ЗАСТОСУВАННЯ ДИХАЛЬНИХ ВПРАВ ДЛЯ ПОКРАЩЕННЯ СТАНУ ДИХАЛЬНОЇ СИСТЕМИ ДІВЧАТОК 10-12 РОКІВ ІЗ ХРОНІЧНИМ БРОНХІТОМ

Abstract. Relevance of the research topic. The article presents the results of a study aimed at evaluating the effectiveness of breathing exercises and sound gymnastics as part of a physical therapy program for girls aged 10–12 years with chronic bronchitis. The relevance of the research is обусловлена by the steady increase in the prevalence of chronic bronchopulmonary diseases among school-aged children, which leads to impaired respiratory function, reduced physical capacity, and decreased adaptive reserves of the growing organism. In the context of frequent adverse effects associated with pharmacological treatment, the implementation of safe, accessible, and non-pharmacological rehabilitation methods is of particular importance. The purpose of the study was to investigate the impact of breathing exercises and sound gymnastics on the functional state of the respiratory system in girls aged 10–12 years with chronic bronchitis during the outpatient stage of rehabilitation. Material and methods. To assess the effectiveness of the developed physical therapy program, respiratory rate, vital lung capacity, vital index, Skibinski index, and the results of the Stange and Genchi breath-holding tests were analyzed.The study involved 20 girls with an average disease duration of 3,9 years. Research results and conclusions. The physical therapy program was based on a stepwise approach and included static and dynamic breathing exercises as well as sound gymnastics performed under sparing and sparing-training motor regimens, taking into account individual functional capabilities. The results demonstrated a statistically significant improvement in the main indicators of respiratory function. At the end of the rehabilitation course, a decrease in respiratory rate to physiological values was observed, along with an increase in vital lung capacity and vital index. Additionally, there was a significant improvement in the Skibinski index and breath-holding test results, indicating enhanced functional reserves of the respiratory system, increased tolerance to hypoxia, and improved adaptive potential. The findings confirm the effectiveness of breathing exercises and sound gymnastics as key components of physical therapy programs for girls aged 10–12 years with chronic bronchitis. Their systematic application contributes to the normalization of respiratory function, reduction of functional impairments, and prevention of disease exacerbations, making these methods a valuable element of comprehensive pediatric rehabilitation.