Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatric

Background: Respiratory problems like Respiratory Distress Syndrome (RDS) in neonates is one of the leading causes of neonatal morbidity and mortality in developing countries. Objective: To test the efficacy of Lung Squeezing Technique combined with that of Conventional Chest Physiotherapy (CPT) for improving oxygenation in neonates with respiratory distress syndrome, in terms of blood gases and oxygen saturation. Materials and Methods: This randomized controlled trial included 30 neonates with RDS under mechanical ventilation. Their ages ranged from 3-15 days.The participants were randomly allocated into 2 equal groups. The control group received CPT, while the study group received CPT in addition to LST for 20 minutes duration per session, two sessions per day, till discharge. Arterial blood gases (PaO2, PaCO2, pH, HCO3, BE), vital signs (HR, RR, SAP, DAP, SaO2,Temperature) were measured and chest X ray was done. All measurements were recorded at baseline measurement, 2 days and 7 days post inclusion in the study. Results: Significant improvement was recorded in vital signs (HR, RR, SAP, DAP, SaO2, Temperature), arterial blood gases (PaO2) and the duration of hospital stay for the study group after 2 and 7 days (P< 0.05). Conclusion: Lung squeezing technique is an excellent supplement to conventional chest physiotherapy in managing RDS in neonates

Issued also as CD