The main aspects of physical therapy in children with bronchial asthma

Authors

  • Т. Ye. Shumna Zaporizhzhia State Medical University, Ukraine,
  • S. M. Nedelska Zaporizhzhia State Medical University, Ukraine,
  • Ye. L. Мykhаliuk Zaporizhzhia State Medical University, Ukraine,
  • S. М. Маlаkhova Zaporizhzhia State Medical University, Ukraine,
  • Е. Yu. Doroshenko Zaporizhzhia State Medical University, Ukraine,
  • O. Ye. Chernenko Zaporizhzhia State Medical University, Ukraine,
  • М. А. Shyshkin Zaporizhzhia State Medical University, Ukraine,
  • I. V. Shapovalova Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2020.2.200613

Keywords:

physical therapy, bronchial asthma, physical development, vegetative tonus, vegetative provision, children

Abstract

 

Purpose. The study of clinical features of the course of bronchial asthma and the study of the effectiveness of the use of therapeutic measures with the involvement of physical therapy in children living in Zaporizhzhia and from the Zaporizhzhia region, taking into account their physical development and indices of the initial vegetative tonus and vegetative provision.

Materials and Methods. According to the set task, the first group of observation included 87 children with bronchial asthma (BA) living in Zaporizhzhia, 57 of which were boys and 30 girls, and the second group consisted of 40 children with BA from the Zaporizhzhia region, 24 of which were boys and 16 girls. As a comparison, 56 practically healthy children (31 boys and 25 girls) who formed the control groups (CGs) were examined. Thus, 29 of them (16 boys and 13 girls) from Zaporizhzhia made the CGI and 27 children (15 boys and 12 girls) from Zaporizhzhia region were included in CGII. The average age of the examined children was 11.40 ± 3.68 years. To evaluate the effectiveness of physical therapy in children with bronchial asthma, their catamnestic observation has been conducted for at least 2 years. Statistical data processing was performed by commonly used methods of variation statistics of the licensed software package Statistica for Windows 13 (StatSoft Inc., № JPZ804I382130ARCN10-J).

Results. Bronchial asthma in children, irrespective of place of residence, clinical course and severity, was characterized by a mild and moderate persistent course in 50.57% and 40.23 % of urban and 47.50 % and 45.00 % of regional patients with obstructive type of violation of bronchial conduction. Physical development of children with bronchial asthma, grown up in the conditions of district centers, had more often harmonious physical development (85.00 %) than patients from the city (56.32 %) (P < 0.05), and, on the contrary, disharmonious prevailed in urban patients (43.68 %) and was less common in regional (15.00 %) patients, mainly in boys (59.65 % vs. 16.67 %, P < 0.05). In all patients with bronchial asthma, unlike healthy children from control group, eutonia (34.48 % and 42.50 %) was rarely recorded but more often sympathicotonia (33.33 % and 32.50 %) and vagotonia (32.18 % and 25.00 %) with a significant difference with the control group of the regional children with asthma for the hypersympathicotonic version of vegetative provision and in urban areas for sympathoasthenic, asthenosympathetic and hyperdiastolic variants.

Conclusions. The use of physical therapy in the treatment of children with bronchial asthma has significantly reduced complaints, disease symptoms, accelerated remission and increased its duration to 24 months and reduced the risk of transformation of the disease into more severe forms.

References

(2017). Hlobalna stratehiia likuvannia ta profilaktyky bronkhialnoi astmy (Global Initiative for Asthma, GINA), perehliad 2017 r. Rozdil 4. Likuvannia pohirshennia perebihu ta zahostrennia bronkhialnoi astmy (u doroslykh, pidlitkiv i ditei starshykh za 6 rokiv) [Global Strategy for Asthma Management and Prevention (Global Initiative for Asthma, GINA), updated 2017. Chapter 4. Magement of Worsening Asthma and Exacerbations (Adults, Teens, and Children older than 6 Years)]. Astma ta alerhiia, (3), 72-83. [in Ukrainian].

Papadopoulos, N. G., Čustović, A., Cabana, M. D., Dell, S. D., Deschildre, A., Hedlin, G., Hossny, E., Le Souëf, P., Matricardi, P. M., Nieto, A., Phipatanakul, W., Pitrez, P. M., Pohunek, P., Gavornikova, M., Jaumont, X., & Price, D. B. (2019). Pediatric asthma: An unmet need for more effective, focused treatments. Pediatric Allergy and Immunology, 30(1), 7-16. https://doi.org/10.1111/pai.12990

Just, J., Deschildre, A., Lejeune, S., & Amat, F. (2019). New perspectives of childhood asthma treatment with biologics. Pediatric Allergy and Immunology, 30(2), 159-171. https://doi.org/10.1111/pai.13007

(2017). Kyshenkove kerivnytstvo z likuvannia i profilaktyky bronkhialnoi astmy (u doroslykh i ditei starshe 5 rokiv) Global Initiative for Asthma – GINA, perehliad 2017 r. [Pocket Guide for Asthma Magement and Prevention (for Adults and Children older than 5 Years) Global Initiative for Asthma - GINA, updated 2017]. Astma ta alerhiia, (2), 43-56. [in Ukrainian].

