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Romieu H, Charbonnier F, Janka D, Douillard A, Macioce V, Lavastre K, Abassi H, Renoux MC, Mura T, Amedro P. Efficiency of physiotherapy with Caycedian Sophrology on children with asthma: A randomized controlled trial. Pediatr Pulmonol 2018; 53:559-566. [PMID: 29493875 DOI: 10.1002/ppul.23982] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 01/25/2018] [Indexed: 11/08/2022]
Abstract
BACKGROUND Asthma is the most common chronic disease in pediatrics. Along with the usual drug therapy using corticosteroids and bronchodilators, some interest has been shown for adjuvant therapies, such as sophrology. However, the level of evidence for non-pharmaceutical therapies in asthma remains low, especially in children. This study aimed to assess whether in children with asthma, peak expiratory flow (PEF) improved more after a sophrology session alongside standard treatment than after standard treatment alone. METHODS We carried out a prospective randomized controlled clinical trial among 74 children aged 6-17 years old, hospitalized for an asthma attack. Group 1: conventional treatment (oxygen, corticosteroids, bronchodilators, physiotherapy) added to one session of sophrology. Group 2: conventional treatment alone. The primary outcome was the PEF variation between the initial and final evaluations (PEF2 -PEF1 ). RESULTS Demographic and clinical characteristics were similar in both groups at baseline. Measures before and after the sophrology session showed that the PEF increased by mean 30 L/min in the sophrology group versus 20 L/min in the control group (P = 0.02). Oxygen saturation increased by 1% versus 0% (P = 0.02) and the dyspnea score with visual analogue scale improved by two points point (P = 0.01). No differences were observed between the two groups in terms of duration of hospitalization, use and doses of conventional medical treatment (oxygen, corticosteroids, and bronchodilators), and quality of life scores. CONCLUSIONS Sophrology appears as a promising adjuvant therapy to current guideline-based treatment for asthma in children.
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Affiliation(s)
- Huguette Romieu
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France
| | - Françoise Charbonnier
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France
| | - Dora Janka
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France
| | - Aymeric Douillard
- Department of Epidemiology and Clinical Research, University Hospital, Montpellier, France
| | - Valérie Macioce
- Department of Epidemiology and Clinical Research, University Hospital, Montpellier, France
| | - Kathleen Lavastre
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France
| | - Hamouda Abassi
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France.,Self-Perceived Health Assessment Research Unit, EA3279, Department of Public Health, Mediterranean Medical School, Marseille, France
| | - Marie-Catherine Renoux
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France
| | - Thibault Mura
- Department of Epidemiology and Clinical Research, University Hospital, Montpellier, France.,INSERM U1061, University of Montpellier, Montpellier, France
| | - Pascal Amedro
- Department of Pediatric Cardiology and Pulmonology, University Hospital, Montpellier, France.,Physiology and Experimental Biology of Heart and Muscles Laboratory-PHYMEDEXP, UMR CNRS 9214-INSERM U1046, University of Montpellier, Montpellier, France.,Self-Perceived Health Assessment Research Unit, EA3279, Department of Public Health, Mediterranean Medical School, Marseille, France
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4
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Messika J, Hajage D, Panneckoucke N, Villard S, Martin Y, Renard E, Blivet A, Reignier J, Maquigneau N, Stoclin A, Puechberty C, Guétin S, Dechanet A, Fauquembergue A, Gaudry S, Dreyfuss D, Ricard JD. Effect of a musical intervention on tolerance and efficacy of non-invasive ventilation in the ICU: study protocol for a randomized controlled trial (MUSique pour l'Insuffisance Respiratoire Aigue - Mus-IRA). Trials 2016; 17:450. [PMID: 27618935 PMCID: PMC5020479 DOI: 10.1186/s13063-016-1574-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2015] [Accepted: 08/26/2016] [Indexed: 12/27/2022] Open
Abstract
