Personification of nordic walking course in children with bronchial asthma depending on physical health level and disease control

Abstract

Objective. To evaluate the effectiveness of a personalized Nordic walking course in children with bronchial asthma.

Material and methods. In conditions of a local sanatorium, 60 children aged 8–14 years with atopic bronchial asthma in remission were examined, 30 patients received the usual set of health-improving measures (comparison group), 30 patients additionally underwent a course of sports walking, personalized depending on the degree of asthma control and the level of physical health (main group). To evaluate it, the method of L.G. Apanasenko was used. Indicators of external respiration, abdominal and back muscle strength, physical performance, and Robinson and Rufier indices were determined. The children were examined twice: before and after the rehabilitation course. The dynamics of functional indicators was expressed as a percentage increase in relation to the initial values.

Results. It was found that 36.7 % of patients had a low, 53.3 % average and only 10 % high level of physical health. Only 10 % had a complete asthma control, and 90 % of children had a partial control. The use of a personalized sports walking course helped to improve the functional parameters of external respiration, muscular and cardiovascular systems. In the comparison group, the positive dynamics of most of functional indicators was significantly less obvious.

Conclusions. The course of Nordic walking in children with bronchial asthma at the stage of rehabilitation should be personalized taking into account the level of physical health and the degree of disease control. This technology in this category of patients has a significant positive health-strengthening effect, which is manifested by improving the functional state of the muscular, respiratory and cardiovascular systems.

Keywords

Bronchial asthma / children / Nordic walking

References

[1] Petyakina Yu.V., Shemyatikhin V.A., Dobrynin I.M. The impact of Nordic walking on human health and prevention of chronic diseases. Sovremennye nauchnye issledo vaniya i razrabotki 2019; 1 30): 853–859 in Russian).

[2] Петякина Ю.В., Шемятихин В.А., Добрынин И.М. Влияние скандинавской ходьбы на состояние здоровья человека и профилактику хронических заболеваний. Современные научные исследования и разработки 2019; 1 30): 853–859.

[3] Pravdov M.A., Pravdov D.M., Kornev A.V., Shutov A.N. Scandinavian walking: problems and research prospects. Nauchnyy poisk 2019; 4: 62–66 in Russian).

[4] Правдов М.А., Правдов Д.М., Корнев А.В., Шутов А.Н. Скандинавская ходьба: проблематика и перспективы исследований. Научный поиск 2019; 4: 62–66.

[5] Kuzina E.N., Spivak E.M., Geppe N.A., Mozzhukhina L.I., Achkasov E.E. Algorithm for selecting personalized rehabilitation programs for children with atopic asthma. Voprosy prakticheskoy pediatrii 2018; 2 13): 19–23 in Russian).

[6] Кузина Е.Н., Спивак Е.М., Геппе Н.А., Мозжухина Л.И., Ачкасов Е.Е. Алгоритм выбора персонализированных реабилитационных программ у детей с атопической бронхиальной астмой. Вопросы практической педиатрии 2018; 2 13): 19–23.

[7] Surovenko T.N., Glushkova E.F. Treatment and control of bronchial asthma in children and adolescents. Meditsinskiy sovet 2020; 10: 101–107 in Russian).

[8] Суровенко Т.Н., Глушкова Е.Ф. Терапия и контроль бронхиальной астмы у детей и подростков. Медицинский совет 2020; 10: 101–107.

[9] Kuzina E.N., Spivak E.M. Nordic walking in the rehabilitation of children with chronic allergic respiratory diseases. Lechebnaya fizkul'tura i sportivnaya meditsina 2015; 6 132); 22–25 in Russian).

[10] Кузина Е.Н., Спивак Е.М. Скандинавская ходьба в реабилитации детей с хроническими аллергическими заболеваниями органов дыхания. Лечебная физкультура и спортивная медицина 2015; 6 132); 22–25.

[11] Apanasenko G.L Evolution of bioenergy and human health. SPb 1992: 123 in Russian).

[12] Апанасенко Г.Л. Эволюция биоэнергетики и здоровье человека. СПб 1992: 123.

RIGHTS & PERMISSIONS

Kuzina E.N., Spivak E.M., Nezhkina N.N.