Abstract

presentation, we were not able to pool data. Two included studies had an overall low risk of bias whereas one included study had an overall unclear risk of bias. Conclusion(s): Our review does not provide conclusive evidence to justify the use of chest physiotherapy in children with pneumonia due to a lack of data. The number of included studies is small and they differed in their statistical presentation. However, trends for improvement are encouraging, and further studies including full descriptions of treatment methods and outcome measurements are required. Implications: This review indicates that chest physiotherapy is a safe and well tolerated intervention for children with pneumonia. Even though some of the individual trials reported positive effects of physiotherapy, no reliable conclusions could be drawn in clinical practice. This was a result of methodological differences among the included studies and poor reporting of methodological aspects in most of the included studies.

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