Study on Effect of Papworth Technique in Anemic Asthmatic Pediatrics

PURPOSE: This study will be conducted to detect the effect of papworth technique and aerobic training on haemoglobin and exercise tolerance in anaemic asthmatic pediatrics BACKGROUND: One of the chronic inflammatory diseases is asthma, which manifests symptoms like breathlessness, coughing, wheezing, and chest tightness also, commonly at night or in the early morning. Papworth method is easy and safe intervention for asthma control as it is also an adjuvant to medical care. Papworth method reduces these asthma symptoms, improves dysfunctional breathing arising from hypocapnia, and will help in improving quality of life and exercise tolerance. HYPOTHESESThere is no significant effect of papworth technique and aerobic training on haemoglobin in anaemic asthmatic pediatrics there is no significant effect of papworth technique and aerobic training on exercise tolerance in anaemic asthmatic pediatricsas regards to: 1. Haemoglobin level 2. Asthma-related Quality of life questionnaire (AQLQ) 3. Six-minute walk test. 4. Oxygen saturation 5. Respiratory rate RESEARCH QUESTION: Is there is an effect of papworth technique and aerobic training on haemoglobin and exercise tolerance in anaemic asthmatic pediatrics? Patients will be assessed before, after the treatment program. The assessment procedures include the following items: 1. Haemoglobin level 2. asthma-related Quality of life questionnaire (AQLQ) 3. Six-minute walk test. 4. Oxygen saturation 5. Respiratory rate Treatment procedure: Group (A): will receive papworth technique and aerobic training programme in addition to medical treatment 3 sessions per week for 12 weeks. Group (B): will receive aerobic training programme only in addition to medical treatment3 sessions per week for 12 weeks.