Estimated met levels for selected physical activities
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Estimated MET levels for selected physical activities. Conclusion. Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children. CLD. Chest wall mechanic problems. Airway problems. Lung mechanic problems.

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Conclusion
Conclusion

Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children


Estimated met levels for selected physical activities

CLD

Chest wall mechanic problems

Airway problems

Lung mechanic problems

  • Hypersecretion

  • Bronchospasm

  • Collasped airway

  • Restrictive

  • Hyperinflation

  • Atelectasis

  • Recurrent pneumonia

  • Ineffective cough

  • Retained secretion

  • Exercise limitation

Pulmonary rehabilitation & Exercise training


Question 2
Question #2

How to perform pulmonary rehabilitation and exercise training in children with CLD?


Case illustration
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


Case illustration1
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