TEDS group will be subjected to sessions of TEDS as follow : Digital electrical muscle stimulator (EV-906 Digital TENS/EMS made in TAIWAN) is applied to induce diaphragm contraction.

Device : Digital electrical muscle stimulator is applied to induce diaphragm contraction.

Non TEDS group will not be subjected to sessions of TEDS

baduanjin exercise, diaphragmatic breathing and upper and lower limb stretching exercises

baduanjin exercise is a type of traditional Chinese exercises that combines exercise and mindful breathing. Baduanjin also called eight section brocades Qigong, the combination of physical movement and intention in these exercises creates enjoyable experiences for both the body and the mind.

baduanjin exercise

diaphragmatic breathing and upper and lower limb stretching exercises

diaphragmatic breathing exercise is a breathing exercise which focuses on diaphragm muscle as it is the main respiratory muscle. While upper and lower stretching exercises focuses on flexibility and stretching of major muscle compartments of upper and lower limbs.

diaphragmatic breathing exercise and upper and lower limb stretching exercise

Faculty of physical therapy, Cairo university

20 children will receive traditional breathing exercise for 30 minutes 2 times per month for 3 months.

The child will lie on their back, place one hand on their belly and one on their chest, and use a balloon or doll to fill both belly and chest up like a balloon. Inhale deeply, let the hands on the belly rise, then exhale slowly, making the belly down. The exercise will last for 10 minutes.

Diaphragmatic breathing

Sit in a seated position with crossed legs or knees. Inhale slowly through the nose for three seconds, then exhale through pursed lips, similar to blowing out birthday candles.

Pursed lip breathing:

The study involves conducting Costal breathing exercises for children. The exercises involve placing hands on the apical region of the lung, turning the child's head, relaxing the shoulder and neck muscles, taking a deep breath, pushing the hand out, holding, and exhaling slowly. The hands provide pressure and resistance after initiation of inspiration, and the children rest for 2 minutes between exercises. The duration of the exercise varies between the control and study groups.

Costal breathing exercises

20 children who will receive traditional breathing exercise for 15 minutes and breathing exercises by incentive spirometer for 15 minutes 2 times per month for 3 months

The study group was instructed to use an incentive spirometer, which should be held upright, sealed around the mouthpiece, and taken slowly and deep breaths. They will be motivated to achieve a preset volume through visual feedback. The child will hold their breath for 2-3 seconds at full inspiration and, after each set of 10 breaths, cough to clear mucus from the lungs. The exercise duration is 15 minutes.

Incentive spirometer exercises

Rawan Muhammed Khairy, physical therapist

Eman Ebrahim El-hadidy, Professor

Manal Salah ELdeen Abdel Wahab, Professor

The Thoracic Squeeze Technique is a manual physiotherapy intervention aimed at improving lung function, airway clearance, and respiratory mechanics. It involves the application of gentle, rhythmic compression to the chest wall during the exhalation phase of breathing, followed by a release. This technique can be performed with the patient in a sitting, semi-reclined, or supine position, depending on their condition and comfort level.

The Thoracic Squeeze Technique is a manual therapy method used primarily in respiratory physiotherapy to improve lung expansion, enhance respiratory function, and facilitate secretion clearance in patients with respiratory conditions.

Thoracic squeeze technique

The Manual Diaphragmatic Release Technique is a soft tissue manipulation technique used to improve the mobility, function, and efficiency of the diaphragm. It is commonly applied in physiotherapy, particularly in respiratory, musculoskeletal, and manual therapy practices, to address breathing dysfunctions, postural imbalances, and associated pain or discomfort.

임상시험 현황

장치 : 디지털 전기 근육 자극기를 사용하여 횡격막 수축을 유도합니다.

팔단진 운동, 횡격막 호흡 운동 및 상하지 스트레칭 운동

인센티브 스피로미터 운동, 횡격막 호흡, 입술을 모아 호흡, 늑골 호흡 운동

흉부 압박 기술, 수동 횡격막 릴리스 기술