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
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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
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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
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Conclusion
Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children
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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
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Question #2
How to perform pulmonary rehabilitation and exercise training in children with CLD?
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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
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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