Focus area: Physicians
Asthma and respiratory rehabilitation in children
The important role of pulmonary rehabilitation in asthmatic children.
What about benefits of pulmonary rehabilitation (PR) in pediatric asthma?
There are not many studies about the role of pulmonary rehabilitation in pediatric asthma patients.
A retrospective study was performed of pediatric patients with a diagnosis of asthma enrolled in PR. Demographics, medications, and clinical records were reviewed. This very interesting work was recently published on Pediatric Pulnomonolgy. The authors also evaluated pulmonary function tests, 6-min walk test (6MWT), and patient/parent symptom and quality of life surveys before and after PR. A population of 38 patients was studied; 18 (47%) female and 20 (53%) male. Mean age was 11.33 ± 3.37 (range 4-19) years. 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).
The authors concluded that well scheduled PR for pediatric patients with asthma could improve 6MWT distance and FEV1 as well as subjective measures of shortness of breath and quality of life, suggesting a role for PR in the chronic management of asthma young patients. Further studies are needed to determine if PR has positive effects on other clinical parameters of asthma control and its overall impact on childhood obesity. Moreover, authors’review was limited by incomplete data sets for many patients.
- Kirkby S et al. Benefits of pulmonary rehabilitation in pediatric asthma. Pediatr Pulmonol. 2018 May 7.doi: 10.1002/ppul.24041. [Epub ahead of print]