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Published on: November 4, 2010
Benefits of pulmonary rehabilitation in pediatric asthma
Stephen Kirkby1,2, Allison Rossetti3, Don Hayes1,2
1Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Insights
Pulmonary rehabilitation (PR) can improve lung function and quality of life in children with asthma. This study suggests PR is beneficial for managing pediatric asthma, though more research is needed.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Rehabilitation Science
Background:
- Asthma is a prevalent chronic respiratory condition in children.
- Limited research exists on the efficacy of pulmonary rehabilitation (PR) for pediatric asthma.
- PR is a multidisciplinary intervention aimed at improving physical and psychological well-being in patients with chronic respiratory diseases.
Purpose of the Study:
- To evaluate the effectiveness of pulmonary rehabilitation (PR) in pediatric patients diagnosed with asthma.
- To assess the impact of PR on pulmonary function tests (PFTs), exercise capacity, and quality of life in children with asthma.
Main Methods:
- Retrospective chart review of 38 pediatric asthma patients who completed PR.
- Analysis of demographic data, medications, and clinical records.
- Evaluation of PFTs, 6-minute walk test (6MWT), and patient/parent symptom and quality of life surveys before and after PR.
Main Results:
- Significant improvement in 6-minute walk test (6MWT) distance (P=0.05) and FEV1 (P=0.04) after PR.
- Subjective improvements noted in several clinical factors and quality of life measures.
- No significant change in weight observed despite exercise and dietary counseling.
Conclusions:
- Structured pulmonary rehabilitation (PR) can enhance exercise capacity and lung function in pediatric asthma patients.
- PR shows promise as an intervention for the chronic management of pediatric asthma.
- Further prospective studies are warranted to explore PR's effects on other asthma control parameters and childhood obesity.
Introduction:
There are limited studies evaluating the role of pulmonary rehabilitation (PR) in pediatric asthma.
Methods:
A retrospective chart review was performed of all pediatric patients with a diagnosis of asthma enrolled in PR. Demographics, medications, and clinical records were reviewed. In addition, PFTs, 6-min walk test (6MWT), and patient/parent symptom and quality of life surveys before and after PR were evaluated.
Results:
A total of 38 patients were enrolled in PR; 18 (47%) female and 20 (53%) male. Mean participant age was 11.33 ± 3.37 (range 4-19) years. Twenty-two (58%) were Caucasian and nine (24%) African American. Chart review was limited by incomplete data sets for many participants. Following PR, significant improvement was noted in mean 6MWT distance (1541 vs 1616 feet, P = 0.05) and FEV1 (89.9% of predicted versus 96.4%, P = 0.04). Survey instruments demonstrated improvement in several clinical factors, however, there was no significant change in weight following PR despite scheduled cardiovascular exercise and dietary counseling.
Conclusions:
Structured PR for pediatric patients with asthma can improve 6MWT distance and FEV1 as well as subjective measures of SOB and QOL, suggesting a role for PR in the chronic management of pediatric asthma. Further prospective investigation is needed to determine if PR has positive effects on other clinical parameters of asthma control and its overall impact on childhood obesity.
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