Background Non-invasive ventilation (NIV) tolerance is a key factor of NIV success. Hence, numerous sedative pharmacological or non-pharmacological strategies have been assessed to improve NIV tolerance. Music therapy in various health care settings has shown beneficial effects. In invasively ventilated critical care patients, encouraging results of music therapy on physiological parameters, anxiety, and agitation have been reported. We hypothesize that a musical intervention improves NIV tolerance in comparison to conventional care. We therefore question the potential benefit of a receptive music session administered to patients by trained caregivers (“musical intervention”) to enhance acceptance and tolerance of NIV. Methods/design We conduct a prospective, three-center, open-label, three-arm randomized trial involving patients in the intensive care unit (ICU) who require NIV, as assessed by the treating physician. Participants are allocated to a “musical intervention” arm (“musical intervention” applied during all NIV sessions), to a “sensory deprivation” arm (sight and hearing isolation during all NIV sessions), or to the control group. The primary endpoint is the change in respiratory comfort (measured with a digital visual scale) before the initiation and after 30 minutes of the first NIV session. The evaluation of the primary endpoint is performed blindly from the treatment group. Secondary endpoints include changes in respiratory and cardiovascular parameters during NIV sessions, the percentage of patients requiring endotracheal intubation, day-90 anxiety/depression and health-related quality of life, post-trauma stress induced by NIV, and the overall assessment of NIV. The follow-up for each participant is 90 days. We expect to randomize a total of 99 participants. Discussion As music intervention is a simple and easy-to-implement non-pharmacological technique, efficacious in reducing anxiety in critically ill patients, it appeared logical to assess its efficacy in NIV, one of the most stressful techniques used in the ICU. Patient centeredness was crucial in choosing the outcomes assessed. Trial registration ClinicalTrials.gov: NCT02265458. Registered on 25 August 2014. Electronic supplementary material The online version of this article (doi:10.1186/s13063-016-1574-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Jonathan Messika
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France. .,Université Paris Diderot, Sorbonne Paris Cité, IAME, UMRS 1137, F-75018, Paris, France. .,INSERM, IAME, U1137, F-75018, Paris, France. .,Present address: Réanimation Médico-chirurgicale, Hôpital Louis Mourier, 178 rue des Renouillers, F-92700, Colombes, France.
| | - David Hajage
- Université Paris Diderot, Sorbonne Paris Cité, ECEVE, UMRS 1123, F-75010, Paris, France.,INSERM, ECEVE, U1123, F-75010, Paris, France.,INSERM, CIC-EC 1425, UMR 1123, F-75010, Paris, France
| | - Nataly Panneckoucke
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France
| | - Serge Villard
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France
| | - Yolaine Martin
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France
| | - Emilie Renard
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France
| | - Annie Blivet
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France
| | - Jean Reignier
- Centre Hospitalier Départemental de Vendée, Réanimation Médico-Chirurgicale, La Roche-sur-Yon, F-85925 Cedex 9, France
| | - Natacha Maquigneau
- Centre Hospitalier Départemental de Vendée, Réanimation Médico-Chirurgicale, La Roche-sur-Yon, F-85925 Cedex 9, France
| | - Annabelle Stoclin
- Institut Gustave Roussy, Réanimation Médico-chirurgicale, Villejuif, F-94800, France
| | - Christelle Puechberty
- Institut Gustave Roussy, Réanimation Médico-chirurgicale, Villejuif, F-94800, France
| | - Stéphane Guétin
- CHRU de Montpellier, Service de Neurologie, Inserm U1061, Montpellier, F-34000, France
| | - Aline Dechanet
- INSERM, CIC-EC 1425, UMR 1123, F-75010, Paris, France.,APHP, Hôpital Louis Mourier, Département d'Epidémiologie et Recherche Clinique, 178 Rue des Renouillers, Colombes, F-92700, France.,Université Paris Diderot, UMR 1123, Sorbonne Paris Cité, Paris, France
| | - Amandine Fauquembergue
- INSERM, CIC-EC 1425, UMR 1123, F-75010, Paris, France.,APHP, Hôpital Louis Mourier, Département d'Epidémiologie et Recherche Clinique, 178 Rue des Renouillers, Colombes, F-92700, France.,Université Paris Diderot, UMR 1123, Sorbonne Paris Cité, Paris, France
| | - Stéphane Gaudry
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France.,Université Paris Diderot, Sorbonne Paris Cité, ECEVE, UMRS 1123, F-75010, Paris, France.,INSERM, ECEVE, U1123, F-75010, Paris, France
| | - Didier Dreyfuss
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France.,Université Paris Diderot, Sorbonne Paris Cité, IAME, UMRS 1137, F-75018, Paris, France.,INSERM, IAME, U1137, F-75018, Paris, France
| | - Jean-Damien Ricard
- AP-HP, Hôpital Louis Mourier, Réanimation Médico-chirurgicale, 178 rue des Renouillers, F-92700, Colombes, France.,Université Paris Diderot, Sorbonne Paris Cité, IAME, UMRS 1137, F-75018, Paris, France.,INSERM, IAME, U1137, F-75018, Paris, France
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