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In this study, electrical impedance tomography (EIT), a noninvasive and nonradiative technology, is applied to guide the accurate respiratory rehabilitation of pneumonia. On the basis of traditional physical assessment, physiotherapists introduce EIT as an auxiliary imaging technology into the field of rehabilitation, which can increase the accurate understanding of ventilation conditions of local lung lesions, so as to optimize physical therapy methods, which is conducive to the improvement of patients' symptoms, the improvement of lesions, and the improvement of patients' quality of life.
According to the results of traditional assessment, physiotherapists and clinicians discussed the EIT results to give respiratory rehabilitation chest physiotherapy, and adjusted the treatment according to the results of T2 and T3 review. EIT has dynamic monitoring charts and communicates with patients about the changes after treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EIT-guided group | Experimental | Physical therapy guided by EIT |
|
| Non-EIT-guided group | Other | Traditional physical therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrical Impedance Tomography | Device | According to the results of traditional assessment, physiotherapists and clinicians discussed the EIT results to give respiratory rehabilitation chest physiotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical pulmonary infection score | CPIS is a comprehensive assessment of the severity of infection based on clinical, radiological, and microbiological criteria, including body temperature, white blood cell count, tracheal secretions, oxygenation, chest X-ray, progression of pulmonary infiltrates, and tracheal aspirate culture. The maximum score was 12 and the minimum score is 0 points.. It is of great significance in the diagnosis, treatment and evaluation of pneumonia, and has high application value.The higher the CPIS score, the more serious the patient's clinical condition is and the more timely treatment is needed. When the CPIS score is ≤6, the discontinuation of antibiotics can be considered. | Before respiratory rehabilitation chest physiotherapy (T1), on days 3 (T2) and 7 (T3) after the start of treatment. |
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| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | The length of stay for each patient. | From admission to discharge, assessed up to 1 day |
| Short Form 36 | The Short Form-36 (SF-36) scale was used to assess quality of life. The lowest score represents the worst health status. SF-36 measurement was performed twice, before and after treatment. |
Inclusion Criteria:
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Jingyi Ge | Beijing Rehabilitation Hospital of Capital Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jingyi Ge | Beijing | China |
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| ID | Term |
|---|---|
| D000098968 | Community-Acquired Pneumonia |
| ID | Term |
|---|---|
| D017714 | Community-Acquired Infections |
| D007239 | Infections |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
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| chest physiotherapy | Behavioral | Conventional assessment by physical therapists was followed by respiratory rehabilitation chest physiotherapy.Chest physical therapy for respiratory rehabilitation includes postural drainage, cough technique, forced expiratory technique, positive expiratory pressure, high-frequency chest wall compression, chest tapping, vibration, active breathing cycle technique, etc. All chest physiotherapy was performed by 1 therapist. |
|
| At baseline and at week 2. |
| Satisfaction with treatment | Using the Australian respiratory rehabilitation package, divided into 5 items, each item 5 points, a total of 25. The original questionnaire contained six items on which patients rated their satisfaction with respiratory rehabilitation on a scale of 1 strongly disagree to 5 strongly agree. | Evaluation was conducted 12 hours before discharge. |
| Regional Ventilation distribution | Difference in regional ventilation distribution before and after institution of physical therapy | From baseline measurements to immediately after the end of treatment (15 minutes) |
| D012140 |
| Respiratory Tract Diseases |