Design and Develop a Non-Invasive Pulmonary Vibration Device for Secretion Drainage in Pediatric Patients with Pneumonia

Anantasak Wongkamhang, Nathamon Wuttipan, Rawiphon Chotikunnan, Kittipan Roongprasert, Phichitphon Chotikunnan, Nuntachai Thongpance, Manas Sangworasil, Anuchart Srisiriwat

Abstract


The study aimed to develop a non-invasive pulmonary vibration device, specifically tailored for pediatric patients, to address a range of pulmonary conditions. The device employs a PID control system to ensure consistent and precise vibrations. The primary contribution of this research is the successful development, testing, and implementation of this innovative device. Utilizing technical components such as an Arduino, a vibration DC motor, and an ADXL335 accelerometer, the device was engineered to deliver stable and continuous vibrations even when subjected to external pressures or interactions with the patient. Controllers, including P, PI, PD, and PID types, were rigorously compared. The Ziegler-Nichols tuning technique was applied for meticulous evaluation of vibration control specifically within the context of this non-invasive pulmonary vibration device. Our findings revealed that the PID controller displayed superior accuracy in vibration control compared to P, PI, and PD controllers. Clinical trials involving pediatric patients showed that the PID-controlled device achieved treatment outcomes comparable to conventional methods. The device's precise control of vibration strength provides an added benefit, making it a well-tolerated, non-invasive treatment option for various pulmonary conditions in pediatric patients. Future research is necessary to assess the long-term effectiveness of the device and to facilitate its integration into standard clinical practice. In summary, this study represents a significant advancement in pediatric pulmonary care, demonstrating the critical role that PID control systems adapted for non-invasive pulmonary vibration devices can play in enhancing treatment precision and outcomes.

Keywords


Pulmonary; PID Control; Vibration Device; Pneumonia.

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References


P. T. Nguyen, H. T. Tran, D. A. Fitzgerald, T. S. Tran, S. M. Graham, and B. J. Marais, "Characterisation of children hospitalised with pneumonia in central Vietnam: a prospective study," European Respiratory Journal, vol. 54, no. 1, 2019. doi: 10.1183/13993003.02256-2018.

K. Kumthip, P. Khamrin, H. Ushijima, and N. Maneekarn, "Enteric and non-enteric adenoviruses associated with acute gastroenteritis in pediatric patients in Thailand, 2011 to 2017," PloS one, vol. 14, no. 8, pp. 1–12, 2019, doi: 10.1371/journal.pone.0220263.

C. S. Mani, "Acute pneumonia and its complications," in Principles and Practice of Pediatric Infectious Diseases, vol. 238, 2018. doi:https: 10.1016/B978-0-323-40181-4.00034-7.

X. X. Ao, "The epidemiology of hospital death following pediatric severe community acquired pneumonia," Italian Journal of Pediatrics, vol. 47, no. 1, pp. 1-5, 2021. doi: 10.1186/s13052-021-00966-0.

T. Jaikarn and N. Wongcharoen, "Incidence Rates and Impact of Pneumonia in Pong Hospital," Journal of Royal Thai Army Nurses, vol. 22, no. 1, pp. 351-360, Apr. 2021.

D. A. McAllister et al., "Global, regional, and national estimates of pneumonia morbidity and mortality in children younger than 5 years between 2000 and 2015: a systematic analysis," Lancet Glob Health, vol. 7, no. 1, pp. e47-57, 2019. doi: 10.1016/S2214-109X(18)30408-X.

P. Klangka, "A Development of Discharge Planning Model for Pediatric Patients with Pneumonia Using Family and Caregiver Participation," Journal of Vongchavalitkul University, vol. 32, no. 2, pp. 40-49, 2019.

R. T. Ellison III and G. R. Donowitz, "Acute pneumonia," in Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, pp. 823, 2015, doi: 10.1016/B978-1-4557-4801-3.00069-2.

A. Tulebayeva, M. Sharipova, and R. Boranbayeva, "Respiratory dysfunction in children and adolescents with mucopolysaccharidosis types I, II, IVA, and VI," Diagnostics, vol. 10, no. 2, p. 63, 2020, doi: 10.3390/diagnostics10020063.

A. O. Odeyemi, A. O. Oyedeji, O. J. Adebami, and E. Agelebe, "Complications of pneumonia and its associated factors in a pediatric population in Osogbo, Nigeria," Nigerian Journal of Paediatrics, vol. 47, no. 4, pp. 318-323, 2020, doi: 10.4314/njp.v47i4.4.

