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Effects of a Pulmonary Rehabilitation Program in Children with Cystic Fibrosis
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A2188 - Effects of a Pulmonary Rehabilitation Program in Children with Cystic Fibrosis
Author Block: Y. R. De Souza, M. Neves, R. Araujo, T. Antonyelle, T. Katsivalis, R. Vigni, J. M. Martins Junior, P. Pereira; Physiotherapy, Veiga de Almeida University, Rio de Janeiro, Brazil.
Introduction: Cystic fibrosis presents important systemic alterations, one of this limitations is respiratory conditions by hypersecretivity and recurrent respiratory infections. One of the actions about physiotherapy treatment in patients with cystic fibrosis is bronchial clearance. But exercise care should not be overlooked. Children with cystic fibrosis, even in the growth phase, have a worse exercise capacity when compared to healthy children. The aim of this trial was to evaluate the effects on exercise capacity of a pulmonary rehabilitation program plus video game therapy in children with cystic fibrosis. Method: Three children (2 boys and 1 girl), aged 4 ± 2 years, with diagnosis of cystic fibrosis were evaluated. After consent of the parents (they signed informed consent form) we evaluated Maximum Inspiratory Pressure (PImax) and Six-Minute Step Test (TD6M) using the Brazilian standard step size. The pulmonary rehabilitation protocol have had duration of 12 weeks, once a week, using a warm-up exercise circuit with video game that moves all parts of the body, followed by a period of 5 minutes jumping in trampoline. After that, we performed lower limb training through a ""kick to the goal"", 8 kicks with each leg, totaling 16 kicks, and training of the upper limbs ""ball to the bow"", 8 pitches with each arm and 8 pitches with the two arms at the same time, totaling 32 pitches. After the training, a period of rest is offered, in a quiet place, with a fun video and popcorn for the children for 10 minutes. In addition, parents are instructed (once a week) to continue their daily bronchial clearance techniques. After this period of rehabilitation the children were re-evaluated. Results: The baseline results was: 6MST= 164±32 steps, and PImax= 78±13 cmH2O. After perform for 12 weeks the PR program the child present 6MST= 233±27 steps, and PImax= 94±12 cmH2O. Conclusion: After the PR program, the child increase the number of steps in 6MST and increase the PImax. This study is been development, and increase the number of participants it’s necessary to confirm this data. Nevertheless, it is possible to affirm that pulmonary rehabilitation brings benefits to these children with cystic fibrosis.
Author Block: Y. R. De Souza, M. Neves, R. Araujo, T. Antonyelle, T. Katsivalis, R. Vigni, J. M. Martins Junior, P. Pereira; Physiotherapy, Veiga de Almeida University, Rio de Janeiro, Brazil.
Introduction: Cystic fibrosis presents important systemic alterations, one of this limitations is respiratory conditions by hypersecretivity and recurrent respiratory infections. One of the actions about physiotherapy treatment in patients with cystic fibrosis is bronchial clearance. But exercise care should not be overlooked. Children with cystic fibrosis, even in the growth phase, have a worse exercise capacity when compared to healthy children. The aim of this trial was to evaluate the effects on exercise capacity of a pulmonary rehabilitation program plus video game therapy in children with cystic fibrosis. Method: Three children (2 boys and 1 girl), aged 4 ± 2 years, with diagnosis of cystic fibrosis were evaluated. After consent of the parents (they signed informed consent form) we evaluated Maximum Inspiratory Pressure (PImax) and Six-Minute Step Test (TD6M) using the Brazilian standard step size. The pulmonary rehabilitation protocol have had duration of 12 weeks, once a week, using a warm-up exercise circuit with video game that moves all parts of the body, followed by a period of 5 minutes jumping in trampoline. After that, we performed lower limb training through a ""kick to the goal"", 8 kicks with each leg, totaling 16 kicks, and training of the upper limbs ""ball to the bow"", 8 pitches with each arm and 8 pitches with the two arms at the same time, totaling 32 pitches. After the training, a period of rest is offered, in a quiet place, with a fun video and popcorn for the children for 10 minutes. In addition, parents are instructed (once a week) to continue their daily bronchial clearance techniques. After this period of rehabilitation the children were re-evaluated. Results: The baseline results was: 6MST= 164±32 steps, and PImax= 78±13 cmH2O. After perform for 12 weeks the PR program the child present 6MST= 233±27 steps, and PImax= 94±12 cmH2O. Conclusion: After the PR program, the child increase the number of steps in 6MST and increase the PImax. This study is been development, and increase the number of participants it’s necessary to confirm this data. Nevertheless, it is possible to affirm that pulmonary rehabilitation brings benefits to these children with cystic fibrosis.
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