About this trial
the study will concentrate on the effect of High Frequency Chest Wall Oscillation compared to conventional pulmonary physiotherapy on children with non cystic fibrosis bronchiectasis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Children with no cystic fibrosis bronchiectasis
Both sexes
Their ages ranges from 6-12 years
After 48 hours of attack, if hemoptysis or fever not found
Disqualifiers
• Osteoporosis (Calcium deficiency)
Bleeding tendency
Recent surgery of brain, eye, thoracic, or neck surgery
Pneumothorax
Trial design
Parallel
Treatments tested in this trial
High Frequency Chest Wall Oscillation
DeviceHigh-frequency chest wall oscillation that applies external chest wall oscillations via an inflatable vest worn around the thoracic cage, increasing the air-liquid shear forces during expiration is believed to result in secretion mobilization. The product name that will be used is Air Way Clearness system; his model is PV-900/ PV-300/PV-100, made in China.
conventional physiotherapy program directed towards improvement of pulmonary functions and quality of life.
Other interventionconventional physiotherapy program directed towards improvement of pulmonary functions and quality of life. Conventional physiotherapy that will be applied to the control group for 30 minutes will include: * Postural drainage according to accumulation of secretions for 10 minutes accompanied by percussion or vibration * Active cycle breathing technique (ACBT) for 10 minutes * Respiratory exercises for 10 minutes
Treatment groups
Trial outcomes
Primary outcomes
Forced Expiratory Volume in 1 second (FEV1)
Change in FEV1 measured by spirometry according to ATS/ERS guidelines
Forced Vital Capacity (FVC)
Change in FVC measured by spirometry according to ATS/ERS guidelines
FEV1/FVC Ratio
Change in FEV1/FVC ratio measured by spirometry according to ATS/ERS guidelines
Secondary outcomes
Six-Minute Walk Distance (6MWD)
hange in functional exercise capacity assessed by the Six-Minute Walk Test (6MWT). The total distance walked in six minutes is recorded according to the American Thoracic Society (ATS) guidelines.
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