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Pulmonary function in relation to muscle endurance and functional capacity in children with bronchial asthma
Zahera Raafat Zedan1,2, Walaa Abd El-Hakiem Abd El-Nabie3, Shimaa AboEldahab Ahmed4
1Department of Physical Therapy for Pediatrics, Benha University, Banha, Egypt. zaheraraafat77@icloud.com.
Insights
Pediatric asthma patients show improved pulmonary function linked to better deep neck flexor endurance and functional capacity. This study highlights the connection between respiratory health and physical fitness in children with asthma.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Exercise Physiology
Background:
- Bronchial asthma is a significant global health issue affecting children.
- It contributes to substantial disability and mortality worldwide.
- Asthma management requires a comprehensive approach to improve quality of life.
Purpose of the Study:
- To investigate the relationship between pulmonary function and deep cervical flexor muscle endurance in children with asthma.
- To explore the association between pulmonary function and overall functional capacity in pediatric asthma patients.
- To identify potential links between respiratory health and physical performance metrics.
Main Methods:
- Cross-sectional study of 64 children (8-10 years) diagnosed with bronchial asthma.
- Pulmonary function assessed via spirometry (VC, PEF, FEV1, FEV1/FVC).
- Muscle endurance (cervical flexion test) and functional capacity (6-minute walk test) were measured.
Main Results:
- Significant positive correlation found between pulmonary function measures (VC, PEF, FEV1, FEV1/FVC) and cervical flexion test results.
- Pulmonary function also showed a significant positive association with the 6-minute walk test (6MWT).
- All correlations were statistically significant (p ≤ 0.05).
Conclusions:
- Pulmonary function in pediatric asthma patients is associated with deep cervical flexor muscle endurance.
- Functional capacity, as measured by the 6MWT, is also linked to pulmonary function in these children.
- These findings suggest a role for physical fitness in respiratory health management for children with asthma.
Background:
Bronchial asthma is a major global health concern among children. It poses a significant global public challenge, causing around 22.8 million years of life lost to disability and 495,100 asthma-related deaths.
Objective:
The goal of the study was to investigate the relationship between pulmonary function in children with bronchial asthma and both the muscle endurance of the deep cervical flexors and overall functional capacity.
Methods:
This cross-sectional study involved sixty-four pediatric patients diagnosed with bronchial asthma, aged from 8 to 10 years old from both sexes. Their body mass index was from 5th percentile to less than 85th percentile for age, gender and height. They were evaluated and diagnosed by using spirometry. Pulmonary function (vital capacity(VC), peak expiratory flow (PEF), forced expiratory volume in 1s (FEV1), forced expiratory volume in 1s / forced vital capacity (FEV1/FVC), muscle endurance, and functional capacity were assessed by using spirometry, pressure biofeedback, and 6-minutewalk test respectively.
Results:
The findings indicated a clear and significant positive association between pulmonary function measures, including (VC, PEF, FEV1 and the FEV1/FVC ratio), with both the cervical flexion test and the six-minute walk test (6MWT). These correlations were statistically significant, with p-values of ≤ 0.05.
Conclusion:
Pulmonary function is associated with endurance of cervical flexors and functional capacity in pediatric patients with bronchial asthma.
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