REHABILITASI MEDIK PADA ANAK DENGAN ASMA BRONKIAL

Authors

  • Irithca Jayanti Tengker PPDS-1 Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Sam Ratulangi Manado
  • Theresia Isye Mogi Spesialis Ilmu Kedokteran Fisik dan Rehabilitasi RSUP Prof. Dr. R. D. Kandou Manado

Abstract

Asma adalah penyakit saluran respiratori dengan dasar inflamasi kronik yang mengakibatkan obstruksi dan hiperreaktivitas saluran respiratori dengan derajat bervariasi. Prevalensi asma meningkat dari waktu ke waktu baik di negara maju maupun negara sedang berkembang. pada hampir separuh penderita asma, gejala mulai muncul selama masa kanak-kanak.1

               Patogenesis inflamasi saluran respiratori pada asma, diawali dengan mekanisme imunologis inflamasi saluran respiratologi, adanya reaksi fase awal dan fase lambat pada inflamasi akut dan  kronis, inflamasi alergi dan remodeling saluran respiratologi. Patofisiologi asma sendiri terdiri dari onstruksi saluran respiratologi yang mendasari gangguan fungsi dan hiperreaktivitas saluran respiratori  yang berhubungan dengan perubahan otot polos saluran respiratori yang menyebabkan perubahan kontraktilitas.1,3

Tatalaksana asma pada anak terdiri dari medikamentosa dan non medikamentosa. Salah satu tatalaksana dari non medikamentosa yaitu Rehabilitasi paru yang dapat diberikan pada serangan asma akut dan kondisi asma tanpa eksaserbasi. Menurut The Global Initiative for Asthma (GINA) Rehabilitasi paru direkomendasikan untuk pasien dengan penyakit paru-paru kronis dengan penurunan kapasitas aerobik dan kekuatan otot.4,6

 

References

Rahajoe N, Kartasasmita C, Supriyatno B. Dalam: Pedoman nasional asma anak IDAI, 2016

Beyond the basics of respiratory care; Pulmonary anatomy, Orlando regional health care, education and development. 2015

Nastiti R, Supriyatno B. Asma pada anak dalam: Buku Ajar Respiratologi anak Ed pertama 2018

Global Initiative for Asthma. Global strategy for asthma management and prevention. 2020

Rajagopal, Paul J, Apllied anatomy and physiology of the airway breathing. Indian J anaesth 2005

Lu kim d, forno E in exercise and lefe style changes in asthma Pennsylvania 2020

Pocket guide for asthma management and prevention (for children 5 years and younger). A Guide for Health Care Professionals. Global Initiative for Asthma(GINA);2020

Epidemiologi dalam Infodatin pusat data dan informasi kementrian kesehatan RI 2019

Kartasasmita CB. Epidemiologi asma anak Dalam: buku ajar respiratologi anak Jakarta; 2013. H.71-84

The global asthma report, New Zealand 2019

Alfonso D, Allred D, Eapen B. pulmonary rehabilitation in pulmonary disease IN: Bradom Physical medicine & rehabilitation 5th edition 2016

Bosquet J, Jeffrey PK, Busse WW, Asthma: From bronchoconstriction to airway remodeling. Arm J. respiratory critical care Med. 2000;161

Papadopoulos NG, Arakawa H, Carlsen KH, Custovic A, Gern J,Lemanske R, dkk. International consensus on (ICON) pediatric asthma. Allergy.2012;67:976–97

Kay AB, asthma and inflammation, In: Journal allergy immunology, 2001

Asthma quality of life questionnaire (AQLQ), asthma control therapy (ACT) American thotacic society

Yuhei H, Kohno Y, Ebisawa M dalam Japanese guideline for childhood asthma allergol int 2014

ERC task force, definition, assessment and treatment of wheezing disorders in preschool: an evidence based approach 2008

Bateman ED, Jithoo A. Asthma and allergy a global perspective. Allergy. 2007;62:213-5

Plats-Mills TAE, Sporik RB, Chapman MD. The role of domestic allergen. Dalam: The rising trends in asthma. New York; 2015

