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Impact of Physical Therapy Program in Mouthbreathing Children After Adenotonsillectomy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02373553
Recruitment Status : Unknown
Verified March 2015 by PATRICIA DAYRELL NEIVA, Federal University of Minas Gerais.
Recruitment status was:  Enrolling by invitation
First Posted : February 27, 2015
Last Update Posted : March 3, 2015
Information provided by (Responsible Party):
PATRICIA DAYRELL NEIVA, Federal University of Minas Gerais

Brief Summary:
MB Children maintains the same postural pattern in preoperative and postoperative adenotonsillectomy? The age influences the incidence of more exacerbated postural changes? The proposed early physiotherapy intervention can minimize future functional deficits? Trying to answer some of these questions, the objective of present study is to investigate the initial kinematics of the shoulder girdle, cervical and thoracic spine in MB children pre and post adenotonsillectomy and then evaluate the effects of a physical therapy intervention program for MB children who persisted with postural changes.

Condition or disease Intervention/treatment Phase
Mouth Breathing Other: EXERCISES Other: HEALTH EDUCATION Phase 1 Phase 2

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 45 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Impact of Physical Therapy Program in Mouthbreathing Children After Adenotonsillectomy: Randomized Clinical Trial.
Study Start Date : October 2014
Actual Primary Completion Date : February 2015
Estimated Study Completion Date : February 2016

Arm Intervention/treatment
No Intervention: Group 1( G1): CONTROL GROUP
not be submitted to intervention, only receive informations about health education.
Experimental: Group 2(G2) : HEALTH EDUCATION
The family will receive a booklet of guidance of exercises to be performed at home.
Booklet contain many pictures demonstrating some exercises and an importance to do it.

The postural reeducation through lengthening of the anterior muscles and strengthening of the posterior muscles of the trunk.
The postural reeducation in a sitting position, in ventral and dorsal recumbency, including manual techniques, stretching the sternocleidomastoid and scalene muscles. Exercises for pelvic girdle positioning and stretching the hamstrings muscles tibial and sural triceps are associated with respiratory exercise. Twice a week during 3 months

Primary Outcome Measures :
  1. Angular and linear Measurement position of head, scapular and kyphosis [ Time Frame: 1 year ]

Secondary Outcome Measures :
  1. ages influences in this postural disorders [ Time Frame: 6 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   4 Years to 10 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion criteria: both sexes, belonging to any racial group aged 4-10 years completed, diagnosis of upper airway obstruction by endoscopy (pharyngeal tonsil occupying 80% or more of the nasopharynx and / or palatine tonsils 3 or 4 ), history of oral route of access and loss of passive lip seal, display good understanding and whose family can signing the consent form approved by the Ethics Committee of the Federal University of Minas Gerais (COEP ).

Exclusion criteria: children with neurological disorders, or endocrine abnormalities that compromise the normal development of growth, with the presence of ankylosis, severe lung disease, congenital heart defects, craniofacial abnormalities with syndromic and who are unfit to perform the procedures proposed in this study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02373553

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Federal University of Minas Gerais
Belo Horizonte, Minas Gerais, Brazil, 31270901
Federal University of Minas Gerais
Belo Horizonte, Minas Gerais, Brazil, 31270910
Sponsors and Collaborators
Federal University of Minas Gerais
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Principal Investigator: Patricia D Neiva, MD Federal University of Minas Gerais
1. Stokes, N. and Della, Mattia D. A student research review of the mouthbreathing habit: discussing measurement methods, manifestations and treatment of the mouthbreathing habit. Probe., v. 30, n. 6, p. 212-214, 1996. 2. Francesco, R. C., Passerotii, G., Paulucci, B., and Miniti, A. Respiração Oral na Criança:Repercussões diferentes de acordo com o diagnóstico. Rev.Bras.Otorrinolaringol., v. 70, n. 5, p. 665-670, 2004. 3. Aragao, W. Aragao's function regulator, the stomatognathic system and postural changes in children. J.Clin.Pediatr.Dent., v. 15, n. 4, p. 226-231, 1991. 4. Fujiki, P and R. Influência da hipertrofia adenoideana no crescimento e desenvolvimento craniodentofacial. Ortodontia, v. 32, n. 1, p. 70-77, 1999. 5.Lourenco, E. A. and Lopes, K. C. (1-2-2005). Estudo comparativo radiológico e nasofibroscópico do volume adenoideano em crianças respiradoras orais. Rev.Bras.Otorrinolaringol. 71[1], 23-28. 6. Lima, LCO, Baraúna, MA., Sologurem, MJJ, Canto, RST, and Gastaldi, AC. Postural alterations in children with mouth breathing assessed by computerized biophotogrammetry. J.Appl.Oral Sci., v. 12, n. 3, p. 232-237, 2004. 7. Krakauer, L. H. and Guilherme, A. Relationship between mouth breathing and postural alterations of children: a descriptive analysis. Int.J.Orofacial.Myology., v. 26, p. 13-23, 2000. 8. Yi, LC Pignatari S and Weckx LLM. Avaliação postural em crianças de 5 a 12 anos que apresentam respiração oral. Fisioterapia em movimento, v. 16, n. 3, p. 29-33, 2003. 9. Neiva PD, Kirkwood RN, Godinho R. Orientation and position of head posture, scapula and thoracic spine in mouth-breathing children. Int J Pediatr Otorhinolaryngol. 2009; 73:227-36.

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Responsible Party: PATRICIA DAYRELL NEIVA, Master Degree in Rehabilitation Sciense, Federal University of Minas Gerais Identifier: NCT02373553    
Other Study ID Numbers: 3
First Posted: February 27, 2015    Key Record Dates
Last Update Posted: March 3, 2015
Last Verified: March 2015
Keywords provided by PATRICIA DAYRELL NEIVA, Federal University of Minas Gerais:
Additional relevant MeSH terms:
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Mouth Breathing
Respiration Disorders
Respiratory Tract Diseases
Signs and Symptoms, Respiratory