THE ROLE OF REHABILITATION IN IMPROVING THE QUALITY OF LIFE IN CHILDREN WITH ASTHMA

Abstract

 Background: Bronchial asthma is the most common chronic disease in childhood, significantly impacting the physical, emotional, and social well-being of pediatric patients. While pharmacological management is well-established, the role of non-pharmacological pulmonary rehabilitation in enhancing Quality of Life (QoL) is often underutilized. This study aims to evaluate the effectiveness of a comprehensive rehabilitation program on the clinical status and quality of life of children with persistent asthma. Methods: A prospective randomized controlled trial was conducted involving 100 children aged 7-14 years with moderate persistent asthma. Patients were divided into two groups: the Control Group (n=50) received standard pharmacotherapy (ICS/LABA), while the Intervention Group (n=50) received standard therapy plus a 3-month rehabilitation program (breathing exercises, physical training, and education). Quality of life was assessed using the Pediatric Asthma Quality of Life Questionnaire (PAQLQ), and lung function was measured via spirometry. Results: After 3 months, the Intervention Group showed a statistically significant improvement in the overall PAQLQ score (from 4.2 ± 0.5 to 6.1 ± 0.4, p < 0.001) compared to the Control Group. Significant improvements were observed in the "Activity Limitation" and "Emotional Function" domains. Additionally, the frequency of acute exacerbations decreased by 40% in the rehabilitation group. Conclusion: Integrating a structured pulmonary rehabilitation program into the standard management of pediatric asthma significantly improves quality of life, enhances exercise tolerance, and reduces disease burden. It should be considered a standard component of care.