A randomized controlled trial of a 3-year home exercise program in cystic fibrosis

The Physiotherapist's Use of Exercise in the Management of Young People with Cystic Fibrosis

“…Seven trials using randomised parallel-group design were included, with a total of 231 participants including children and adults. Three studies included children only (Selvadurai et al, 2002;Klijn et al, 2004;Turchetta et al, 2004), and two notable studies included adults and children (Cerny, 1989;Schneiderman-Walker et al, 2000). Overall, these trials showed some evidence of benefits of short-and long-term physical training for people with CF, and this was also the conclusion provided by other reviews in the field (Smidt et al, 2005;Bradley et al, 2006;Shoemaker and Hurt, 2008).…”

“…During outpatient periods, there is support for home-based exercise programs rather than hospital-based programs (Bar-Or, 2000;Bernard & Cohen, 2004;Moorcroft et al, 2004;Schneiderman-Walker et al, 2000;Turchetta et al, 2004). These need to be engaging for the young person with CF, especially if s/he is to continue with these activities as an outpatient once discharged from hospital acute care.…”

“…In consequence, it is clear that physiotherapy exercise programs must be adaptable to the limited space at the hospital bedside for performance by individuals in isolation who cannot participate in group exercise sessions or share exercise equipment in the gym. Development of tailored programs which provide a variety of physical activities has been identified as an important aspect to enhance adherence to exercise in this population (Holzer et al, 1984;Blomquist et al, 1986;Stanghelle, 1988;Salh et al, 1989;Abbott et al, 1996;Britto et al, 2000;Schneiderman-Walker et al, 2000;Moorcroft et al, 2004;Turchetta et al, 2004), and such programs must be evidence-based to target issues characteristic of young people with CF.…”

Effekte einer „optimierten” Bewegungstherapie auf die Leistungsfähigkeit bei Patienten mit Cystischer Fibrose

“…ren. Im Vergleich zu einigen anderen Untersuchungen wurden mit der kurzen, aber intensiven und umfassenden Therapie in Eilat sogar deutlich höhere Leistungssteigerungen erzielt [4, 13,17]. Wir führen die positiven Effekte auf die Kombination aus breitem Sportangebot, intensiver physikalischer Therapie und individuellem Ernährungsplan zurück.…”

Clinical Exercise Testing in Children and Adolescents with Cystic Fibrosis

“…Table Table 3 scuba diving and hiking in high altitude HRmax = maximum heart rate; LT = lactate threshold; GET = gas exchange threshold Table Table 4 Increased inspiratory muscle strength and endurance. [70][71][72] Enhanced sputum clearance in the airways, improved E V  and lower breathlessness.…”