Six randomised controlled trials (RCTs) with 434 participants
were included in this review, which appraised four types of chest
physiotherapies (i.e. conventional chest physiotherapy, active cycle
of breathing techniques, osteopathic manipulative treatment
and positive expiratory pressure). None of the techniques were
found to improvemortality of pneumonia in adults. Conventional
chest physiotherapy, active cycle of breathing techniques and osteopathic
manipulative treatment did not increase the cure rate of
pneumonia nor the rate of chest X-ray improvement. Osteopathic
manipulative treatment and positive expiratory pressure did reduce
the mean duration of hospital stay by 2.02 and 1.4 days,
respectively, whereas conventional chest physiotherapy and active
cycle of breathing techniques did not. Positive expiratory pressure
might reduce the duration of fever, while osteopathic manipulative
treatment might not. In addition, osteopathic manipulative
treatment might have an effect on reducing the duration of intravenous
and total antibiotic treatments.
Six randomised controlled trials (RCTs) with 434 participantswere included in this review, which appraised four types of chestphysiotherapies (i.e. conventional chest physiotherapy, active cycleof breathing techniques, osteopathic manipulative treatmentand positive expiratory pressure). None of the techniques werefound to improvemortality of pneumonia in adults. Conventionalchest physiotherapy, active cycle of breathing techniques and osteopathicmanipulative treatment did not increase the cure rate ofpneumonia nor the rate of chest X-ray improvement. Osteopathicmanipulative treatment and positive expiratory pressure did reducethe mean duration of hospital stay by 2.02 and 1.4 days,respectively, whereas conventional chest physiotherapy and activecycle of breathing techniques did not. Positive expiratory pressuremight reduce the duration of fever, while osteopathic manipulativetreatment might not. In addition, osteopathic manipulativetreatment might have an effect on reducing the duration of intravenousand total antibiotic treatments.
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