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The Effects of Combined Respiratory Muscle and Exercise Training in Children with Bronchial Asthma: A Randomised
Shuhui Yang1, Zhanmei Zhang1, Yulin Liu1
1Department of Respiratory Disease, Children's Hospital of Chongqing Medical University/ National Clinical Research Center for Child Health and Disorders/ Ministry of Education Key Laboratory of Child Development and Disorders/ Chongqing Key Laboratory of Pediatrics, Chongqing, People's Republic of China.
Insights
Combined respiratory muscle and exercise training significantly improved asthma control and quality of life in children. This approach enhanced inspiratory muscle strength but did not significantly impact exercise capacity or spirometry.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Rehabilitation Science
Background:
- Asthma is a chronic respiratory condition affecting children worldwide.
- Current management often involves pharmacotherapy and general health education.
- There is a need for adjunctive therapies to improve asthma control and quality of life.
Objective:
To investigate the effects of combined respiratory muscle and exercise training on inspiratory muscle strength, exercise capacity, spirometry measurements, asthma control the quality-of-life in children with asthma.
Methods:
Fifty children with asthma, who were treated in children's hospital of Chongqing medical university in Chongqing between May and December 2021, were selected and randomly divided into a rehabilitation group and a control group by using a random number table. The control group was given routine drug treatment and health education while the rehabilitation group received a combination of respiratory muscle and exercise training on the basis of control group.
Results:
After three months of treatment, the maximum inspiratory pressure, level of asthma control and quality-of-life in the rehabilitation group were significantly improved when compared with those in the control group (P<0.05); there were no significant differences in the 6-minute walking test and spirometry measurements (P>0.05). After three months of treatment, all outcome indicators in the rehabilitation group were significantly improved when compared to those before treatment (P<0.05). The mean value of maximum inspiratory pressure and some indices of spirometry measurements in the control group were significantly improved when compared to those before treatment (P<0.05).
Conclusion:
Combining respiratory muscle and exercise training on the basis of the routine drug treatment and health education significantly improved inspiratory muscle strength, the level of asthma control and the quality-of-life in children with asthma. More research is needed to explore its role in asthma in the future.
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