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The objective of this research was to design and validate a therapeutic swimming program aimed at modifying lung ventilation capacity in school-age asthmatic children. Methodologically, this research was divided into two (2) stages: the design phase and the validation phase. The first phase was based on a qualitative technique (content analysis), for which a descriptive and documentary analysis was carried out based on a search in the database through Google Scholar. For the validation phase, six (6) international experts and two (2) experts contacted at the national level were consulted. Taking these two phases into consideration, a program structured in 5 components is proposed: adaptation, breathing, movement, buoyancy and the development of motor skills. Based on the results of this study, a framework is proposed for the design and validation of physical activity programs in different environments and under this concept, this research can be considered as a guiding guide to use them for therapeutic purposes, therefore We must emphasize the importance of physical activity, carried out in different environments, as part of a comprehensive approach to the management of childhood asthma.