EVIDENCE OF THERAPEUTIC EXERCISE AND ALTERNATIVE THERAPIES VERSUS RESPIRATORY EXERCISES IN CHILDREN WITH ASTHMA: SYSTEMATIC REVIEW
Keywords:
Physical therapy modalities, adult children, asthma, exercise-induced, exercise, breathing exerci-ses, exercise therapy.Abstract
Introduction: this review aims to assess the effectiveness of physical exercise or other possible treatments for pediatric respiratory patients with asthma. Material and method: the search was conducted between January and May 2019 in the MedLine, Scopus and PEDro databases with the following keywords: “respiratory physiotherapy, children, asthma” combined with the Boolean operator “AND”. This search was based on randomized and controlled clinical trials in Spanish, English and Portuguese. For its election, we took into account the type of study, dealing with respiratory Physiotherapy or a complementary technique to Physiotherapy and a population up to 18 years with asthma problems. If they did not meet these requirements, they were considered excluded. Results: the complete analysis of 9 articles on a pediatric population up to 18 years of age was performed. In these studies, several fields of physiotherapy are opened for the treatment of this pathology: aerobic exercise, respiratory exercises and other alternatives, such as acupuncture, with the study variables of lung function, bronchial response capacity and quality of life. Conclusion: there is strong evidence for the effectiveness of physical exercise on pulmonary function and quality of life variables in asthmatic patients. There is moderate evidence for the effectiveness of inspiratory muscle training on respiratory muscle strength variables in pediatric patients. Similarly, there is moderate evidence for the effectiveness of acupuncture in improving asthma in pediatric patients.
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