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Estimated MET levels for selected physical activities

Estimated MET levels for selected physical activities. Conclusion. Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children. CLD. Chest wall mechanic problems. Airway problems. Lung mechanic problems.

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Estimated MET levels for selected physical activities

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  1. Estimated MET levels for selected physical activities

  2. Conclusion Despite having abnormal PFT, children with CLD demonstrated the same levels of optimal physical activity when compared to normal children

  3. CLD Chest wall mechanic problems Airway problems Lung mechanic problems • Hypersecretion • Bronchospasm • Collasped airway • Restrictive • Hyperinflation • Atelectasis • Recurrent pneumonia • Ineffective cough • Retained secretion • Exercise limitation Pulmonary rehabilitation & Exercise training

  4. Question #2 How to perform pulmonary rehabilitation and exercise training in children with CLD?

  5. Case illustration • A 7-yr-old boy • Recurrent RUL/RML pneumonia • Persistent RUL/RML atelectasis • Possible Rt. lung hypoplasia • GER with mild delayed gastric emptying time • Poor weight gain since age 3 yrs RUL/RML lobectomy at the age of 5 yrs

  6. Case illustration PE (post surgery) - BW 14 kgs - Mild tachypnea & dyspnea -  AP diameter of chest wall -  Lung expansion Rt.> Lt. -  Breath sound & medium crepitations RLL - Lumbar kyphosis

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