Simultaneous treatment of asthma and allergic rhinitis

Camargos, Paulo Augusto Moreira; Rodrigues, Mary Elisabeth Santos Moura; Lasmar, Laura Maria de Lima Belizário Facury

doi:10.1002/ppul.20084

Cited by 23 publications

(30 citation statements)

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“…Patients took the inhaled dosage twice a day throughout the study, inhaling ten times for each dose. 5,12 Compliance was monitored by systematically weighing the metered-dose inhalers on an analytic balance. 13 The BDT group attended 16 speech therapy sessions covering three stages of treatment: awareness and proprioception of breathing mode and type -using an atlas on respiratory physiology and anatomy, nose-blowing technique Pulmonary function test guidelines 15 were followed when measuring FEV 1 with a spirometer (B100 Puritan BennettRenaissance).…”

Section: Methodsmentioning

confidence: 99%

“…The efficacy of treating allergic rhinitis when it is associated with asthma has been widely documented. 5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the No conflicts of interest declared concerning the publication of this article.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] The efficacy of treating allergic rhinitis when it is associated with asthma has been widely documented. 5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents Silvia M. A. Campanha, 1 Maria J. F. Fontes, 2 Paulo A. M. Camargos, 3 Lincoln M. S. Freire (in memoriam) 4 nose and the respiratory function of the diaphragm while, at the same time, raising patient awareness about using their muscles.…”

Section: Introductionmentioning

confidence: 99%

“…5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents Silvia M. A. Campanha, 1 Maria J. F. Fontes, 2 Paulo A. M. Camargos, 3 Lincoln M. S. Freire (in memoriam) 4 nose and the respiratory function of the diaphragm while, at the same time, raising patient awareness about using their muscles. The treatment provides the patient with the necessary conditions to maintain nose breathing, which is unquestionably one of the basics of controlling respiratory diseases.…”

Section: Introductionmentioning

confidence: 99%

“…5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the No conflicts of interest declared concerning the publication of this article.Suggested citation: Campanha SM, Fontes MJ, Camargos PA, Freire LM. The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents.…”

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confidence: 99%

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O impacto do tratamento fonoaudiológico no controle da asma e da rinite alérgica em crianças e adolescentes respiradores orais

Campanha¹,

Fontes²,

Camargos³

et al. 2010

J. Pediatr. (Rio J.)

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Objective: To determine the impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents.Methods: This was a quasi-experimental randomized study of 24 mouth breathing patients with asthma and allergic rhinitis, aged from 6 to 15 years. All patients were taking beclomethasone diproprionate through oral inhalation at the start of the study. At enrollment on the study, oral inhalation was substituted with exclusively nasal inhalation and 1 month later half of the patients began speech therapy. They attended 16 speech therapy sessions in 8 weeks and continued taking beclomethasone dipropionate through exclusively nasal inhalation (BDT group). The comparison group received only beclomethasone diproprionate through exclusively nasal inhalation (BDI group). Both groups were assessed five times. Clinical scores were calculated for allergic rhinitis and asthma, an adapted version of the Marchesan orofacial myofunctional assessment protocol was applied, and parents/guardians' observations were recorded, in addition to spirometry measurements of peak inspiratory and peak expiratory flow.Results: There were significant improvements in the BDT group: clinical asthma score at T5 (p = 0.046); peak inspiratory flow at T4 (p = 0.030); peak expiratory flow at T3 (p = 0.008); breathing mode and lip position (p = 0.000) from T3 onwards; and parents/guardians' observations at T2, T4, and T5 (p = 0.010; p = 0.027; p = 0.030).Conclusions: Speech therapy in combination with beclomethasone diproprionate through exclusively nasal inhalation resulted in earlier and longer-lasting clinical and functional control of asthma, allergic rhinitis, and mouth breathing than was achieved in the group that only took beclomethasone diproprionate. The efficacy of treating allergic rhinitis when it is associated with asthma has been widely documented. 5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the No conflicts of interest declared concerning the publication of this article.Suggested citation: Campanha SM, Fontes MJ, Camargos PA, Freire LM. The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…5 Recovery of upper airway function contributes to asthma control. 5 For allergic patients and mouth breathers, the objective of speech therapy is to reestablish breathing through the No conflicts of interest declared concerning the publication of this article.Suggested citation: Campanha SM, Fontes MJ, Camargos PA, Freire LM. The impact of speech therapy on asthma and allergic rhinitis control in mouth breathing children and adolescents.…”

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confidence: 99%

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O impacto do tratamento fonoaudiológico no controle da asma e da rinite alérgica em crianças e adolescentes respiradores orais

Campanha¹,

Fontes²,

Camargos³

et al. 2010

J. Pediatr. (Rio J.)

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Pediatric Allergic Rhinitis and Asthma: Can the March be Halted?

et al. 2013

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The strong epidemiologic and pathophysiologic link between allergic rhinitis (AR) and asthma has led to the concept of 'united airways disease' or 'respiratory allergy', implying that allergy, in its widest sense, underlies this clinical syndrome. Progression from AR to asthma is frequent and part of the 'atopic march'. Since pediatric immune responses are more adaptable and therefore may be more amenable to treatment, interventions at early childhood are characterized by a higher chance to affect the natural history of respiratory allergy. Although current treatments are quite effective in alleviating respiratory allergy symptoms, it has proven much more difficult to confirm any influence on the progression of the disease. Much more promising is the field of specific allergen immunotherapy, where current evidence, although not yet of ideal robustness, points towards a disease-modifying effect. In addition, newer or emerging, possibly more effective or more targeted interventions are promising in the preventive sense.

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