Ai Chi Method for Children With Asthma

Study Overview
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Brief Summary
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This study has the aim to assess the effectiveness of the Ai Chi method as an adjunct therapy in the treatment of children with asthma.

Detailed Description
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Children from 7 to 12 years old with asthma diagnosis will be included. Children assigned to the control group will receive, along with their parents, educational interventions in relation to asthma, based on guidelines of Global Strategy for Asthma Management and Prevention Revised 2017.Children in the intervention group will perform 12 sessions (twice a week) of treatment with the Ai Chi Method and educational interventions similiar to the control group. The investigators will assess pulmonary function (spirometry), asthma control by the Childhood Asthma Control Test (c-ACT Questionnaire), quality of life by the PAQLQ (Paediatric Asthma Quality of Life Questionnaire), anxiety symptoms by the SCAS (Spence Children's Anxiety Scale) and Disturbed Sleep by the Sleep Disorders Scale in Children. In addition, information will be collected on the numbers of hospitalizations, occurence of absence in school due to exacerbation of the disease, asthma symptoms and Beta2-agonists usage.

Official Title
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Ai Chi Method for Children With Asthma: A Single-blinded Randomized Controlled Trial

Conditions
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Asthma, Child, Respiratory Disease, Hydrotherapy, Respiratory Tract Diseases, Respiratory Hypersensitivity, Respiration Disorders

Intervention / Treatment
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* Other: Ai Chi
* Other: Asthma education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children from 7 up to 12 years old with asthma diagnose; Regular inhaled corticosteroids with no change in dose in the preceding 4 weeks; Children cannot present: other respiratory disease (such as cystic fibrosis, bronchiectasis, tuberculosis), obesity, retinal detachment, hypertensive crisis, congenital heart defect, pulmonary edema, history of lobectomy or lung segmentectomy, respiratory infections 15 days prior to the evaluations. Exclusion Criteria: Children that are not able to perform some of the necessary procedures; Give up participating in the research and present acute symptoms of respiratory tract during the assessments.

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Ai Chi<br>Children in the intervention group will perform 12 sessions (twice a week, 40 minutes each session) of treatment with the Ai Chi Method and educational interventions in relation to asthma. | Other: Ai Chi<br>* Children in the intervention group will perform 12 sessions (twice a week 40 minutes each session) of treatment with the Ai Chi Method, and educational intervention in relation to asthma.<br>|
| Active Comparator: Asthma education<br>Children assigned to the control group will receive, along with their parents, educational interventions in relation to asthma. | Other: Asthma education<br>* Children assigned to the control group will receive, along with their parents, educational interventions in relation to asthma.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Lung function (spirometry). | Forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, forced expiratory flow between 25-75% of the pulmonary volume (FEF25-75). | Baseline, six weeks later (endpoint) and one month since the initial of intervention (follow-up) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in asthma control. | Asthma control will be assessed by the Childhood Asthma Control Test - c-ACT Questionnaire Mean c-ACT score. Do higher values of 19 points represent a better outcome . | Baseline, six weeks later (endpoint) and one month since the initial of intervention (follow-up) | 
| Change in Quality of life | Quality of life of childhood asthma as assessed by the Standardized Pediatric Asthma Quality of Life Questionnaire (PAQLQ). 7 point rating scale Do higher values represent a better outcome. | Baseline, six weeks later (endpoint) and one month since the initial of intervention (follow-up) | 
| Change in Anxiety symptoms. | Change in Spence Children's Anxiety Scale following intervention. Self-reported (child and parent version) child anxiety symptoms, 38 items questionnaire, rated at a 4-point scale. Do higher values represent a worse outcome. | Baseline, six weeks later (endpoint) and one month since the initial of intervention (follow-up) | 
| Change in Disturbed Sleep. | Disturbed Sleep will be assessed by the Sleep Disorders Scale in Children. 26 items questionnaire, rated at a 5-point scale. Do higher values represent a worse outcome. | Baseline, six weeks later (endpoint) and one month since the initial of intervention (follow-up) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Asthma, Child, respiratory exercises, Hydrotherapy, Physical Therapy Specialty, Sleep, Quality of life, Anxiety, Spirometry, Clinical trial