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The effects of daily pulmonary rehabilitation program at home on childhood asthma
G Bingöl Karakoç1, M Yilmaz, S Sur
1Department of Pediatric Allergy and Immunology, Cukurova University, Faculty of Medicine, Adana, Turkey. gulbin2@yahoo.com
Insights
Daily pulmonary rehabilitation significantly improved quality of life and lung function in children with asthma. This home-based program offers a valuable component for managing childhood asthma effectively.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Asthma Management
Background:
- Childhood asthma is a prevalent chronic respiratory condition.
- Effective management strategies are crucial for improving quality of life and lung function in affected children.
Purpose of the Study:
- To evaluate the efficacy of a pulmonary rehabilitation program in children diagnosed with mild persistent or moderate asthma.
Main Methods:
- A double-blind, randomized study included 28 children with asthma.
- One group received a 30-day home-based pulmonary rehabilitation program with parents.
- Symptom scores, medication use, quality of life, and pulmonary function tests were assessed pre- and post-intervention.
Main Results:
- The pulmonary rehabilitation group showed significant reductions in symptom and medication scores.
- Quality of life index significantly improved in the rehabilitation group.
- Pulmonary function measures, including vital capacity, forced vital capacity, FEV1, PEF, and FEF25-75, demonstrated significant improvements post-rehabilitation.
Conclusions:
- Daily home-based pulmonary rehabilitation is effective in enhancing quality of life and pulmonary function in children with asthma.
- Pulmonary rehabilitation should be integrated as a key component in the comprehensive management of childhood asthma.
Objective:
the aim of this study is to investigate the efficacy of pulmonary rehabilitation program in children with asthma.
Patients And Method:
twenty eight children with mild persistent or moderate asthma were included into a double blind, randomised study. Sixteen children (9 girls, 7 boys) with the mean age of 10.8 +/- 2.3 were assigned to receive pulmonary rehabilitation program with their parents for 30 days (group I). Control group included 12 children (6 girls, 6 boys ) with the mean age of 10.2 +/- 2.4 (group II). Symptom and medication scores quality of life index and pulmonary function tests were evaluated in rehabilitation and control group in the beginning of the study and after the one month period.
Results:
the groups did not differ on all parameters before the study (p > 0. 05). Statistically significant decrease were found in symptom and medication scores in rehabilitation group (p < 0.05) and quality of life index was increased significantly in the same group (p < 0.05). Pulmonary function measures also significantly improved including vital capacity, forced vital capacity, FEV1, PEF and FEF25-75 in the rehabilitation group (p < 0.05). The best improvement were seen in FEF25-75 (10.09% increase) and PEF (7.81% increase) values. In control group no statistically significant differences were found in all parameters.
Conclusion:
in this study it was shown that daily pulmonary rehabilitation at home could improve quality of life and pulmonary functions. So pulmonary rehabilitation should be placed as a component of management in childhood asthma.