Cochrane · systematic review · CD004873

Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

Roqué-Figuls, M, Giné-Garriga, M, Granados Rugeles, C, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Acute Respiratory Infections2 versionsAMSTAR 2: not assessed

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.

Questions

current version

GRADE rated

No studies

Included studies

No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 2 · 33.3%Moderate 0 · 0%High 2 · 33.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Slow passive expiration versus control for acute bronchiolitis

Population: paediatric participants between 0 and 24 months old with acute bronchiolitis

CD004873.PUB6 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Time to recovery/time to clinical stability Recovery defined as attaining an ABSS clinical score below 2. ( Slow passive expiration vs control	no estimate extracted	1 study · 71 participants	Low Downgraded: risk of bias, imprecision
Change in the severity status of bronchiolitis Assessed using a variety of scales ( Slow passive expiration vs control	no estimate extracted	7 studies · 434 participants	Low Downgraded: risk of bias, imprecision, inconsistency
Adverse events ( Slow passive expiration vs control	no estimate extracted	6 studies · 565 participants	Very low Downgraded: risk of bias, imprecision, indirectness

Forced expiration versus control for acute bronchiolitis

Population: paediatric participants between 0 and 24 months old with acute bronchiolitis

CD004873.PUB6 (current) · 3 questions

Outcome	Effect	Evidence	Status / GRADE
Time to recovery/time to clinical stability ( Forced expiration vs control	no estimate extracted	3 studies · 628 participants	High
Change in the severity status of bronchiolitis Assessed using a variety of scales Forced expiration vs control	no estimate extracted	2 studies · 132 participants	Very low Downgraded: risk of bias, imprecision
Adverse events ( Forced expiration vs control	RR 1	2 studies · 599 participants	High

Forced expiration compared with standard care for acute bronchiolitis

Population: paediatric patients between 0 and 24 months old with acute bronchiolitis

CD004873.PUB5 · 2 questions

Outcome	Effect	Evidence	Status / GRADE
Time to recovery/time to clinical stability ( Forced expiration vs standard care	no estimate extracted	3 studies · 624 participants	High
Adverse events ( Forced expiration vs standard care	RR 1	2 studies · 496 participants	High

Slow passive expiration compared with standard care for acute bronchiolitis

Population: paediatric patients between 0 and 24 months old with acute bronchiolitis

CD004873.PUB5 · 2 questions

Outcome	Effect	Evidence	Status / GRADE
Change in the severity status of bronchiolitis Wang score and Bierman Pearson score ( Slow passive expiration vs standard care	no estimate extracted	3 studies · 286 participants	Low Downgraded: risk of bias, imprecision
Adverse events ( Slow passive expiration vs standard care	no estimate extracted	2 studies · 256 participants	Very low Downgraded: risk of bias, imprecision, indirectness