Children are major consumers of health care. In India about 35 percent of the total population is childrenbelow15yearsofage.The Good health of these precious members of the society should be ensured as prime importance in all countries. According by Karl Menninger “What is done to children they will do the society “Children are the wealth of tomorrow [1-5].

About 13% of inpatient death in paediatric ward is due to acute respiratory infection. Most children have 3 to 5 attacks of acute respiratory infection in eachyear. WHO (2011) shows that by mid-century, morbidity and mortality from respiratory disease will reach record at High levels. The report of “WORLD HEALTH STATISTICS 2011”Saysthat, 235 million people currently suffer from asthma, 90% of COPD deaths occur in Low and middle income countries and > 3 million people died of COPDin2005.

Lower respire to rytractin fection, pneumonia remains that most common infection seen in the community and among hospitalized patients Respiratory disease is a significant chronic health problem in our society. Chronic respiratory disease is found to be one of the most distressful conditions, badly affecting human life. The Respiratory system is a frequent site of illness in children. Respiratory infection and allergies together are responsible for many disruptions in family life and which force themto miss their school work. Children respond differently to respiratory illness sthanadults. There spiratory changes that occur during childhood as new lung tissue continues to form and existing structure changes in shape and function. However, most respiratory conditions are more stressful for children than adult, more often leading to airway obstruction or respiratory failure. In the respiratory tract, lower respiratory tract infection is one of the leading common diseases occur during childhood. Acute infection of the lower respiratory tract may be diagnosed in children of all ages; they tend to occurmost frequently in young children who have not yet developed resistance to infectious disease. The infections that occur during the childhood include bronchitis and pneumonia. The respiratory rate is a valuable clinical sign for diagnosing acute lower respiratory infection in children who cough and breathe rapidly. The presence flower chest wall in drawing identifies more severe diseases. Lower respiratory tract infection is more fatal than upper respiratory infection. Moreover, in2013, 6.9% of occurred due to respiratory illness which is the leading cause when compared to other diseases. Lower respiratory tract infection manifests symptoms like wheezing, fever, tachypnea and chest retraction. The infections that occur during the childhood include as thma, bronchitis and pneumonia [6-13].

Infection and inflammation of the lungs is particularly troublesome and is seen in many different forms in children. Other illnesses that occur in the lower respiratory tract, such as wheezing associated lower respiratory infections, asthma and pneumonia. Blowing balloons exercises the respiratory muscles, a group of muscles interacting to adapt thoracic dimensions to certain breathing stages. Basic respiratory muscles are the diaphragm, the internal intercostal and the external intercostal. Steadily blowing up several balloons, one after another, effectively exercises these muscles, building lung capacity and stamina

A Spirometry is a device used for the evaluation of lung function with a Spirometer. It is one of the simplest, most common pulmonary function test and may be necessary for all following reason, including determining how well the lung receive, hold and utilize air, monitor lung diseases, monitor the effectiveness of treatment, determine the severity of lung disease and determine whether the lung disease is restrictive or obstructive.

A sample of 60 children were in the age group of 6 to 12 years. Samples were selected by purposive sampling technique.

Quasi experimental research pretest posttest study was conducted during 01/02/2019-04/05/2019. The official permission was obtained from SMCH to conduct the study. Demographic profile of children, such as age, sex, religion, weight, education, monthly income, primary caretaker, duration of hospitalization. Physiological parameters which include heart rate, respiratory rate and Oxygen saturation. Respiratory rate was measured by observation, and oxygen saturation was measured by pulse oximetry. The study investigators explained to the children’s about the study’s objectives, and requirement of consent to participate in the study. The investigators then provided instructions for filling the questionnaire, and then guided the mother. Understanding of each question was checked by asking the mother to repeat the meaning. During the filling of question naires, the investigator she lped the mother throughout and helped simplify the meaning of each question, clarifying doubts and checking for completeness of filling up the question naire. Pairedt test was used to test the associate on between categorical variables. P < 0.05 was taken as statistically significant.

Out of 30samples 13(44%) samples were coming under type, age group of 6-8 years,11 (36%) were under the age group of 8-10 years, 6(20%) samples were under the age group of 10-12years. Regarding gender out of 30 samples, 17(54%)samples were male, 13 (43%)samples were female, regarding religion out of 30 samples 14 (46%)samples were Hindu religion, 8 (27%) samples were Christian, 8 (27%) samples were under Muslim religion. Regarding the weight of a child, out of 30samples, 6 (20%) samples were in 10-20kg, 16(53%) samples were 20-30kg, 8(27%) samples were in 20-30kg.

