Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Dis Markers. 2020 Sep 4;2020:8829373. doi: 10.1155/2020/8829373. eCollection 2020.
Congenital diaphragmatic hernia (CDH) is a birth defect affecting the respiratory functions, functional performance, and quality of life (QOL) in school-aged children. Rarely have studies been conducted to evaluate the impacts of respiratory muscle training on school-aged children with postoperative CDH. The current study was designed to evaluate the impacts of respiratory muscle training on respiratory function, maximal exercise capacity, functional performance, and QOL in these children.
This study is a randomized control study. 40 children with CDH (age: 9-11 years) were assigned randomly into two groups. The first group conducted an incentive spirometer exercise combined with inspiratory muscle training (study group, = 20), whereas the second group conducted only incentive spirometer exercise (control group, = 20), thrice weekly for twelve consecutive weeks. Respiratory functions, maximal exercise capacity, functional performance, and pediatric quality of life inventory (PedsQL) were assessed before and after the treatment program. Regarding the posttreatment analysis, the study group showed significant improvements in all outcome measures (FVC%, < 0.001; FEV1%, = 0.002; VOmax, = 0.008; VE/VCO slope, = 0.002; 6-MWT, < 0.001; and PedsQL, < 0.001), whereas the control group did not show significant changes ( > 0.05).
Respiratory muscle training may improve respiratory functions, maximal exercise capacities, functional performance, and QOL in children with postoperative CDH. Clinical commendations have to be considered to include respiratory muscle training in pulmonary rehabilitation programs in children with a history of CDH.
先天性膈疝（CDH）是一种影响呼吸功能、功能表现和生活质量（QOL）的出生缺陷。很少有研究评估呼吸肌训练对术后 CDH 学龄儿童的影响。本研究旨在评估呼吸肌训练对这些儿童呼吸功能、最大运动能力、功能表现和 QOL 的影响。
这是一项随机对照研究。40 名 CDH 患儿（年龄：9-11 岁）被随机分为两组。第一组进行激励式肺活量计运动联合吸气肌训练（研究组，n=20），第二组仅进行激励式肺活量计运动（对照组，n=20），每周三次，连续 12 周。在治疗计划前后评估呼吸功能、最大运动能力、功能表现和儿童生活质量量表（PedsQL）。对于治疗后的分析，研究组在所有结果测量指标上均显示出显著改善（FVC%，<0.001；FEV1%，=0.002；VOmax，=0.008；VE/VCO 斜率，=0.002；6-MWT，<0.001；和 PedsQL，<0.001），而对照组没有显示出显著变化（>0.05）。
呼吸肌训练可改善术后 CDH 儿童的呼吸功能、最大运动能力、功能表现和 QOL。临床建议应考虑将呼吸肌训练纳入 CDH 病史儿童的肺康复计划中。
