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KCE reports vol.40 APPENDICES Physiotherapy 59
References retrieved from the literature on physiotherapy for bronchiolitis in the infant
Reference Type of reference General description Critical appraisal
Evidence based clinical practice Practice guideline from de Cincinnati Practice guideline addressing prevention, diagnosis Agree total score: 76/92
guideline for infant with bronchiolitis Children s Hospital Medical Center, and medical management.
(3)
US
No specific section on physiotherapy but states that Cochrane Va form:
First published in 1996, last revision in routine respiratory care therapy other than suction The answers to most questions
2005
(i.e., chest physiotherapy, cool mist therapy, aerosol included in this form are positive.
with saline) should not be used as not helpful. Some questions are not relevant for
Based on 85 references.
this guideline. The main
recommendations of this guideline
seem valid, well documented and
applicable in most rehabilitation
facilities at most levels of practice.
Chest physiotherapy for acute Cochrane Review Systematic review of RCTs on traditional chest Not to be rated
bronchiolitis in paediatric patients
physical therapy modalities such as: postural
between 0 and 24 months old (5)
drainage, chest percussion, vibration, chest shaking,
directed coughing or forced exhalation techniques.
Conclusions based on only 3 RCTs as no other
study met the inclusion criteria.
Continuous negative extrathoracic Cochrane Review Systematic review of RCTs on CNEP and non Not to be rated
pressure (CNEP) or continuous
invasive CPAP.
positive airway pressure (CPAP) for
acute hypoxemic respiratory failure in
children (6)
Conclusions based on only one RCT on CNEP in
children as no other study met the inclusion
criteria.
Management of bronchiolitis in infants Evidence Report/Technology from Evidence reports that focuses only on prevention, Not rated as not relevant.
and children (8)
the Assessment Agency for Health diagnosis and efficacy or effectiveness of medical This report has been excluded from
Care Research and Quality, US Gov treatment (pharmaceutical agents: corticosteroids, further analysis.
bronchodilatators, antimicrobial and antiviral
Prise en charge de la bronchiolite du Conférence de consensus d experts
agents) of bronchiolitis.
Physiotherapy is not addressed in this report.
Expert consensus that addresses natural history, Not to be rated
nourrisson (7)
hospital admission criterias, medical treatments,
chest physiotherapy, organisation of care and
prevention of bronchiolitis.