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Quality of life after a 10-week pulmonary rehabilitation program among children with asthma in Barangay Inayawan, Cebu City.


Iza Jane B. Antonio,
Joel Mari Lito M. Dela Torre,
John Marlou L. Medado,
Kimberly Rose Tero

Related Institution

College of Rehabilitative Sciences – Department of Respiratory Therapy - Cebu Doctors' University

Publication Information

Publication Type
Thesis Degree
Respiratory Therapy
Publication Date
March 2016


  The objective of the study was to assess the quality of life (QOL) among children with asthma in Barangay Inayawan, Cebu City using the pediatric asthma quality of life questionnaire (PAQLQ) after a 10-week pulmonary rehabilitation program. A total of sixteen (16) children with asthma were utilized as subjects.

   The PAQLQ, which was validated by Juniper, et al, was composed of 23 questions, all equally weighted, and divided into three areas: activity limitations, symptoms, and emotional function using a 7- point scale questionnaire among children with asthma. Activity limitations talk about the difficulty of a child to perform an activity such as running, being with family or pets, and playing during recess due to their asthma. On the other hand, symptoms talk about how frustrated the children can be when asthma attacked at any point of the day, especially at night. Lastly, emotional domain included how asthma affects the respondents' mood, as it frightens them or at times, scares them. All domains--symptom, activity limitation and emotional function had a pre-rehabilitation result of quite bothered with a mean of 2.96, 3.54 and 3.25 respectively, which implied that asthma caused difficulties in their daily activities or living. Based on the results, there was a significant difference in the quality of life before and after the rehabilitation with a pre-rehabilitation mean score of M=3.92, SD=0.8, in comparison with a post-rehabilitation mean of M=3.06, SD=0.75. All domains improved after the program especially on the symptoms domain with a mean of 3.86, which was interpreted as moderate. Likewise, activity limitation and emotional function also resulted to moderate post-rehabilitation with 4.18 and 3.95, respectively. The program included information about their disease and its management. It also included breathing exercises, knowledge on proper hygiene and well-balanced diet, discussion with the parents regarding their contribution to the management of asthma among their children, aerobic exercises and physical reconditioning.

   In conclusion, pulmonary rehabilitation program was effective in improving the quality of life on young children especially among children with asthma. For future studies, the researchers allow this data to be used as baseline and recommend getting the total lung function. To widen the scope of the study, additional follow-up sessions for the pulmonary rehabilitation program must be enhanced to cater the short attention span of children, and assess the quality of life of guardians or parents using the Pediatric Asthma Caregiver Quality of Life Questionnaire, to know their point of view in relation to their child's asthma.


