Shehab Mahmoud Abd El KADER

Laser acupuncture therapy combined with aerobic exercise training and pursed lips breathing in treatment of asthmatic children a comparison of two treatment protocols.

Amaç: 18 yaşın altındaki çocukların yaklaşık %11-15i genel fiziksel yeterliliklerini bozan ve yaşam kalitesini düşüren bronşiyal astmadan muzdariptirler. Bu nedenle, astmayı önleyecek, şiddetini azaltacak ve prognozunu iyileştirecek nonfarmakolojik girişimler önemlidir. Bu çalışma astmalı çocukların tedavisinde iki protokolünün, aerobik egzersize eklenmiş lazerli akapunktura karşı büzük dudak solunumu, etkinliğini karşılaştırmaktadır. Metod: Yaşları 15 ila 18 arasında değişen 40 astımlı çocuk çalışmada iki gruba ayrıldı; grup (A) lazerli akapunktur, aerobik egzer- size ek olarak büzük dudak solunumu ve grup (B) aerobik egzersize ek olarak büzük dudak solunumu tedavisi aldı. Program 2 ay süresince haftada 3 seanstan oluşuyordu. Ölçümler tedaviden önce ve sonra alınan forced vital kapasite (FVC), ilk saniyedeki zorlu expiratuar hacim (FEV1), zorlu vital kapasitenin (FEF %75-85) %75-85inde iken alınan zorlu expiratuar akımın ortalaması ve zorlu vital kapasitenin (MEF %50) %50sinde maksimum expiratuvar akım ve haftalık astım atakları sıklığı olarak kaydedildi. Bulgular: Tedaviden sonra her iki grupta da haftalık astım atakları sıklığında azalma ve FVC, FEV1, FEF %75-85 ve MEF %50 değerlerinde iyileşme olduğu saptandı. Bununla birlikte tedaviden sonra çalışılan parametrelerim ortalama değerleri açısından her iki grup arasında anlamlı farklılık mevcuttu. Sonuç: Aerobik egzersize ilave lazerli akapunktur tedavisi ve büzük dudaklı solunum, astımlı çocukların tedavisinde iyileşme sağlamaktadır.

Astımlı çocukların tedavisinde aerobik egzersizle kombine akapunktur tedavisi ve büzük dudaklı solunum iki tedavi protokolünün karşılaştırılması

Aim: About 11-15% of children less than 18 years of age suffer from bronchial asthma that impairs their overall physical ability and reduc- es heath related quality of life. Therefore, the development of non- pharmacological 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 train- ing plus pursed lips breathing . The program consisted of three ses- sions 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 capac- ity (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 at- tacks 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.

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