Cystic Fibrosis
Conditions
Keywords
Adults
Brief summary
The purpose of this study is to investigate individual efficacy in Physiotherapy for Airway Clearance, and to investigate user experience, i.e.utility value and preference.
Interventions
Physiotherapy for Airway Clearance
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis: CF * Age \>18 years * Amount of sputum \>5 ml/60 min * Wet inhalation of saline/DNase/both * Informed consent
Exclusion criteria
* Respiratory failure * Hemoptysis * Bacteriology (burkholderia cephacia, multi-resistent pseudomonas aeruginosa, atypical mycobacteria, MRSA). * Ongoing intravenous medication * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Expectorated sputum (gram) | 8 weeks | Total amount of expectorated sputum (g) will be collected and weighed wet after each intervention for eight weeks, using a Mettler TOLEDO Weighing Balance (EL 202, accuracy: 0.01 g). N of 1 trial design. Each trial consist of eight pairs (8 weeks) of treatment periods with two interventions each week (one with Cough Technique and one with Forced Expiration technique), 16 treatments for each participant. Outcome measure after each treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient's experience, i.e. perceived utility value and preference of technique. | 8 weeks | Utility value: Measured by self-reported questionnaire after completion of each intervention in week 8. Preference: Measured by three self-reported questions after both interventions in week 8. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Physiological measurements | 8 weeks | Oxygen saturation and heart rate measurements in the beginning and at the end of each intervention. Pulmonary function tests (week 2): measurements before and after each intervention with spirometry. |
| Health related quality of life (HRQOL) | 8 weeks | HRQOL measured by the Cystic Fibrosis Questionnaire Revised (CFQR-R), i.e. respiratory symptoms, in the beginning and at completion of the study. |