Regarding educational qualification out of 30 samples 8(27%) samples were pre-primary, 17(57%) samples were primary school, 5(16%) samples were completed higher school.

Regarding income of family out of 30 samples 1(4%) samples were below 5000, 10(33%) samples were 5001- 10000, 10(33%) samples were 10001-15000, 9(30%) samples were 15001 & above. Regarding Primary caretaker out of 30 samples 18(60%) samples were mothers, 6(20%) were Father, 6(20%) samples were grandparents. Regarding the duration of present hospitalization, out of 30 samples 6 (20%) samples were 2days, 14 (47%) samples were 2-4days. 9 (30%) samples have 1 week, 1 (4%) samples have more than 1week. In both spirometry and balloon therapy, it is found that balloon therapy was statistically significant at the level of heart rate and O2 saturation at p<0.05 level between pre and post-test, where the Spirometry shows the most significant in the level of respiratory rate when compared to balloon therapy group. So Balloon therapy is more effective than pirometry.

Frequency and distribution of the demographic variable among children using balloon therapy and Spirometry. The children’s are in the age group of 6-8years13 (44%). Most of the gender are male 17 (57%). Under the religion Hindu’s come under14 (46%). 16 (53%) children are under the weight of 20-30kg. Regarding educational qualification 17(57%) samples were primary school. 10 (33%) were coming in the income of 10001-15000.18 (60%) samples care taker is mother. 14(47%) children has the history of hospitalization2-4days. (TABLE 1).

Figure 1: shows the demographic variables among frequency and distribution of the demographic variable among children using balloon therapy and Spirometry.

Table 2: Graphical presentation of mean score and standard deviation score of physiological parameters among children with respiratory tract infection before giving balloon therapy and spirometry (Pretest).

Table 2: shows the mean score on the level of respiratory parameters among children for spirometry Heart rate (85.6), Respiratory rate (23.1), Oxygen saturation rate (94) and balloon therapy Heart rate (86.2), Respiratory rate (23.8), Oxygen saturation rate (94.06)

Standard deviation on the level of respiratory parameters among children for spirometry Heart rate (6.7), Respiratory rate (3.1), Oxygen saturation rate (1.61) and balloon therapy Heart rate (6.25), Respiratory rate (2.78), Oxygen saturation rate (1.48).

Figure 3: shows mean score and standard deviation score of physiological parameters among children with respiratory tract infection before giving balloon therapy and spirometry (Pretest).

Table 3: shows the mean score on the level of respiratory parameters among children for spirometry Heart rate

Table 3: shows the mean score on the level of respiratory parameters among children for spirometry Heart rate (76.06), Respiratory rate (21.86), Oxygen saturation rate (97.23) and balloon therapy Heart rate (74.93), Respiratory rate (21.6), Oxygen saturation rate (98) Standard deviation on the level of respiratory parameters among children for spirometry Heart rate (3.22), Respiratory rate (2.39), Oxygen saturation rate (1.63) and balloon therapy Heart rate (1.88), Respiratory rate (2.36), Oxygen saturation rate (1.55)

Figure 5: shows mean score and standard deviation score of physiological parameters among children with Lower respiratory tract infection after giving balloon therapy andspirometry (Post-test).

Table 4:Comparison of the pre-test and post-test level of respiratory parameters among children with Lower respiratory tract infection before and after balloon therapy and spirometry

Table value, *significant at p<0.05 level

In both spirometry and balloon therapy, it is found that balloon therapy was statistically significant in the level of heart rate and O2 saturation at p<0.05 levelbetween pre and post-test, where the spirometry shows the significant in the level of respiratory rate when compared to balloon therapy group. So Balloon therapy is more effective than spirometry.

Figure 6 shows, paired ‘t’ value, in spirometry heart rate (8.31), respiratory rate (7.9), O2 saturation (6.46) & balloon therapy heart rate (10.09), respiratory rate (6.73), O2 saturation (10.91).

Figure 6: Shows comparison of the pre-test and post-test level of respiratory parameters among children with Lower respiratory tract infection before and after balloon therapy and spirometry