Laser acupuncture versus positive expiratory pressure therapy in chilren with bronchiectasis / Sarah Wagih Ali Mohamed ; Supervised Faten Hassan Abdelaziem , Azza Fekry Ismail , Wegdan Ahmed Fouad Amer

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Background: Bronchiectasis is one of the most important cause of respiratory morbidity in developing countries and is increasingly being recognized in indigenous people of affluent countries .Purpose: The aim of this study was to compare between the effects of laser acupuncture and positive expiratory pressure therapy in management of children with bronchiectasis. Material and methods: Sixty out of eighty two children with bronchiectasis their age ranged between 7 to 10 years and were divided randomly into 3 equal groups, children in all groups received the selected chest physiotherapy program in addition to medical treatment at a frequency of 3 sessions a week for three months. One control group received the previous treatment, in addition study group I received to laser acupuncture therapy and study group II received positive expiratory pressure therapy. Assessment measurements were include systemic inflammatory markers, Bhalla scoring of computed tomography and evaluation of quality of life for all groups before treatment and after three months at the end of the treatment program. Results: There were significant improvement in all investigated parameters pre and post treatment in all groups P value=0.05, with highly significant improvement in favor of laser acupuncture group. Conclusion: Laser acupuncture therapy added to active cycle breathing combined with postural drainage is of value in management of children with bronchiectasis

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