cld (n=18) normal (n=18) p met 7.9 + 1.7 (5.1 - 11.4) 7.7 + 1.7 (5.7 - 11.7) > 0.05
TRANSCRIPT
CLD (n=18)
Normal(n=18)
P
MET 7.9 + 1.7(5.1 - 11.4)
7.7 + 1.7(5.7 - 11.7)
> 0.05
Estimated MET levels for selected physical activities
Physical activity MET
WritingWalking (2mph)Golf (with cart)Golf (without cart)BadmintonDancing aerobicKarate or judoSwimming (fast)Hockey,fieldSquash
1.72.52.54.95.56.06.57.07.7
12.1
Conclusion
Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children
CLD
Airway problems
Lung mechanic problems
Chest wall mechanic problems
• Hypersecretion
• Bronchospasm
• Collasped airway
• Restrictive
• Hyperinflation
• Ineffective cough
• Retained secretion
• Exercise limitation
• Atelectasis
• Recurrent pneumonia
Pulmonary rehabilitation &
Exercise training
Question #2
How to perform pulmonary rehabilitation and exercise training in children with CLD?
Case illustration
A 7-yr-old boy
• Recurrent RUL/RML pneumonia
• Persistent RUL/RML atelectasis
• Possible Rt. lung hypoplasia
• GER with mild delayed gastric emptying time
• Poor weight gain
since age 3 yrs
RUL/RML lobectomy at the age of 5 yrs
Case illustration
PE (post surgery)
- BW 14 kgs
- Mild tachypnea & dyspnea
- AP diameter of chest wall
- Lung expansion Rt.> Lt.
- Breath sound & medium crepitations RLL
- Lumbar kyphosis