Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt, and with the Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia.
Department of Physical Therapy for Cardiovascular, Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Respir Care. 2019 Nov;64(11):1422-1432. doi: 10.4187/respcare.06716. Epub 2019 Jul 23.
Manual noninvasive respiratory techniques have traditionally been used to treat respiratory pathologies. The aim of this study was to analyze the effects of the diaphragmatic release technique and the thoracic lymphatic pump technique versus conventional respiratory retraining in children with asthma.
Using a quasi-experimental design, 60 children with asthma were allocated to undergo the diaphragmatic release technique ( = 20), thoracic lymphatic pump technique ( = 20), or conventional respiratory retraining ( = 20) in this study. Serum immunoglobulin E levels, diaphragmatic mobility, pulmonary function, and P were assessed before and after 12 treatment sessions that were conducted over nonconsecutive days in a 4-week program.
After 12 treatments, the changes in the serum immunoglobulin E level for each group was not significantly different from the other groups. Compared with conventional respiratory retraining, the diaphragmatic release technique was associated with a significant improvement in FVC ( = .001) and FEV ( = .002); the thoracic lymphatic pump technique showed no differences. With regard to diaphragmatic mobility, both the diaphragmatic release technique and the thoracic lymphatic pump technique yielded significantly favorable effects when compared with conventional respiratory retraining ( < .001 and = .01, respectively). Further, no significant between-group differences were detected in terms of the P ( = .07).
The thoracic lymphatic pump technique and conventional respiratory retraining approaches were helpful interventions that could be used to alleviate the symptoms of childhood asthma. Nevertheless, the diaphragmatic release technique was a potentially more effective intervention.
手动非侵入性呼吸技术传统上用于治疗呼吸系统疾病。本研究旨在分析膈膜释放技术和胸淋巴泵技术与常规呼吸训练在哮喘儿童中的效果。
使用准实验设计，将 60 名哮喘儿童分为膈膜释放技术组（n = 20）、胸淋巴泵技术组（n = 20）和常规呼吸训练组（n = 20）。在 4 周的方案中，在非连续的 12 天内进行 12 次治疗，评估血清免疫球蛋白 E 水平、膈膜移动性、肺功能和 P。
经过 12 次治疗，各组血清免疫球蛋白 E 水平的变化与其他各组无显著差异。与常规呼吸训练相比，膈膜释放技术与 FVC（ =.001）和 FEV（ =.002）的显著改善相关；胸淋巴泵技术则没有差异。就膈膜移动性而言，膈膜释放技术和胸淋巴泵技术均明显优于常规呼吸训练（ <.001 和 =.01）。此外，在 P 方面，各组之间没有显著差异（ =.07）。
胸淋巴泵技术和常规呼吸训练方法是缓解儿童哮喘症状的有益干预措施。然而，膈膜释放技术是一种更有效的干预措施。
