INFLUENCE AND IMPORTANCE OF RESPIRATORY REHABILITATION IN CHILDREN WITH ASTHMA
DOI:
https://doi.org/10.46793/PP151024012ZKeywords:
asthma, respiratory rehabilitation, childrenAbstract
Introduction: Asthma is one of the most common chronic pulmonary diseases of childhood. The goal benefits patients not only in regard to improving quality of life, but also in reducing the risk of future exacerbations. Pulmonary rehabilitation has become a standard of care for children with asthma. The aim of this study was to establish if drugs and respiratory rehabilitation applied at the same time lead to better control asthma and had no exacerbation.
Material and Methods: A total of 180 patients (100 boys and 80 girls) devided in to three groups according to the treatment: I first one with those treated only with medical treatment, II second one with those treated only with respiratory rehabilitation treatment and third one with those treated both with medical treatment and respiratory rehabilitation. Each group had two subgroups of patients - first one with those had preventive therapy and second one with those had not.
Results:The data showed that almost all of the patients who were treated with the combination of medical treatment and paralel with respiratory rehabilitation procedures had significantly higher increase of amelioration (p<0,05) in comparison with patients who were treated just with medical treatment and (p<0,001) in comparison with patients who were treated just with respiratory rehabilitation procedures, and especially we were obtained better results in patients with preventive therapy (p<0,05).
Conclusion: Asthma control needs long opservation and combined treatment: medical and preventive therapy and the respiratory rehabilitation like hinge for shorter and easier course of disease. Combination medicament treatment and respiratory rehabilitation procedures leads in statistically higher improvement and reduces the risk of future exacerbations.
References
Asher M, Montefort S, Bjorksten B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjuctivitis, and ecyema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006: 368: 733-743.
Lee YL, Hwang BF, Lin YC, Guo YL. Time trend of asthma prevalence among middle school children in Taiwan: ISAAC phases I and III surveys. Pediatr Allergy Immunol 2012: 23: 207-207.
Ozdoganoglu T, Songu M. The burden of allergic rhinitis and asthma. Ther Adv Respir Dis 2012: 6: 11-23.
Nissen SP, Kjaer HF, Host A, Nielsen J, Halken S. The natural course of sensitization and allergic diseases from childhood to adulthood. Pediatr Allergy Immunol 2013: 24: 549-55.
Ducharme FM, Tse SM, Chauhan B. Diagnosis, management, and prognosis of preschool wheeze. Lancet 2014: 383: 1593-604.
Bousquet J, Jefferz PK, Busse WW, Johanson M, Vignola AM. Asthma, from bronchoconstriction to airway inflamation and remodelling. A. J Respir Crit Care Med 2000; 161: 1720-1745.
Sharma S, Chhabra D, Kho AT, Hayden LP, Tantisira KG, Weis S. The genomic origins of asthma. Thorax 2014: 69: 481-7.
Martino D, Kesper DA, Amarasekera M, Harb H, Renz H, Prescott S. Epigenetics in immune development and in allergic and autoimmune diseases. J Reprud Immunol 2014: 104-105: 43-8.
Singh V. Effect of respiratory exercises on asthma: The Pink City Lung Exerciser. J Asthma 1987; 24: 355-359.
American thoracic society and European respiratory society. American Thoracic Society/European respiratory Society Statement on Pulmonary Rehabilitation. Am J Respir Crit Care Med 2006; 173: 1390- 413.
Faling LJ. Pulmonary rehabilitation – physical modalities. Clin Chest Med 1986;7: 599-618.
American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for pulmonary rehabilitation programs, 3rd edition. Champaign, IL: Human Kinetics; 2004.
Fucbs-Climent D, Le Gallais D, Varray A, Desplan J, Cadopi M, Prefaut C. Quality of life and exercise tolerance in chronic obstructive pulmonary disease: effect of short and intensive inpatient rehabilitation program. Am J Phys Med Rehabil 1999; 78(4): 330-335.
Guyatt GH, Berman LF, Townsend M, Pugsley SO, Chamber LW. A measure of quality of life for clinical trials in chronic lung dsease. Thorax 1987;42(10):773-778.
Ambrosino N, Venturelli E, Vagheggini G, Clini E. Rehabilitation, weaning and physical therapy strategies in chronic critically ill patients. Eur Respir J 2012; 39:487-492.
Brooks D, Sottana R, Bell B, Hanna M, Laframboise L, Selvanayagarajah S, Goldstein R. Characterization of pulmonary rehabilitation programs in Canada in 2005. Can Respir J 2007;14:87-92.
Milan Jovanović, Savremeno lečenje i rehabilitacija obolelih od astme i hronične opstruktivne bolesti pluća; samolečenje uz pomoć lekara, Sokobanja, 2006; S 70-82.
Couser JL, Martinez FJ, Celli BR. Pulmonary rehabilitation that includes arm exercise reduces metabolic and ventilatory requirements for simple arm elevation. Chest 1993;17(3):171-177.
Clark CJ, Cochrane LM, Mackay E, Paton B. Sceletal muscle strength and endurance in patient with mild COPD and the effects of weight training. Eur Respir J 2000;15(1):92-97