Safety, tolerability and efficacy of LEGA-Kid® mechanical percussion device versus conventional chest physiotherapy in children: a randomised, single-blind controlled study
| Autor: | Anna Marie Nathan, Lucy Chai See Lum, Yuen Ling Hue, Kah Peng Eg, Siti Hawa Ahmad, Melissa de Bruyne Ming May Choon, Soon Sin Tan, Shin Yee Wong |
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| Rok vydání: | 2022 |
| Předmět: |
Respiratory Therapy
endocrine system endocrine system diseases Respiratory rate Chest physiotherapy Percussion Lower respiratory tract infection Humans Medicine Single-Blind Method heterocyclic compounds Child Adverse effect Respiratory Tract Infections neoplasms Physical Therapy Modalities Oxygen saturation (medicine) Respiratory Distress Syndrome Respiratory distress business.industry General Medicine medicine.disease digestive system diseases Hypertonic saline Anesthesia Original Article Airway business |
| Zdroj: | Singapore Med J |
| ISSN: | 2737-5935 0037-5675 |
| Popis: | INTRODUCTION Chest physiotherapy (CPT) may benefit children aged below five years who suffer from lower respiratory tract infection (LRTI). However, its effects depend on the technique used. This study aimed to determine whether mechanical CPT using the LEGA-Kid® mechanical percussion device is superior to manual CPT in children with LRTI. METHODS Children aged five months to five years who were admitted and referred for CPT from January to April 2017 were randomised to either manual CPT or mechanical CPT with LEGA-Kid. Outcomes measured before intervention and two hours after intervention were respiratory rate (RR), oxygen saturation and modified Respiratory Distress Assessment Instrument (mRDAI) score. RESULTS All 30 enrolled patients showed significant reduction in post-intervention RR and mRDAI scores. There was an 8% reduction in RR for the manual CPT group (p = 0.002) and a 16.5% reduction in the mechanical CPT group (p = 0.0001), with a significantly greater reduction in the latter (p = 0.024). mRDAI scores decreased by 2.96 in the manual group (p = 0.0001) and 3.62 in the mechanical group (p = 0.002), with no significant difference between the groups. There was no significant improvement in oxygen saturation, and no adverse events were observed after CPT. CONCLUSION Children receiving both manual and mechanical CPT showed improvements in respiratory distress symptoms, with no adverse effects. A combined strategy of nebulised hypertonic saline followed by CPT for LRTI removes airway secretions and results in improvements in moderately severe respiratory distress. The LEGA-Kid mechanical CPT method is superior to manual CPT in reducing the RR. |
| Databáze: | OpenAIRE |
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