Energy expenditure during physiotherapist-assisted and self-treatment in cystic fibrosis.
Cystic fibrosis (CF) results in increased energy requirements at rest. However, the energy expended during physiotherapy management is unknown. The aim of this study, therefore, is to examine the energy expended during two commonly used forms of chest physiotherapy in CF subjects. Twenty-six CF subj...
| Publicado en: | Physiotherapy Theory & Practice Vol. 16; no. 2; pp. 57 - 68 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107133349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107133349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jun2000 vid: 16 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 107133349 2000065925 10.1080/095939800407259 107133349 ppf: 57 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Energy expenditure during physiotherapist-assisted and self-treatment in cystic fibrosis. aug: au: Williams MT Parsons DW Frick RA Ellis ER Martin AJ Giles SE Grant ER affil: School of Physiotherapy, Division of Health Sciences, University of South Australia, North Terrace, Adelaide, South Australia 5000; Email: marie.williams@unisa.edu.au sug: subj: Cystic Fibrosis Metabolism Energy Metabolism Physical Therapy Methods Cystic Fibrosis Therapy Cough Sputum Respiratory Function Tests Percussion Rehabilitation, Pulmonary Methods Calorimetry Oxygen Consumption Pulmonary Gas Exchange Crossover Design Spearman's Rank Correlation Coefficient Fisher's Exact Test Analysis of Variance Repeated Measures Female Male Funding Source Human Female Male ab: Cystic fibrosis (CF) results in increased energy requirements at rest. However, the energy expended during physiotherapy management is unknown. The aim of this study, therefore, is to examine the energy expended during two commonly used forms of chest physiotherapy in CF subjects. Twenty-six CF subjects completed a randomised crossover trial with 48 hours between treatments. Two regimens of treatment were conducted: therapist-assisted treatment (active cycle of breathing, ACBT, with percussion, vibration), and independent treatment (ACBT alone, under the supervision of a physiotherapist). Subjects completed pulmonary function tests before and after either treatment. Indirect calorimetry and oximetry parameters were recorded at rest, during, and following treatment. Treatment groups were compared using ANOVA and two-sample crossover t-tests. When compared to resting values, physiotherapy treatment resulted in significant increases in V02, VC02 and respiratory exchange ratio. No difference was evident between treatment regimens for the change in V02 between baseline and treatment. The increase in ventilation (baseline to treatment) was significantly greater for the therapist-assisted treatment. The therapist-assisted ACBT was associated with a significant carryover effect for forced expiratory flow at 50% of vital capacity (FEF[50]). Oxygen requirements for the two treatments were similar. However, the assisted regimen resulted in greater changes in minute ventilation during treatment and improved 48-hour post-treatment pulmonary function after only one treatment session. These findings suggest that the inclusion of percussion and vibration within the ACBT may influence respiratory muscle activity during treatment and result in improved pulmonary function. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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