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Effectiveness of personalised medical rehabilitation programs in children with bronchial asthma

https://doi.org/10.21518/ms2025-124

Abstract

Introduction. Bronchial asthma (BA) is the most common chronic pathology in children. The basis of medical rehabilitation is currently a “multidisciplinary approach”, which includes, among other things, a personalized approach.

Aim. Тo develop a comprehensive targeted program for medical rehabilitation of children with bronchial asthma, and to study the effectiveness of a comprehensive targeted program selected taking into account the individual characteristics of the child.

Materials and methods. For each patient participating in the study, an individual targeted program of medical rehabilitation was developed in accordance with the procedures and standards of medical care, taking into account indications and contraindications, taking into account a multidisciplinary approach and rehabilitation methods, namely: climatotherapy, physiotherapy, speleotherapy, aromatherapy, inhalation therapy, oxygen therapy, hypoxic therapy, mechanotherapy, psychocorrection, massage, therapeutic exercise, phytotherapy. Patients were randomized into three groups, without reference to the treatment method or other factor. All three groups of patients received a basic program of medical rehabilitation, which included magnetotherapy, dry carbon dioxide baths, speleotherapy and therapeutic exercise.

Results. Positiveindicators of clinical and laboratory results and subjective data as a result of rehabilitation were obtained in all patients from all 3 groups. In children with bronchial asthma of mixed genesis, as a result of complex treatment, a significant improvement was noted. These results allow us to speak about the significant effectiveness of individually selected targeted medical rehabilitation programs in patients with bronchial asthma.

Conclusion. The use of an individual rehabilitation complex of procedures and treatment methods in pediatric patients with bronchial asthma is effective, it allows improving the condition and well-being of patients according to subjective sensations, as well as clinical and diagnostic indicators. It is possible to recommend the introduction of the use of these programs in medical rehabilitation of this group of patients.

About the Authors

A. V. Ponomareva
Ivano-Matreninskaya City Children’s Clinical Hospital
Russian Federation

Alesya V. Ponomareva, Head of the Department of Medical Rehabilitation for Patients with Somatic Diseases

57, Sovetskaya St., Irkutsk, 664009



S. A. Barysheva
National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Svetlana A. Barysheva, Head of the Admissions Department of the Scientific and Clinical Center

32, Novy Arbat St., Moscow, 121099



L. A. Marchenkova
National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Larisa A. Marchenkova, Dr. Sci. (Med.), Head of Research Department

32, Novy Arbat St., Moscow, 121099



M. Yu. Yakovlev
National Medical Research Center for Rehabilitation and Balneology; Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Maхim Yu. Yakovlev, Dr. Sci. (Med.), Deputy Director for Strategic Development of Medical Activities, National Medical Research Center for Rehabilitation and Balneology; Professor of the Department of General Hygiene, Sechenov First Moscow State Medical University (Sechenov University)

32, Novy Arbat St., Moscow, 121099,

8, Bldg. 2, Trubetskaya St., Moscow, 119991



I. A. Grishechkina
National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Irina A. Grishechkina, Cand. Sci. (Med.), Senior Researcher for the Study of the Mechanisms of Action of Physical Factors

32, Novy Arbat St., Moscow, 121099



N. F. Tumanova-Ponomarеva
National Medical Research Center for Rehabilitation and Balneology
Russian Federation

Natalya F. Tumanova-Ponomarеva, Cand. Sci. (Med.), Head of the Information and Analytical Department

32, Novy Arbat St., Moscow, 121099



I. G. Shiman
Children’s Sanatorium “Otdykh”
Russian Federation

Ilya G. Shiman, Cand. Sci. (Med.), Chief Physician

11, Dzerzhinsky St., Moscow Region, Zhukovsky, 140185



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Review

For citations:


Ponomareva AV, Barysheva SA, Marchenkova LA, Yakovlev MY, Grishechkina IA, Tumanova-Ponomarеva NF, Shiman IG. Effectiveness of personalised medical rehabilitation programs in children with bronchial asthma. Meditsinskiy sovet = Medical Council. 2025;(9):36-43. (In Russ.) https://doi.org/10.21518/ms2025-124

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