ERS Task Force. Definition, assessment, and treatment of wheezing disorders in preschool children: an evidence based approach. Eur respi 2018

Cates CJ, Weish, Holding chambers (spacers) versus nebulisers for B agonist treatment of acute asthma. The Cochrane database Pf systematic review 2013

Behrman R.E, Kliegman RM. Asthma. Dalam: Nelson text book of pediatrics. Ed. 17th Philadelphia: WB saunders Comp; 2014

Bergstorm J, Mckenzie M et all Diagnosis and management of asthma. Institute for clinical systems improvement 2016

Griffith S, Duchane FM, Combined Inhaled anticholinergic and short acting beta 2 agonist for initial treatment of acute asthma in children. The Cochrane 2013

Spruit Ma, Singh Sj, Garvey key concept and advances in pulmonary rehabilitation. An official American thoracic society europan respiratory society statement, 2013

Larsen Gary L, Colasurdo G. Assesment and treatment of acute asthma in childrens and adolecens. Dalam: Text book of pediatrics Asthma. In international Perspective Ed. 1 United Kingdom 2015

American thoracic society , American college of chest physians. ATS/ACCP statement on cardiopulmonary exercise testing 2013

Reimberg M, Agnelo Effects of a pulmonary rehabilitation program on physical capacity, peripheral muscle function and inflammatory markers in asthmatic children and adolescents: study protocol for a randomized controlled trial Brazil 2018

Zampogna E, Zappa M, Spanello A. Rehabilitation pulmonary in asthma 2020

Kirkby s, Rosseti A, Benefits of pulmonary rehabilitation in pediatric asthma, ohio 2018

Haas F, Axen K: Pulmonary Therapy and rehabilitation : in Principles and practice, Baltimore 2011

Rondinelli RD,Bach J, Altschuler E, Rehabilitations of the patients with respiratory dysfunction IN: Delisa’s Physical Medicine & Rehabilitation 5th edition 2010

Adone, Roberto chest physical training in patients with acute exacerbation of chronic bronchitis. Arch Phys Med Rehabilitation Vol. 81 2015

Nusdwinuringtyas N, chest physical therapy in the rehabilitation of lung function 2006

Schenkel I, Garcia J theraupetic play as technique supporting to physiotheraupetic treatment in children with respiratory disorders 2013

Kumar Y, Kaur P, Effectiveness of breathing exercise as theraupetic play on respiratory status among children undergoing nebulization therapy with lower respiratoty tract disorders India 2017

Pareira J. E a importantio do ludico na formaco de educadores: uma pesquisa na acao do museu da educacao e do brinquedo. Brazil 2005

Deep breathing exercises for kids In copingskillsforkids.com di akses pada rabu 23 september 2020

Morrow B. airway clearance therapy in pediatrics respiratory illness: A state of the art review 2019.

Shei RJ, Paris HL, Wilhite DP, Chapman RF, Mickleborough TD. The role of inspiratory muscle training in the management of asthma and exercise-induced bronchoconstriction. Phys Sportsmed. 2016;26:1-8.

Guidelines for exercise testing in asthma and children IN; ACSM’s guidelines for exercise testing and prescription 9th edition 2013

Eichenberger PA, Diener SN, Kofmehl R, Spengler CM. Effects of exercise training on airway hyperreactivity in asthma: a systematic review and meta-analysis. Sport Med 2013; 43:1157–1170.

Andrade L, Britto M The efficacy of aerobic training in improving the inflammatory component of asthmatic children Randomized trial 2014

Wanrooij VH, Willeboordse M, Dompeling E, van de Kant KD. Exercise training in children with asthma: a systematic review. Br J Sports Med 2014; 48:1024–103

Wamg q, Zhang W, Liu L Effects of physical therapy on lung function in children with asthma China 2019

Fransisco C, Bhatawadekar S, et al Effects of physical exercise training on nocturnal symptoms in asthma: systematic review Canada 2018

Downloads

Published

2022-07-12