Breath of relief: Transforming pediatric asthma care with telemedicine-guided exercises

IF 4.6 2区医学 Q2 ALLERGY

Clinical and Translational Allergy Pub Date : 2025-03-24 DOI:10.1002/clt2.70049

Betul Gemici Karaaslan, Hikmet Ucgun, Meltem Kaya, Gokce Nuran Cengiz, Sueda Ozturk, Ozge Barut, Zeynep Korkut, Sezin Aydemir, Zeynep Meric, Birol Topcu, Hilal Denizoglu Kulli, Haluk Cokuğras, Ayca Kiykim

{"title":"Breath of relief: Transforming pediatric asthma care with telemedicine-guided exercises","authors":"Betul Gemici Karaaslan, Hikmet Ucgun, Meltem Kaya, Gokce Nuran Cengiz, Sueda Ozturk, Ozge Barut, Zeynep Korkut, Sezin Aydemir, Zeynep Meric, Birol Topcu, Hilal Denizoglu Kulli, Haluk Cokuğras, Ayca Kiykim","doi":"10.1002/clt2.70049","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Alternative non-pharmacological strategies such as breathing exercises can be used in combination with pharmacological treatments.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The aim of this randomized, controlled, single-blind study was to investigate the effectiveness of breathing exercises in asthma patients on respiratory function, symptom control and quality of life.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We enrolled pediatric asthma patients who were eligible and motivated for the study and randomly assigned them to either the exercise group (EG) or the control group (CG). The CG received a postural exercise program, while the EG received a breathing exercise program. At baseline and after 12 weeks, respiratory function (FEV1-FVC-FEV1/FVC-PEF), symptom control (using asthma control test, asthma control questionnaire, global initiative for asthma symptom control assessment), quality of life (using pediatric asthma quality of life questionnaire), breath-holding test (BHT) and sit-to-stand test (30sSTS) were assessed and compared.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>One hundred twelve patients were randomized, and 99 (<i>n</i> = 51 EG, <i>n</i> = 48 CG) completed the 12-week study. Baseline data were also similar in both groups. After 12 weeks, FEV1, Peak expiratory flow (by spirometry and peak flow meter) and BHT were significantly better in EG than in CG (<i>p</i> = 0.01 and <i>p</i> = 0.007 and <i>p</i> = 0.005, respectively). Asthma Control Test and GINA symptom control tool values were also significantly better in both groups.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Our participants were children with mild to moderate asthma. We conclude that our results show that breathing exercises can be an effective intervention for children with partially controlled asthma with FEV1,PEF, and BHTs.</p>\n </section>\n </div>","PeriodicalId":10334,"journal":{"name":"Clinical and Translational Allergy","volume":"15 3","pages":""},"PeriodicalIF":4.6000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/clt2.70049","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Translational Allergy","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/clt2.70049","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ALLERGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Alternative non-pharmacological strategies such as breathing exercises can be used in combination with pharmacological treatments.

Objective

The aim of this randomized, controlled, single-blind study was to investigate the effectiveness of breathing exercises in asthma patients on respiratory function, symptom control and quality of life.

Methods

We enrolled pediatric asthma patients who were eligible and motivated for the study and randomly assigned them to either the exercise group (EG) or the control group (CG). The CG received a postural exercise program, while the EG received a breathing exercise program. At baseline and after 12 weeks, respiratory function (FEV1-FVC-FEV1/FVC-PEF), symptom control (using asthma control test, asthma control questionnaire, global initiative for asthma symptom control assessment), quality of life (using pediatric asthma quality of life questionnaire), breath-holding test (BHT) and sit-to-stand test (30sSTS) were assessed and compared.

Results

One hundred twelve patients were randomized, and 99 (n = 51 EG, n = 48 CG) completed the 12-week study. Baseline data were also similar in both groups. After 12 weeks, FEV1, Peak expiratory flow (by spirometry and peak flow meter) and BHT were significantly better in EG than in CG (p = 0.01 and p = 0.007 and p = 0.005, respectively). Asthma Control Test and GINA symptom control tool values were also significantly better in both groups.

Discussion

Our participants were children with mild to moderate asthma. We conclude that our results show that breathing exercises can be an effective intervention for children with partially controlled asthma with FEV1,PEF, and BHTs.

Abstract Image

查看原文本刊更多论文

松一口气：用远程医疗指导的练习改变儿科哮喘护理

背景：替代的非药物治疗策略如呼吸练习可与药物治疗相结合。目的探讨呼吸运动对哮喘患者呼吸功能、症状控制及生活质量的影响。方法我们招募了符合条件且积极参与研究的儿童哮喘患者，并将他们随机分配到运动组（EG）和对照组（CG）。CG组接受姿势训练，EG组接受呼吸训练。在基线和12周后，评估和比较呼吸功能（FEV1-FVC-FEV1/FVC-PEF）、症状控制（采用哮喘控制测试、哮喘控制问卷、全球哮喘症状控制评估倡议）、生活质量（采用儿科哮喘生活质量问卷）、屏气测试（BHT）和坐立测试（30sSTS）。结果随机抽取112例患者，其中99例（51例EG， 48例CG）完成了为期12周的研究。两组的基线数据也相似。12周后，EG组FEV1、呼气峰值流量（肺活量计和峰值流量计）和BHT显著优于CG组（p = 0.01、p = 0.007和p = 0.005）。两组哮喘控制测试和GINA症状控制工具值均显著提高。我们的研究对象是患有轻度至中度哮喘的儿童。我们的结论是，我们的结果表明，呼吸练习可以有效地干预患有FEV1、PEF和bht的部分控制哮喘儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical and Translational Allergy Immunology and Microbiology-Immunology

CiteScore

7.50

自引率

4.50%

发文量

117

审稿时长

12 weeks

期刊介绍： Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.