one receiving CP and one
without CP. Eighty-two infants were randomized: 41 in the CP group and 41 in the
control group. Blinded assessors determined the Wang Clinical Severity Score at
inclusion (T0) and 30 minutes later (T1) for each group.
Results: Improvement in the severity score was observed for 29 infants (70.7%) in the
group receiving CP, compared with 4 infants (9.76%) in the control group (p<0.001). The
mean decrease in theWang Clinical Severity Score was 2 (1.32) in the group receiving
physiotherapy compared with 0.22 (0.99) in the control group (p<0.001).
Conclusion: For outpatient care of infants with bronchiolitis, the results of this study suggest that CP with IET leads to a short-term improvement of mucus airway obstruction parameters.
Publié le 7 septembre 2021