Yastrebov, A. P. (Ed.). (2018). Patofiziologiya neiroendokrinnoi sistemy[Pathophysiology of the Neuroendocrine System]. UGMU. [in Russian].

Culver, B. H., Graham, B. L., Coates, A. L., Wanger, J., Berry, C. E., Clarke, P. K., Hallstrand, T. S., Hankinson, J. L., Kaminsky, D. A., MacIntyre, N. R., McCormack, M. C., Rosenfeld, M., Stanojevic, S., & Weiner, D. J. (2017). Recommendations for a Standardized Pulmonary Function Report. An Official American Thoracic Society Technical Statement. American Journal of Respiratory and Critical Care Medicine, 196(11), 1463-1472. https://doi.org/10.1164/rccm.201710-1981st

Jat, K. R. (2013). Spirometry in children. Primary Care Respiratory Journal, 22(2), 221-229. https://doi.org/10.4104/pcrj.2013.00042

Dykyi, B. V., & Rostoka-Reznikova, B. V. (2013). Nemedykamentozni metody v reabilitatsii khvorykh na bronkhialnu astmu [Non-drug methods in rehabilitation of patients with bronchial asthma]. Uzhhorod. [in Ukrainian].

Golubev, V. L. (Ed.). (2010). Vegetativnye rasstroistva: klinika, diagnostika, lechenie [Vegetative disorders: clinic, diagnosis, treatment]. Meditsinskoe informatsionnoe agentstvo. [in Russian].

Mykhaliuk, Ye. L., & Reznichenko, Yu. H. Osoblyvosti fizychnoi reabilitatsii v pediatrii [Characteristics of pediatric physical rehabilitation]. ZSMU. [in Ukrainian].

Borysova, T. P., & Abaturov, A. E. (2018). Klinicheskie proyavleniya i korrektsiya vegetativnoi disfunktsii u detei i podrostkov [Clinical manifestations and correction of autonomic dysfunction in children and adolescents]. Zdorov'e rebenka, 13(6), 588-594. https://doi.org/10.22141/2224-0551.13.6.2018.143165 [in Russian].

Astafieva, N., Kobzev, D., Gamova, I., Perfilova, I., & Udovichenko, E. (2011). Physical rehabilitation in asthma management. European Respiratory Journal, 38(Suppl. 55), Article 4803.

Laurino, R., Barnabe, V., Saraiva-Romanholo, B., Stelmach, R., Cukier, A., & Nunes, M. (2012). Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety. Clinics, 67(11), 1291-1297. https://doi.org/10.6061/clinics/2012(11)12

Polkovnyk-Markova, V., & Dugina, L. (2016). Use motion games in exercise with children with bronchial asthma. Slobozans'kij naukovo-sportivnij visnik, (1), 54-58.

Lyan, N. A., & Khan, M. A. (2016). Meditsinskaya reabilitatsiya detei s bronkhial'noi astmoi [Medical rehabilitation of children with bronchial asthma]. Allergologiya i immunologiya v pediatrii, (2), 7-20. [in Russian].

Bruurs, M. L. J., van der Giessen, L. J., & Moed, H. (2013). The effectiveness of physiotherapy in patients with asthma: A systematic review of the literature. Respiratory Medicine, 107(4), 483-494. https://doi.org/10.1016/j.rmed.2012.12.017

Peshkova, О., Аvramenko, О., Mitko, H., & Tretyak, L. (2013). Kompleksna fizychna reabilitatsiia ditei pry bronkhialnii astmi ii stupenia tiazhkosti na statsionarnomu etapi [Complex physical rehabilitation of children at bronchial asthma of II of the stage of weight on the stationary stage]. Slobozhanskyi naukovo-sportyvnyi visnyk, (2), 134-144. [in Ukrainian].

Statiev, S. I. (2010). Fizychna reabilitatsiia ditei molodshoho shkilnoho viku z bronkhialnoiu astmoiu v umovakh dennoho statsionaru [Physical rehabilitation of primary school children with asthma in day hospital]. Problemy fizychnoho vykhovannia i sportu, (6), 125-127. [in Ukrainian].

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How to Cite

1.
Shumna ТY, Nedelska SM, Мykhаliuk YL, Маlаkhova SМ, Doroshenko ЕY, Chernenko OY, Shyshkin МА, Shapovalova IV. The main aspects of physical therapy in children with bronchial asthma. Zaporozhye medical journal [Internet]. 2020Apr.13 [cited 2024Apr.24];22(2). Available from: http://zmj.zsmu.edu.ua/article/view/200613

Issue

Vol. 22 No. 2 (2020)

Section

Original research

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