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Infant Bronchiolitis

Very common viral bronchiole infection in children under 2. Respiratory physiotherapy for clearance.

Infant Bronchiolitis

Acute bronchiolitis is the most common lower respiratory infection before age 2, affecting 30% of infants each winter (HAS, 2019). RSV causes 60-80% of cases. Respiratory physiotherapy includes augmented expiratory flow techniques, assisted autogenic drainage, and nasal lavage.

In Luxembourg, respiratory physiotherapy for bronchiolitis is covered by the CNS. Visit kine-bronchiolite.lu for more information.

Signs and characteristics

  • Cough, congestion, breathing difficulties
  • Peak epidemic in autumn-winter
  • Most fragile infants to monitor
  • Urgent consultation if signs of distress

Physiotherapy assessment

Assessment is individualised. It considers the observed characteristics, the child's history and comfort, and the family's goals. It does not replace a medical diagnosis.

Physiotherapy care

  • Infant-adapted bronchial clearance
  • Nasal wash with saline
  • Expiratory flow increase techniques
  • Monitoring advice for parents

Indicative duration: 3 to 10 days (depending on severity)

Home Exercises and Tips

  • Practice the exercises shown by the physiotherapist
  • Follow the recommended positioning for your baby
  • Perform nasal washes if prescribed
  • Stimulate motor development through play

Frequently asked questions

What signs may be observed?

Cough, congestion, breathing difficulties Peak epidemic in autumn-winter Most fragile infants to monitor Urgent consultation if signs of distress

What can physiotherapy offer?

Infant-adapted bronchial clearance Nasal wash with saline Expiratory flow increase techniques Monitoring advice for parents

How long does support last?

3 to 10 days (depending on severity)

Sources

HAS, Recommandations Bronchiolite, 2019

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