The effect of Exercplay and Thoracic lymphatic pump technique on functional capacity and inflammatory parameters in children with bronchial asthma.

Bronchial asthma (BA) is a chronic inflammatory respiratory condition characterized by bronchial hyperresponsiveness and airflow obstruction, often leading to symptoms like wheezing, shortness of breath, chest tightness, and cough. It not only affects respiratory health but can also result in reduced functional capacity, exertional dyspnea, fatigue, and activity limitations, impacting the quality of life. In children, asthma may reduce physical activity levels, with 5.5 million affected worldwide, constituting 7.5% of all children. Three key pathophysiological processes contribute to BA: bronchial inflammation, allergies, and bronchial hyperreactivity. These processes involve inflammatory cells, allergens, and excessive bronchoconstrictor responses. Current physiotherapy treatments aim to educate patients on asthma management and improve lung elasticity while addressing musculoskeletal dysfunctions. The thoracic lymphatic pump technique is a noninvasive approach for children with asthma, enhancing deep breathing and ventilation functions. Exercplay combines outdoor exercise and play to promote physical activity among children with controlled asthma. Physical fitness is associated with improved quality of life and reduced morbidity. These techniques have been used in various pulmonary conditions demonstrating promising effects on functional improvement and quality of life.