Issue №4-98, 2020

Original article

https://doi.org/10.38025/2078-1962-2020-98-4-20-25

Physical Rehabilitation of Children with Bronchial Asthma

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1,2 ORCIDLyan N.A., 1,2 ORCIDTurova E.A., 3 ORCIDIvanova I.I., 2 ORCIDBokova I.A., 4 ORCIDKalinovskaya I.I.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russian Federation
2 Sechenov First Moscow State Medical University, Moscow, Russian Federation
3 The Main Medical Department of the Administrative Department of the President of the Russian Federation, Moscow, Russian Federation
4 State-funded health institution Children's bronchopulmonary sanatorium № 15 of Moscow Department of Healthcare, Moscow, Russian Federation


ABSTRACT

The presence in children with bronchial asthma of disorders of bronchial patency, hypersecretion, deterioration of the drainagefunction of the bronchi determines the need to develop new technologies of kinesotherapy aimed at cleansing thebronchial tree from viscous sputum, strengthening the chest muscles. In this regard, the use of high-frequency thoracicoscillation is promising.Purpose. Study of the effectiveness of high frequency chest oscillation in children with bronchial asthma.Materials and methods. 60 children with bronchial asthma aged 6 to 17 years were examined. the main group was 30 childrenwho received exposure to high frequency chest oscillation, the comparison group included 30 children who receivedonly basic therapy, including basic anti-asthma therapy and respiratory gymnastics.Results. In the course of the study, positive dynamics of clinical-functional indicators was revealed, characterized by a decreasein the frequency of wet and dry seizure cough and its disappearance, increased sputum discharge, normalization ofthe auscultal picture in the lungs against the background of improving the performance of external breathing and respiratoryexcursion of the chest. More pronounced dynamics were observed in children with a moderate disease course, whowere in incomplete remission and had initially lower computer flowmetry rates.Conclusion. Based on the studies, the possibility of using high-frequency chest oscillation in the comprehensive medicalrehabilitation of children with bronchial asthma was scientifically substantiated.Peculiarities of action of high-frequency thoracic oscillation on clinical course of bronchial asthma characterized by improvementof bronchial patency, enhancement of sputum withdrawal, improvement of mobility of ribs, diaphragm, and biomechanicsof respiration are studied.High therapeutic effectiveness of high-frequency chest oscillation in the treatment of bronchial asthma in children wasestablished – 93.3%, which is significantly higher than in the comparison group (73.3%, p < 0.05).


KEYWORDS: children, bronchial asthma, medical rehabilitation, kinesotherapy, high frequency chest oscill

For citation: Lyan N.A., turova E.A., Ivanova I.I., Bokova I.A., Kalinovskaya I.I. Physical Rehabilitation of Children with Bronchial Asthma. Bulletin of Rehabilitation Medicine. 2020; 4(98): 20–25. https://doi.org/10.38025/2078-1962-2020-98-4-20-25



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