1. Al-Gewely, M. S. , El-Hosseiny, M. , Abou-Elezz, N. F. , El-Ghoneimy, E. H. , Hassan , A. M. . "Health-related quality of life in childhood bronchial asthma." The Egyptian Journal of Pediatric Allergy and Immunology 11(2): 83-93, 2013. Retrieved from: http://www.espai-eg.org/Journal/11-2/Al-Gewely%20et%20al.pdf
2. American College of , . (2013, November 30). Asthma in children. . . Retrieved from: http://acaai.org/asthma/about
4. Andrade, L. B. , Silva, D. A. , Salgado, T. L. , Figueroa, J. N. , Llucena-Silva, N. , Britto, M. C. . "Comparison of six – minute walk test in children with moderate/severe asthma with reference values for healthy children." Sociedade Brasileira de Pediatria 90(3): 250-257, 2014. Retrieved from: http://doi: 10.1016/j.jped.2013.08.006
5. Camp, P. G. , Appleton, J. , Reid, W. D. . " Quality of life after pulmonary rehabilitation: Assessing change using quantitative and qualitative methods." Physical Therapy 80(10): 986-994, October 2000. Retrieved from: http://ptjournal.apta.org/content/80/10/986
6. Caroll, C. L. , Bhandari, A. , Zucker, A. R. , Schramm, C. M. . "Childhood obesity increases duration of therapy during severe asthma exacerbations." Pediatric Critical Care Medicine 7(6): 527-531, 2006. Retrieved from: http://pedscom.org/downloads/Caroll-asthma_obesity.pdf
7. Centers for Disease , . (2010, November 30). Health-Related Quality of Life (HRQOL).. . Retrieved from: http://www.cdc.gov/hrqol/concept.htm
8. Cohen, H. A. , Blau, H. , Hoshen, M. , Batat, E. , Balicer, R. D. . "Seasonality of asthma: A retrospective population study." Pediatrics 133(4): e923-e932, 2014. Retrieved from: http://doi: http://dx.doi.org/10.1542/peds.2013-2022
9. Hafkamp-de Groen, E. , Raat, H. . (2011, November 30). Asthma and health related quality of life in childhood and adolescence. . . Retrieved from: http://www.intechopen.com/books/allergic-diseaseshighlights-in-the-clinic-mechanisms-and-treatment/health-related-quality-of-life-in-children-with-asthma
10. Jockers, D. . "Reverse asthma naturally." Natural News , September 2011. Retrieved from: http://www.naturalnews.com/ 033531_asthma_cures.html#
11. Juniper, E. F. . "How important is quality of life in pediatric asthma?" Pediatric Pulmonology Supplement 15, 17-21, 1997. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/9316097
12. Karakoc, G. B. , Yilmaz, M. , Sur, S. , Atlintas, D. U. , Sarpel, T. , Vendirli, S. G. . "The effects of daily pulmonary rehabilitation program at home on childhood asthma. " Allergologia et Immunopathologia 28(1): 12-14, 2000. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/10757852
13. Laurino, R. , Barnabe, V. , Saraiva-Romanholo, B. M. , Stelmach, R. , Cukier, A. , Nunes, M. D. P. . "Respiratory rehabilitation: A physiotherapy approach to the control of asthma symptoms and anxiety." Clinics 67(11): 1291-1297, 2012. Retrieved from: http://doi:10.6001/clinics/2012(11)12
14. Moorman,, J. E. , Zahran, H. , Truman, B. I. , Molla, M. T. , Zahran, H. , Truman, B. I. , Molla, M. T. . (2010, November 30). Current asthma prevalence – United States, 2006-2008. . Centers for Disease Control and Prevention. . Retrieved from: http://www.cdc.gov/mmwr/ preview/mmwrhtml/su6001a18.htm
15. Nair, Sat , Nair, Saj , Sundaram, K. R. . "A prospective study to assess the quality of life in children with asthma using the pediatric asthma quality of life questionnaire." Indian Journal of Allergy, Asthma and Immunology 28(1): 13-18, 2014. Retrieved from: http://medind.nic.in/iac/t14/i1/iact14i1p13.pdf
16. National Heart, Lung, . (2009, November 30). What is pulmonary rehabilitation? . . Retrieved from: https://www.nhlbi.nih.gov/health/health-topics/topics/pulreh
17. National Heart, Lung, . (2013, November 30). What is asthma?. . Retrieved from: http://www.nhlbi.nih.gov/health/health-topics/topics/asthma
18. Ospina, E. R. , Valencia, D. V. . (). Utility of introducing a pulmonary rehabilitation program in pediatric population with chronic pneumopathy in a pediatric hospital in Bogota, Colombia: Pilot study.. . Retrieved from: http://www.pmrjournal.org/article/S1934-1428(14)00671-6/pdf
19. Postolache, P. , Cojocaru, D. C. . " Pulmonary rehabilitation – from guidelines to practice. " Revista Medico-Chirugicala a Societatti de Medici si Naturalisti din lasi 117(2): 380-387, 2013. Retrieved from: http://www.revmedchir.ro/uploads/1/5/7/2/15722076/14_postolache_paraschiva_mip_act.pdf
20. Ries, A. L. . " Pulmonary rehabilitation: Summary of an evidence-based guideline." Respiratory Care 53(9): 1203-1207, 2008. Retrieved from: http://www.rcjournal.com/contents/09.08/09.08.1203.pdf
21. Stores, G. , Ellis, A. J. , Wiggs, L. , Crawford, C. , Thompson, A. . "Sleep and psychological disturbance in nocturnal asthma." Archives of Disease in Childhood 78, 413-419, 1998. Retrieved from: http://adc.bmj.com/
22. (). United States Department of Labor Office of the Assistant Secretary for Administration and Management.. . Retrieved from: http://www.dol.gov/oasam/regs/statutes/sec504.htm
23. World Health Organiz, . (2012, November 30). Asthma.. . Retrieved from: http://www.who.int/mediacentre/factsheets/fs307/en/
24. Yuksel, H. , Sogut, A. , Yilmaz, O. , Gunay, O. , Tikiz, C. , Dundar, P. , Onur, E. . "Effects of physical exercise on quality of life, pulmonary function and symptom score in children with asthma." Asthma Allergy Immunology 7, 58-65, 2009. Retrieved from: http://web.a.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=13089234&AN=48187923&h=BD5ek157o91kp3dLMZV8T1%2fQEs9HgChP8jA14hq7SyjI6lOMNeY0ih%2bJjlPKVDq5yW4Orvx6QT21nL8WTQvQ9w%3d%3d&crl=f&resultNs=AdminWebAuth&resultLocal=
25. Zhukava, T. , Shot, I. . " Psychological features and emotional frustrations of chronic obstructive pulmonary diseases and asthma patients." Polish Annals of Medicine 19(2): 94, 2012. Retrieved from: http://doi: http://dx.doi.org/10.1016/j.poamed.2012.08.002

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Cebu Doctors' University - Main Library U12 An88 2016 Fulltext Print Format

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