Individualised field testing is a useful tool to evaluate difficult asthma

We report the use of individualised field tests (IFT) to investigate exercise induced symptoms amongst asthmatic children referred to a tertiary respiratory service. Tests were completed by a physiotherapist and paediatrician and included the facility to perform fibre optic laryngoscopy in those with symptoms suggestive of vocal cord dysfunction (VCD).26 assessments were performed (Male 9: Female 17; age 11 - 17 years, 1child of 6 years).7 Were positive for EIB (Decreased FEV1 > 12%, 5-15mins post exercise). 13 had signs of dysfunctional breathing. 5 developed signs of upper airway obstruction due to VCD.1 test revealed no pathology and stopped prematurely because of poor fitness. IFT usefully identify a wider range of pathologies than standardised protocols and facilitate more individualised treatment plans.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric Asthma and Allergy Source Type: research