Cystic Fibrosis
Conditions
Keywords
expiratory muscle training, cough, respiratory muscle strength, exercise capacity
Brief summary
Cystic fibrosis (CF) is an autosomal recessive genetic disease characterized by recurrent airway infections, affecting many systems including lung, pancreas and sweat glands. Cough is an important defense mechanism for clearing the secretions that increase in respiratory diseases. There have been studies investigating the effect of expiratory muscle training on disease groups such as chronic obstructive pulmonary disease, multiple sclerosis, parkinson's disease, and the elderly and healthy individuals. Studies that evaluating effects of expiratory muscle training in cystic fibrosis are limited in the literature. The aim of this study was to evaluate the effect of cough strength in children and adolescents with CF and the effect of expiratory muscle training program on cough strength, exercise capacity, respiratory muscle strength and quality of life.
Interventions
The intensity of training will been determined after assessment of maximal expiratory pressure (MEP). The first training session will perform under the supervision of a physiotherapist, patients will perform training at home. MEP measurement will reevaluate every two weeks and the intensity of training will set according to MEP levels.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with cystic fibrosis * 8-18 years * Clinically stable during last six weeks
Exclusion criteria
* hemoptysis * low saturation (SpO2\<90%) * acute lower respiratory tract infection * cardiac problems (heart failure, arrhythmia, cardiomyopathy, etc.) * cognitive problems * pneumothorax
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cough capacity | 6 weeks | peak expiratory flow meter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory muscle strength | every two weeks | maximal expiratory pressure, maximal inspiratory pressure |
| Exercise capacity | 6 weeks | six minute walking test |
Countries
Turkey (Türkiye)