Musculoskeletal techniques for clinically stable adults with cystic fibrosis: a preliminary randomised controlled trial

Sandsund, Catherine; Roughton, Michael; Hodson, Margaret E.; Pryor, Jennifer

doi:10.1016/j.physio.2010.08.016

Cited by 18 publications

(26 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Essa relação entre a postura e a mecânica respiratória tem sido foco de discussão de vários autores 2,4,[16][17][18][19][20] . Segundo eles, o aprisionamento de ar é causado pelo processo inflamatório recorrente, hipersecreção brônquica e diminuição do Tabela 4 -Distribuição de frequências e odds ratio bruta em relação às variáveis espirométricas (capacidade vital forçada e volume expiratório forçado no primeiro segundo) e a distância percorrida no teste de caminhada de 6 minutos % = frequência relativa; CVF = capacidade vital forçada; DP no TC 6 = distância percorrida no teste de caminhada de 6 minutos; IC95% = intervalo de confiança de 95%; n = frequência absoluta; OR = odds ratio; VEF 1 = volume expiratório forçado no primeiro segundo.…”

Section: Discussionunclassified

“…Essas compensações elevam o volume torácico e a negatividade da pressão pleural, aumentando a pressão transpulmonar e o diâmetro das vias aéreas. Os músculos inspiratórios, por sua vez, se adaptam progressivamente à nova posição das estruturas ósseas, que irá levar ao encurtamento das fibras e redução da habilidade desses músculos de gerar força 2,16 . Em indivíduos que apresentam estado nutricional deficiente, parece ser potencializado o desenvolvimento de deformidades espinhais.…”

Section: Discussionunclassified

“…Estudos longitudinais evidenciam que o tratamento de desordens posturais pode ser bem sucedido através de mé-todos de avaliação e programas apropriados 16,21 . Exercícios para mobilidade torácica, alongamentos musculares e atividades para coordenação promovem melhora da postura e da complacência da parede torácica, resultando na manutenção e otimização da função pulmonar.…”

Section: Discussionunclassified

See 2 more Smart Citations

Influence of thoracic spine postural disorders on cardiorespiratory parameters in children and adolescents with cystic fibrosis

Okuro¹,

Côrrea²,

Conti³

et al. 2012

J Pediatr (Rio J)

View full text Add to dashboard Cite

Objectives: To assess the impact of increased thoracic kyphosis on pulmonary function and functional capacity in children and adolescents with cystic fibrosis (CF) and to verify the influence of disease severity, age and nutritional status on this deformity.Method: This was a cross-sectional, analytical study conducted at a university hospital. It included CF patients with confirmed diagnosis and without pulmonary exacerbation. The sample was submitted to postural assessment, spirometry (FEV 1 , FVC and FEV 1 /FVC) and 6-minute walk test distance (6-MWT distance). Data were analyzed using the Mann Whitney test, Spearman correlation and logistic regression.Results: Forty-two patients were enrolled, 61.9% presented increase of thoracic kyphosis. There was no difference in values of FEV 1 , FVC, FEV 1 /FVC and 6-MWT distance between the groups with or without thoracic kyphosis (p = 0.407; p = 0.756; p = 0.415; p = 0.294). In the group without alteration, patients with more disease severity had a mean FEV 1 of 74.1±21.9% and FVC of 79.8±18.7% while in those of lesser severity higher values were found (95.6±12.2% and 97.6±13.2%, respectively) (p = 0.027 and p = 0.027). The presence of kyphosis was correlated with age (p = 0.048) but not with severity (p = 0.151) and body mass index (p = 0.088). Conclusions:There was a high prevalence of increased thoracic kyphosis in children and adolescents with CF. The deformity did not affect pulmonary function and functional capacity and there was no relationship with disease severity. Regardless of posture, worsening of disease severity determined worsening of pulmonary function.J Pediatr (Rio J). 2012;88(4):310-6: Posture, cystic fibrosis, pulmonary function. ResumoObjetivos: Avaliar a repercussão do aumento da cifose torácica na função pulmonar e na capacidade funcional de crianças e adolescentes com fibrose cística e verificar a influência da gravidade da doença, idade e aspectos nutricionais sobre essa deformidade.Método: Estudo analítico de corte transversal, realizado em um hospital universitário. Incluiu fibrocísticos com diagnóstico confirmado e fora de exacerbação pulmonar. A amostra foi submetida à avaliação postural, registro de parâmetros espirométricos -volume expiratório forçado no primeiro segundo (VEF 1 ), capacidade vital forçada (CVF) e VEF 1 /CVF -e da distância percorrida pelo teste de caminhada de 6 minutos. Para análise dos dados, utilizou-se teste de Mann-Whitney, correlação de Spearman e regressão logística, considerando-se nível de significância de 5%. Resultados:No total, 42 pacientes foram incluídos, e 61,9% apresentaram aumento da cifose torácica. Não houve diferença nos valores de VEF 1 , CVF, VEF 1 /CVF e distância percorrida pelo teste de caminhada de 6 minutos entre os grupos com e sem cifose torácica (p = 0,407; p = 0,756; p = 0,415; p = 0,294). No grupo sem alteração postural, fibrocísticos mais graves apresentaram média de VEF 1 de 74,1±21,9% e CVF de 79,8±18,7%, enquanto naqueles de menor gravidade foram verificados valores superiores...