D. P. Pozuelo-Carrascosa, A. Torres-Costoso, C. Alvarez-Bueno, I. Cavero-Redondo, P. L. Muñoz, and V. Martinez-Vizcaino, “Multimodality respiratory physiotherapy reduces mortality but may not prevent ventilator-associated pneumonia or reduce length of stay in the intensive care unit: a systematic review,” Journal of physiotherapy, vol. 64, no. 4, pp. 222-228, 2018.

G. S. Chaves, D. A. Freitas, T. A. Santino, P. A. M. Nogueira, G. A. Fregonezi, and K. M. Mendonca, “Chest physiotherapy for pneumonia in children,” Cochrane Database of Systematic Reviews, no. 1, 2019.

A. Spinou and J. D. Chalmers, "Using airway clearance techniques in bronchiectasis: Halfway there," Chest, vol. 158, no. 4, pp. 1298-1300, 2020, doi: 10.1016/j.chest.2020.07.062.

G. Leemans, D. Belmans, C. Van Holsbeke, B. Becker, D. Vissers, K. Ides, S. Verhulst, and K. Van Hoorenbeeck, "The effectiveness of a mobile high‐frequency chest wall oscillation (HFCWO) device for airway clearance," Pediatric Pulmonology, vol. 55, no. 8, pp. 1984-1992, 2020, doi: 10.1002/ppul.24784.

W. K. Abdelbasset and T. Elnegamy, "Effect of chest physical therapy on pediatrics hospitalized with pneumonia," International Journal of Health and Rehabilitation Science, vol. 4, no. 4, pp. 219-226, 2015, doi: 10.5455/ijhrs.000000095.

C. Gibson, F. Eubanks, and F. Hobson, "A Systems Approach to Medical‐Device Compliance with IEC 60601‐1: 2005," INCOSE International Symposium, vol. 15, no. 4, pp. 39-45, 2012, doi: 10.1002/inst.201215439.

J. Susilo, A. Febriani, U. Rahmalisa, and Y. Irawan, "Car parking distance controller using ultrasonic sensors based on Arduino Uno," Journal of Robotics and Control (JRC), vol. 2, no. 5, pp. 353-356, 2021, doi: 10.18196/jrc.25106.

E. S. Rahayu, A. Ma'arif, and A. Çakan, "Particle swarm optimization (PSO) tuning of PID control on DC motor," International Journal of Robotics and Control Systems, vol. 2, no. 2, pp. 435-447, 2022, doi: 10.31763/ijrcs.v2i2.476.

E. W. Suseno and A. Ma'arif, "Tuning of PID controller parameters with genetic algorithm method on DC motor," International Journal of Robotics and Control Systems, vol. 1, no. 1, pp. 41-53, 2021, doi: 10.31763/ijrcs.v1i1.249.

D. S. Febriyan and R. D. Puriyanto, "Implementation of DC motor PID control on conveyor for separating potato seeds by weight," International Journal of Robotics and Control Systems, vol. 1, no. 1, pp. 15-26, 2021, doi: 10.31763/ijrcs.v1i1.221.

P. Chotikunnan and R. Chotikunnan, "Dual design PID controller for robotic manipulator application," Journal of Robotics and Control (JRC), vol. 4, no. 1, pp. 23-34, 2023, doi: 10.18196/jrc.v4i1.16990.

E. S. Ghith and F. A. A. Tolba, "Design and optimization of PID controller using various algorithms for micro-robotics system," Journal of Robotics and Control (JRC), vol. 3, no. 3, pp. 244-256, 2022, doi: 10.18196/jrc.v3i3.14827.

A. K. Hado, B. S. Bashar, M. M. A. Zahra, R. Alayi, Y. Ebazadeh, and I. Suwarno, "Investigating and optimizing the operation of microgrids with intelligent algorithms," Journal of Robotics and Control (JRC), vol. 3, no. 3, pp. 279-288, 2022, doi: 10.18196/jrc.v3i3.14772.

E. H. Kadhim and A. T. Abdulsadda, "Mini drone linear and nonlinear controller system design and analyzing," Journal of Robotics and Control (JRC), vol. 3, no. 2, pp. 212-218, 2022, doi: 10.18196/jrc.v3i2.14180.

J. An, F. You, M. Wu, and J. She, "Iterative learning control for nonlinear weighing and feeding process," Mathematical Problems in Engineering, vol. 2018, 2018, doi: 10. 1155/2018/9425902.

