ArticleThe South African journal of physiotherapy2019
Airway clearance therapy in acute paediatric respiratory illness: A state-of-the-art review.
Article in The South African journal of physiotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Structured respiratory physiotherapy protocol for resolution of atelectasis in pediatric intensive care.Clinics (Sao Paulo, Brazil) · 2024Trial
- Provision of physiotherapy services for children in intensive care units in Uganda: A descriptive study.The Southern African journal of critical care : the official journal of the Critical Care Society · 2026Article
- Caring for a child with a lower respiratory tract infection: Parents' perspectives.The South African journal of physiotherapy · 2026Article
- Refractory Atelectasis and Response to Chest Physiotherapy.Journal of pediatric intensive care · 2023Article
- Refractory Atelectasis and Response to Chest Physiotherapy.Journal of pediatric intensive care · 2022Article
- Immediate effects of manual hyperinflation on cardiorespiratory function and sputum clearance in mechanically ventilated pediatric patients: A randomized crossover trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2022Article
- Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants.BioMed research international · 2022Article
- Current and Emerging Therapies to Combat Cystic Fibrosis Lung Infections.Microorganisms · 2021Review
- Revamping of Chronic Respiratory Diseases in Low- and Middle-Income Countries.Frontiers in public health · 2021Review
- Inspiratory muscle training in children and adolescents living with neuromuscular diseases: A pre-experimental study.The South African journal of physiotherapy · 2021Article
- The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective.The South African journal of physiotherapy · 2021Article
- Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital.The South African journal of physiotherapy · 2020Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite unclear evidence of effectiveness or safety, airway clearance therapy (ACT) is frequently performed in infants and children with acute pulmonary disease.
objectivesThe aim of this review was to critically synthesise published evidence, expert opinion and pathophysiological principles to describe the indications, effects, precautions and application of commonly used ACT modalities for managing infants and children with acute pulmonary disease.
methodA comprehensive narrative review of published literature was conducted. Articles describing paediatric populations were prioritised, but adult and animal studies were also considered where appropriate.
resultsThere is a dearth of high-level evidence supporting the use of ACT in acutely ill infants and children. Conversely, studies have highlighted the lack of effect of different modalities for a variety of conditions, and in some cases serious associated complications have been reported.Airway clearance therapy may be considered when there is retention of pulmonary secretions, and the consequential airway obstruction impacts either acutely on respiratory mechanics and gaseous exchange and/or has the potential for long-term adverse
conclusionAirway clearance therapy should not be performed routinely in children admitted to hospital with acute respiratory conditions. Patients should be clinically assessed and treatment planned according to individual presentation, in those with signs and symptoms that are potentially amenable to ACT. CLINICAL IMPLICATIONS: This review can serve as a guide for physiotherapists in the respiratory management of children with acute respiratory illness, as well as identifying areas for clinical research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.