Effects of a supervised, outpatient exercise and physiotherapy programme in children with cystic fibrosis.

Previous work suggests benefit from outpatient exercise and physiotherapy in children with cystic fibrosis (CF), namely improved exercise capacity and lung function measures, as well reduced intravenous (IV) antibiotic needs. Our study aim was to investigate the effect of a year-long supervised outpatient exercise and physiotherapy programme in children with CF. Subjects with CF aged =10 years who had received =4 courses of IV antibiotics in 2009 were enrolled and seen fortnightly for supervised exercise and physiotherapy throughout 2010. In addition, they were expected to exercise three times weekly, and if unwell complete additional physiotherapy sessions extra to usual chest physiotherapy. Assessments of exercise capacity using the Modified Shuttle Test (MST) and quality of life (QOL; CFQ-UK) were recorded at baseline and after 1 year. Regular spirometry was performed before and throughout the study. Data were collected on IV antibiotic days. 12 subjects (6 female) were enrolled with mean (95% CI) age of 13.3 (11.814.6) years at study entry. A significant reduction in IV antibiotic days from 60 (5664) days in 2009 to 50 (4456) in 2010 (P?=?0.02) was noted, along with improved MST distance (m) [735 (603867) vs. 943 (7251,161), P?=?0.04] and level attained [9.4 (8.410.5) vs. 11.1 (9.612.6), P?=?0.04]. Significant improvements in CFQ-UK scores for physical [59 (4772) vs. 83 (7492), P?=?0.001], emotional [63 (5572) vs. 84 (7493), P?更多