Abstract
Aim: About 11-15% of children less than 18 years of age suffer from bronchial asthma that impairs their overall physical ability and reduces heath related quality of life. Therefore, the development of nonpharmacological interventions to prevent asthma, reduce its severity and improve its prognosis is essential. This study compares two types of treatment protocols to determine the efficiency laser acupuncture therapy added to aerobic exercise training and pursed lips breathing in treatment of asthmatic children. Method: Forty asthmatic children, their age ranged between 8 -15 years participated in the study and divided into two groups, group (A) received laser acupuncture therapy, aerobic exercise training plus pursed lips breathing and group (B) received aerobic exercise training plus pursed lips breathing . The program consisted of three sessions per week for two months. Measurements of forced vital capacity (FVC), the forced expiratory volume in the first second (FEV1), the average of forced expiratory flow at 75-85% of forced vital capacity (FEF 75-85%) and maximum expiratory flow at 50% of forced vital capacity (MEF 50%) and number of asthmatic attacks per week were taken before and after treatment. Result: There was a significant reduction in number of asthmatic attacks per week and improvements in FVC, FEV¬1, FEF 75-85% and MEF 50% in both groups after treatment. However, there was a significant difference between mean levels of the investigated parameters in both groups after treatment. Conclusion: Laser acupuncture therapy added to aerobic exercise training and pursed lips breathing improves treatment of asthmatic children.
Highlights
Asthma is a major public health problem
Laser acupuncture therapy added to aerobic exercise training and pursed lips breathing improves treatment of asthmatic children
The children were examined by specialized physician to exclude subjects with any disorders. participants in the study were divided into two equal groups, The first group (A) received laser acupuncture therapy, aerobic exercise training plus pursed lips breathing in addition to the current medical treatment and the second group (B) received aerobic exercise training plus pursed lips breathing in addition to the current medical treatment
Summary
Asthma is a major public health problem. It is the most common chronic chest illness of childhood, it affects about 18% of children less than 12years of age [1,2]. Most asthma begins in childhood [3]. There is presently some concern that childhood asthma may persist and/or deteriorate later in life [4].Asthma is defined as a disease that is characterized by airway inflammation and manifested by pulmonary symptoms, reversible airway obstruction and bronchial hyperactivity. Patients with asthma are exposed to airway obstruction and hyperinflation which interfere with the ability of the respiratory muscles to generate subatmospheric pressure and increase the load on the respiratory muscles. Airway resistance is increased three folds or higher than normal in patients with chronic persistent asthma [5]
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