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Journal of Human Growth and Development

versão impressa ISSN 0104-1282versão On-line ISSN 2175-3598

Resumo

CASTILHO, Tayná et al. Effects of inspiratory muscle training and breathing exercises in children with asthma: a systematic review. J. Hum. Growth Dev. [online]. 2020, vol.30, n.2, pp. 291-300. ISSN 0104-1282.  http://dx.doi.org/10.7322/jhgd.v30.10381.

INTRODUCTION: Asthma is characterized by a narrowing and inflammation of the bronchi, with symptoms of dyspnea, fatigue and exercise limitation. Physical therapy includes inspiratory muscle training and breathing exercises, given that an increase in inspiratory muscle strength and resistance can improve the symptoms of the diseaseOBJECTIVE: To describe the effects of inspiratory muscle training (IMT) and breathing exercises in children with asthmaMETHODS: This is a systematic review of the literature using the Cochrane, PubMed Scopus e Web of Science databases. The following descriptors were used: asthma, inspiratory muscle training, breathing exercises and child in Portuguese, English and Spanish. Two independent evaluators screened studies that used breathing exercises and IMT in children with asthmaRESULTS: Of a total of 312 titles, eight studies were included, of which six are randomized clinical trials and two are observational studies All the studies included breathing exercises, with the objective of adjusting breathing patterns and pulmonary ventilation, reducing pulmonary hyperinflation, bronchospasm and sensation of dyspnea. However, as these exercises were not performed solely, the effects of this intervention could not be verified. Two studies performed IMT and showed an increase in maximal respiratory pressureCONCLUSION: Breathing exercises are widely used in clinical practice as part of the management of asthma in children; however it is not possible to measure the effects in this population. IMT seems to improve inspiratory and expiratory muscle strength, but its indication in the pediatric population is not a standard procedure

Palavras-chave : asthma; breathing exercise; child.

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