X. Li, J. Liu, L. Wang, K. Wang, and Y. Li, "Welding process tracking control based on multiple model iterative learning control," Mathematical Problems in Engineering, vol. 2019, 2019, doi: 10.1155/2019/6137352.

M. A. Hadj-Abdelkader, G. Bourhis, and B. Cherki, “Haptic feedback control of a smart wheelchair,” Applied Bionics and Biomechanics, vol. 9, no. 2, pp. 181-192, 2012, doi: 10.3233/ABB-2012-0067.

K. Sukerkar, D. Suratwala, A. Saravade, J. Patil, and R. D’britto, "Smart wheelchair: a literature review," Mental Retardation, vol. 5, no. 5. 4, pp. 5-6, 2018, doi: 10.11591/ijict.v7i2.pp63-66.

D. Kumar, R. Malhotra, and S. R. Sharma, "Design and construction of a smart wheelchair," Procedia Computer Science, vol. 172, pp. 302-307, 2020, doi: https: 10.1016/j.procs.2020.05.048.

K. Rahimunnisa, M. Atchaiya, B. Arunachalam, and V. Divyaa, "AI-based smart and intelligent wheelchair," Journal of Applied Research and Technology, vol. 18, no. 6, pp. 362-367, 2020, doi: 10.22201/icat.24486736e.2020.18.6.1351.

A. Sharmila, A. Saini, S. Choudhary, T. Yuvaraja, and S. G. Rahul, "Solar Powered Multi-Controlled Smart Wheelchair for Disabled: Development and Features," Journal of Computational and Theoretical Nanoscience, vol. 16, no. 11, pp. 4889-4900, 2019.

M. A. Awais, M. Z. Yusoff, N. Yahya, S. Z. Ahmed, and M. U. Qamar, "Brain controlled wheelchair: a smart prototype," in Journal of Physics: Conference Series, vol. 1529, no. 4, p. 042075, April 2020, doi: 10.1088/1742-6596/1529/4/042075.

M. R. Islam, M. R. T. Hossain, and S. C. Banik, “Synchronizing of stabilizing platform mounted on a two-wheeled robot,” Journal of Robotics and Control (JRC), vol. 2, no. 6, pp. 552-558, 2021, doi: 10.18196/jrc.26136.

F. A. Raheem, B. F. Midhat, and H. S. Mohammed, "PID and fuzzy logic controller design for balancing robot stabilization," Iraqi Journal of Computers, Communications, Control and Systems Engineering, vol. 18, no. 1, pp. 1-10, 2018, doi: 10.33103/uot.ijccce.18.1.1.

C. Iwendi, M. A. Alqarni, J. H. Anajemba, A. S. Alfakeeh, Z. Zhang, and A. K. Bashir, "Robust navigational control of a two-wheeled self-balancing robot in a sensed environment," IEEE Access, vol. 7, pp. 82337-82348, 2019, doi: 10.1109/ACCESS.2019.2923916.

I. Gandarilla, V. Santibañez, and J. Sandoval, "Control of a self-balancing robot with two degrees of freedom via IDA-PBC," ISA Transactions, vol. 88, pp. 102-112, 2019, doi: 10.1016/j.isatra.2018.12.014.

Y. Su, T. Wang, K. Zhang, C. Yao, and Z. Wang, "Adaptive nonlinear control algorithm for a self-balancing robot," IEEE Access, vol. 8, pp. 3751-3760, 2019, doi: 10.1109/ACCESS.2019.2963110.

F. Jiménez, I. Ruge, and A. Jiménez, "Modeling and Control of a Two Wheeled Self-Balancing Robot: a didactic platform for control engineering education," LACCEI Inc., 2020, doi: 10.18687/LACCEI2020.1.1.556.

T. Terakawa, M. Komori, K. Matsuda, and S. Mikami, “A Novel Omnidirectional Mobile Robot With Wheels Connected by Passive Sliding Joints,” IEEE/ASME Trans. Mechatronics, vol. 23, no. 4, pp. 1716–1727, Aug. 2018, doi: 10.1109/TMECH.2018.2842259.

M. A. Al Mamun, M. T. Nasir, and A. Khayyat, “Embedded System for Motion Control of an Omnidirectional Mobile Robot,” IEEE Access, vol. 6, no. 8, pp. 86722–6739, 2018, doi: 10.1109/ACCESS.2018.2794441.

