Exercise with incorporated expiratory manoeuvres was as effective as breathing techniques for airway clearance in children with cystic fibrosis: a randomised crossover trial.
J Physiother
; 58(4): 241-7, 2012.
Article
en En
| MEDLINE
| ID: mdl-23177226
ABSTRACT
QUESTION Can a session of exercise with incorporated expiratory manoeuvres substitute for a session of breathing techniques for airway clearance in children with cystic fibrosis? Are children with cystic fibrosis as co-operative and satisfied with the exercise regimen as with the breathing techniques?. DESIGN:
Randomised, cross-over trial with concealed allocation and intention-to-treat analysis.PARTICIPANTS:
34 children with cystic fibrosis in a stable clinical state.INTERVENTIONS:
Participants underwent two 20-min airway clearance interventions on two scheduled clinic days one involving three bouts of various whole-body exercise modalities each followed by independent expiratory manoeuvres, and the other involving breathing control, thoracic expansions with manual expiratory compressions, and the forced expiratory technique. OUTCOMEMEASURES:
Wet weight of expectorated sputum, change in lung function, co-operation with treatment, perceived treatment quality, and satisfaction with treatment were all assessed after each intervention.RESULTS:
The wet weight of sputum after exercise was 0.6g higher after the exercise intervention, which was not statistically or clinically significant (95% CI -0.2 to 1.4). However, lung function and participant satisfaction with the treatment were both significantly better after the exercise intervention. Co-operation with treatment and perceived treatment quality were equally high for each intervention.CONCLUSION:
A session of various whole-body exercises interspersed with independent expiratory manoeuvres could be an acceptable substitute for a session of breathing control, thoracic expansions with manual expiratory compressions, and the forced expiratory technique in children with mild cystic fibrosis lung disease.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Esputo
/
Ejercicios Respiratorios
/
Fibrosis Quística
/
Espiración
Tipo de estudio:
Clinical_trials
/
Guideline
Idioma:
En
Revista:
J Physiother
Año:
2012
Tipo del documento:
Article
País de afiliación:
Francia