EFFECTIVENESS OF CHEST SHAKING AND POSTURAL DRAINAGE TO PREVENT PULMONARY COMPLICATIONS IN GUILLAIN-BARRE SYNDROME

Objective: To determine either chest shaking, postural drainage along chest physiotherapy or only chestphysiotherapy is effective in prevention of mechanically ventilated pneumonia in GBS patients.Material and methods: The randomized controlled trial was conducted in Children Hospital and Institute of childhealth, Ferorzpur, Lahore, Pakistan. A sample of 30 patients was taken and they were randomly placed either incontrol or experimental group, 15 patients in each group. A Performa was used for each patient, which was filled outbased on signs and symptoms. The progress of all the patients was measured on a unified scale describing 5variables; Temperature (Celsius), White Blood Cell Count, Tracheal Secretions, PaO2/FiO2 and Chest Radiographaccording to Clinical Pulmonary Infection Scores. All participants performed their particular therapeutic exercisewith their regular sessions of physical therapy as long as they remain on mechanical ventilation. All the collecteddata was entered to SPSS 17 (statistical package for social sciences) for analysis.Results: By summing up the total of 5 variables, average scores were obtained. This total Clinical PulmonaryInfection Scores of the two groups was analyzed statistically and t- test of independent samples was applied with pvalueis .093,.326 and .326 in Day 10, Day 20 and Day 30 respectively.Conclusion: The result of this study showed that p-value is far more than 0.05, hence result was statistically nonsignificant.This shows that the difference between means does not much exist. So both treatments show a markedreduction in Clinical Pulmonary Infection Score, hence both treatments are equally effective.Keywords: Guillain-barre Syndrome, shaking, postural drainage, chest physiotherapy, mechanically ventilatedpneumonia, Clinical Pulmonary Infection Score