P. Shen, X. Zhang, and Y. Fang, “Complete and Time-Optimal PathConstrained Trajectory Planning With Torque and Velocity Constraints: Theory and Applications,” IEEE/ASME Trans. Mechatronics, vol. 23, no. 2, pp. 735–746, Apr. 2018, doi: 10.1109/TMECH.2018.2810828.

B. A. Gebre and K. V. Pochiraju, “Machine Learning Aided Design and Analysis of a Novel Magnetically Coupled Ball Drive,” IEEE/ASME Trans. Mechatronics, vol. 24, no. 5, pp. 1942–1953, Oct. 2019, doi: 10.1109/TMECH.2019.2929956.

M. Ferro, A. Paolillo, A. Cherubini, and M. Vendittelli, “VisionBased Navigation of Omnidirectional Mobile Robots,” IEEE Robot. Autom. Lett., vol. 4, no. 3, pp. 2691–2698, Jul. 2019, doi: 10.1109/LRA.2019.2913077.

A. Dhyani, M. K. Panda, and B. Jha, "Moth-flame optimization-based fuzzy-PID controller for optimal control of active magnetic bearing system," Iranian Journal of Science and Technology, Transactions of Electrical Engineering, vol. 42, no. 4, pp. 451-463, 2018, doi: 10.1007/s40998-018-0077-1.

H. Maghfiroh, A. Ramelan, and F. Adriyanto, "Fuzzy-PID in BLDC motor speed control using MATLAB/Simulink," Journal of Robotics and Control (JRC), vol. 3, no. 1, pp. 8-13, 2022, doi: 10.18196/jrc.v3i1.10964.

S. Gobinath and M. Madheswaran, "Deep Perceptron Neural Network with Fuzzy PID Controller for Speed Control and Stability Analysis of BLDC Motor," Soft Computing, vol. 24, no. 13, pp. 10161-10180, 2020, doi: 10.1007/s00500-019-04532-z.

K. Vanchinathan and N. Selvaganesan, "Adaptive Fractional Order PID Controller Tuning for Brushless DC Motor Using Artificial Bee Colony Algorithm," Results in Control and Optimization, vol. 4, 2021, doi: 10.1016/j.rico.2021.100032.

P. Dutta and S. K. Nayak, "Grey Wolf Optimizer Based PID Controller for Speed Control of BLDC Motor," Journal of Electrical Engineering & Technology, vol. 16, no. 2, pp. 955-961, 2021, doi: 10.1007/s42835-021-00660-5.

A. Ma'arif and A. Çakan, "Simulation and arduino hardware implementation of dc motor control using sliding mode controller," Journal of Robotics and Control (JRC), vol. 2, no. 6, pp. 582, doi: 10.18196/jrc.26140.

A. Latif, A. Z. Arfianto, H. A. Widodo, R. Rahim, and E. T. Helmy, "Motor DC PID System Regulator for Mini Conveyor Drive Based on MATLAB," Journal of Robotics and Control (JRC), vol. 1, no. 6, pp. 185-190, 2020, doi: 10.18196/jrc.1636.

B. Hekimoğlu, "Optimal Tuning of Fractional Order PID Controller for DC Motor Speed Control via Chaotic Atom Search Optimization Algorithm," IEEE Access, vol. 7, pp. 38100-38114, 2019, doi: 10.1109/ACCESS.2019.2905961.

A. Ma'arif and N. R. Setiawan, "Control of DC motor using integral state feedback and comparison with PID: simulation and Arduino implementation," Journal of Robotics and Control (JRC), vol. 2, no. 5, pp. 456-461, 2021, doi: 10.18196/jrc.25122.

S. K. Mallempati, G. Satheesh, and S. Peddakotla, "Design of optimal PI controller for torque ripple minimization of SVPWM-DTC of BLDC motor," International Journal of Power Electronics and Drive Systems, vol. 14, no. 1, p. 283, 2023, doi: https://doi.org/10.11591/ijpeds.v14.i1.

Y. Li, K. H. Ang, and G. C. Chong, "PID control system analysis and design," IEEE Control Systems Magazine, vol. 26, no. 1, pp. 32-41, 2006, doi: 10. 1109/MCS. 2006. 1580152.

C. T. Chao, N. Sutarna, J. S. Chiou, and C. J. Wang, “An optimal fuzzy PID controller design based on conventional PID control and nonlinear factors,” Applied Sciences, vol. 9, no. 6, p. 1224, 2019, doi: 10.3390/app9061224.