show abstract

Section: Discussionunclassified

See 1 more Smart Citation

Influence of thoracic spine postural disorders on cardiorespiratory parameters in children and adolescents with cystic fibrosis

Okuro¹,

Côrrea²,

Conti³

et al. 2012

J Pediatr (Rio J)

View full text Add to dashboard Cite

show abstract

“…Most common problems requiring help in these patients are excessive bronchial secretion, decreased exercise tolerance and feeling of breathlessness [2,3]. Aerobic exercise programs are effective in increasing physical fitness and muscle endurance in addition to chest physiotherapy [4].…”

Section: Introductionmentioning

confidence: 99%

“…Aerobic exercise training in addition to chest physiotherapy is a vital component of the rehabilitation program of cystic fibrosis patients. Exercise is known to increase cardiorespiratory fitness and muscle endurance, decrease the feeling of shortness of breath and support a feeling of wellness [2,9]. It was reported that aerobic exercise increases forced expiration and sputum clearance in children with cystic fibrosis.…”

Section: Introductionmentioning

confidence: 99%

Effects of chest physiotherapy and aerobic exercise training on physical fitness in young children with cystic fibrosis

et al. 2012

View full text Add to dashboard Cite

BackgroundCystic fibrosis is a multisystem disease where the main problems are existing in the respiratory system. Aerobic exercise programs are effective in increasing physical fitness and muscle endurance in addition to chest physiotherapy.ObjectiveThe aim of this study was to evaluate the effects of chest physiotherapy and aerobic exercise training on physical fitness in young children with cystic fibrosis.MethodsSixteen patients with cystic fibrosis, between the ages 5-13 years, were included in this study. All children were assessed at the beginning and at the end of 6 week of the training. Modified Bruce protocol was used for assessing the cardiovascular endurance. The sit-up test was used to evaluate the dynamic endurance of abdominal muscles, standing long jump was used to test power, sit and reach, trunk lateral flexion, trunk hyperextension, trunk rotation and forward bending tests were used to assess flexibility, 20 m shuttle run test and 10-step stair climbing tests were used to assess power and agility. All patients received chest physiotherapy and aerobic training, three days a week for six weeks. Active cycle of breathing technique and aerobic exercise training program on a treadmill were applied.ResultsBy evaluating the results of the training, positive progressions in all parameters except 20 m shuttle run and 10 stairs climbing tests were observed (p < 0.05). Active cycle of breathing techniques were used together with exercise training in clinically stable cystic fibrosis patients increases thoracic mobility (p < 0.05) and the physical fitness parameters such as muscle endurance, strength and speed (p < 0.05). Comparison of the results in sit and reach and forward bending tests were not significant (p > 0.05).ConclusionIt is thought that in addition to medical approaches to the systems affected, the active cycle of breathing techniques along with aerobic training helps to enhance the aerobic performance, thoracic mobility and improves physical fitness in children with cystic fibrosis.

show abstract

Physical therapies for postural abnormalities in people with cystic fibrosis

Oliveira

Mendonça

Monteiro

et al. 2018

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Musculoskeletal techniques for clinically stable adults with cystic fibrosis: a preliminary randomised controlled trial

Cited by 18 publications

References 20 publications

Influence of thoracic spine postural disorders on cardiorespiratory parameters in children and adolescents with cystic fibrosis

Influence of thoracic spine postural disorders on cardiorespiratory parameters in children and adolescents with cystic fibrosis

Effects of chest physiotherapy and aerobic exercise training on physical fitness in young children with cystic fibrosis

Physical therapies for postural abnormalities in people with cystic fibrosis

Contact Info

Product

Resources

About