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[Dynamics of respiratory function and cardio-vascular system in children with bronchial asthma during prolonged

V A Tanaga, T V Kobets

    Likars'Ka Sprava
    |July 15, 2014
    PubMed

    Insights

    Asthma rehabilitation in children improved significantly with the PARI PEP 2 respiratory training device. This one-year sanatorium program enhanced lung function and reduced arrhythmia risk, outperforming standard spa treatments.

    Area of Science:

    • Pediatric Pulmonology
    • Rehabilitation Medicine

    Background:

    • Childhood asthma requires effective long-term management strategies.
    • Sanatorium rehabilitation offers a prolonged treatment setting for chronic conditions.
    • Respiratory training devices may enhance pulmonary function in asthmatic children.

    Purpose of the Study:

    • To evaluate the efficacy of the "PARI PEP 2" respiratory training device as part of a comprehensive sanatorium rehabilitation program for children with asthma in remission.
    • To compare the outcomes of rehabilitation with and without the "PARI PEP 2" device.

    Main Methods:

    • A year-long sanatorium rehabilitation program was implemented.
    • Participants included children with asthma in remission.
    • The intervention group utilized the "PARI PEP 2" device within their rehabilitation regimen.
    • Control group received standard spa treatment.
    • Pulmonary function tests (VC, FVC, FEV1, PEF, FEF25-FEF75) and electrocardiogram (PQ, QT(c)) intervals were monitored.

    Main Results:

    • Children using the "PARI PEP 2" device showed significant improvements in vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow between 25% and 75% of FVC (FEF25-FEF75).
    • The standard spa treatment group did not achieve comparable lung function improvements.
    • Significant improvements in PQ and QT(c) intervals were observed, suggesting a reduced risk of life-threatening arrhythmias.

    Conclusions:

    • The "PARI PEP 2" respiratory training device is a valuable addition to the complex rehabilitation of children with asthma.
    • Integrating "PARI PEP 2" into sanatorium programs can lead to superior improvements in lung function and cardiac stability compared to standard treatments.
    • This approach may decrease the risk of arrhythmias in pediatric asthma patients undergoing rehabilitation.

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