R. P. Borase, D. K. Maghade, S. Y. Sondkar, and S. N. Pawar, “A review of PID control, tuning methods and applications,” International Journal of Dynamics and Control, vol. 9, no. 2, pp. 818-827, 2021, doi: 10.1007/s40435-020-00665-4.

S. J. Hammoodi, K. S. Flayyih, and A. R. Hamad, "Design and Implementation of Speed Control System for DC Motor Based on PID Control and Matlab Simulink," International Journal of Power Electronics and Drive Systems, vol. 11, no. 1, p. 127, 2020, doi: 10.11591/ijpeds.v11.i1.

D. Somwanshi, M. Bundele, G. Kumar, and G. Parashar, "Comparison of Fuzzy-PID and PID Controller for Speed Control of DC Motor Using LabVIEW," in Procedia Computer Science, vol. 152, pp. 252-260, 2019, doi: 10.1016/j.procs.2019.05.019.

V. V. Patel, "Ziegler-Nichols Tuning Method," Resonance, vol. 25, no. 10, pp. 1385-1397, 2020, doi: 10.1007/s12045-020-1058-z.

T. Y. Wu, Y. Z. Jiang, Y. Z. Su, and W. C. Yeh, "Using Simplified Swarm Optimization on Multiloop Fuzzy PID Controller Tuning Design for Flow and Temperature Control System," Applied Sciences, vol. 10, no. 23, p. 8472, 2020, doi: 10.3390/app10238472.

R. R. Alla, N. Lekyasri, and K. Rajani, "PID Control Design for Second Order Systems," Int. J. Eng. Manuf., vol. 9, no. 4, pp. 45-56, 2019, doi: 10.5815/ijem.2019.04.04.

E. Bashier and O. Mohammed, "Optimally Tuned Proportional Integral Derivatives (PID) Controllers for Set-Point," Journal of Engineering and Computer Science (JECS), vol. 13, no. 1, pp. 48-53, 2019.

C. Dalen and D. Di Ruscio, "Performance optimal PI controller tuning based on integrating plus time delay models," Algorithms, vol. 11, no. 6, pp. 86, 2018, doi: 10.3390/a11060086.

S. Kai-bo, H. Jian, and L. Lin-tao, "A New Method of DC Motor Speed Regulation based on STM32," Journal of Astronautic Metrology and Measurement, vol. 38, no. 2, p. 87, 2018, doi: 10.12060/j.issn.1000-7202.2018.02.18.

S. Jain and Y. V. Hote, "Design of FOPID Controller Using BBBC via ZN Tuning Approach: Simulation and Experimental Validation," IETE Journal of Research, vol. 68, no. 5, pp. 3356-3370, 2022, doi: 10.1080/03772063.2020.1756937.

V. Dubey, "Comparative Analysis of PID Tuning Techniques for Blood Glucose Level of Diabetic Patient," Turkish Journal of Computer and Mathematics Education (TURCOMAT), vol. 12, no. 11, pp. 2948-2953, 2021.

A. O. Amole, O. E. Olabode, D. O. Akinyele, and S. G. Akinjobi, "Optimal Temperature Control Scheme for Milk Pasteurization Process Using Different Tuning Techniques for a Proportional Integral Derivative Controller," Iranian Journal of Electrical and Electronic Engineering, vol. 2170, pp. 2170-2170, 2022, doi: 10.22068/IJEEE.18.3.2170.

N. A. Rao and C. R. Kumar, "Speed Control of Brushless Dc Motor by Using PID and Fuzzy Logic Controller," International Journal of Innovative Research in Technology, vol. 4, no. 6, 2019.

P. Saini and C. Sharma, "Comparative Analysis of Controller Tuning Techniques for Dead Time Processes," International Journal of Mathematical, Engineering and Management Sciences, vol. 4, no. 3, pp. 803, 2019, doi: 10.33889/IJMEMS.2019.4.3-063.

E. Kesavan, K. M. Junaid, and B. Jaison, "Design and Analysis of Different Tuning Strategies of PI Controller for Distillation Column," International Journal of Control Systems and Robotics, vol. 4, 2019.

Z. Qi, Q. Shi, and H. Zhang, "Tuning of Digital PID Controllers Using Particle Swarm Optimization Algorithm for a CAN-Based DC Motor Subject to Stochastic Delays," IEEE Transactions on Industrial Electronics, vol. 67, no. 7, pp. 5637-5646, doi: 10.1109/TIE.2019.2934030.

M. M. Nishat, F. Faisal, A. J. Evan, M. M. Rahaman, M. S. Sifat, and H. F. Rabbi, "Development of Genetic Algorithm (GA) Based Optimized PID Controller for Stability Analysis of DC-DC Buck Converter," Journal of Power and Energy Engineering, vol. 8, no. 9, p. 8, 2020, doi: 10.4236/jpee.2020.89002.

H. Feng, C. B. Yin, W. W. Weng, W. Ma, J. J. Zhou, W. H. Jia, and Z. L. Zhang, "Robotic excavator trajectory control using an improved GA based PID controller," Mechanical Systems and Signal Processing, vol. 105, pp. 153-168, 2018, doi: 10.1016/j.ymssp.2017.12.014.

S. Mahfoud, A. Derouich, N. El Ouanjli, M. El Mahfoud, and M. Taoussi, "A New Strategy-Based PID Controller Optimized by Genetic Algorithm for DTC of the Doubly Fed Induction Motor," Systems, vol. 9, no. 2, p. 37, 2021, doi: 10.3390/systems9020037.

R. Cookson, M. Asaria, S. Ali, R. Shaw, T. Doran, and P. Goldblatt, "Health equity monitoring for healthcare quality assurance," Social Science & Medicine, vol. 198, pp. 148–156, 2018, doi: 10.1016/j.socscimed.2018.01.004.

J. Cohen, "Statistical power analysis," in Current Directions in Psychological Science, vol. 1, no. 3, pp. 98-101, doi: 10.1111/1467-8721.ep10768783.

H. A. Hussein and G. A. Elsamman, "Effect of chest physiotherapy on improving chest airways among infants with pneumonia," Journal of American Science, vol. 7, no. 9, pp. 460-466, 2011.

F. Longhini, A. Bruni, E. Garofalo, C. Ronco, A. Gusmano, G. Cammarota, L. Pasin, P. Frigerio, D. Chiumello, and P. Navalesi, "Chest physiotherapy improves lung aeration in hypersecretive critically ill patients: a pilot randomized physiological study," Crit Care, vol. 24, no. 1, p. 479, 2020, doi:https://doi.org/10.1186/s13054-020-03198-6, doi: 10.1186/s13054-020-03198-6.

S. Kluayhomthong, W. Khrisanapant, S. Chaisuksant, and C. U. Jones, "Effectiveness of a new breathing device 'BreatheMAX®' to increase air way secretion clearance in patients with ventilatory dependence," Journal of Medical Technology and Physical Therapy, vol. 23, no. 1, pp. 95-108, 2011.

N. E. Lestari, N. Nurhaeni, and S. Chodidjah, "The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia," Enfermeria Clinica, vol. 28, pp. 19-22, 2018, doi: 10.1016/S1130-8621(18)30029-9.

L. Corten, J. Jelsma, A. Human, S. Rahim, and B. M. Morrow, "Assisted autogenic drainage in infants and young children hospitalized with uncomplicated pneumonia, a pilot study," Physiotherapy Research International, vol. 23, no. 1, p. e1690, 2018, doi: 10.1002/pri.1690.

F. Van Ginderdeuren, Y. Vandenplas, M. Deneyer, S. Vanlaethem, R. Buyl, and E. Kerckhofs, "Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis," Pediatric Pulmonology, vol. 52, no. 2, pp. 225-231, 2017, doi: 10.1002/ppul.23495.

F. R. Pinto, A. S. Alexandrino, L. Correia-Costa, and I. Azevedo, “Ambulatory chest physiotherapy in mild-to-moderate acute bronchiolitis in children under two years of age—A randomized control trial,” Hong Kong Physiotherapy Journal, vol. 41, no. 2, pp. 99-108, 2021.

N. Seethikaew, P. Chotikunnan, and J. Supruang, "Innovation development vibrate for drainage secretion of pediatric patients," Journal of The Royal Thai Army Nurses, vol. 23, no. 2, pp. 418-427, 2022.

N. Seethikaew, P. Chotikunnan, W. Vongleasagoon, J. Nitipipatkosol, S. Kaewrakmook, and S. Thakhamma, "Effects of using chest vibration innovation on the efficacy of secretion drainage in children with pneumonia," Songklanagarind Journal of Nursing, vol. 42, no. 1, pp. 85-96, 2022.




DOI: https://doi.org/10.18196/jrc.v4i5.19588

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