Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

被引：92

作者：

Button, Brenda M. ^{[1
]}

Wilson, Christine ^{[5
]}

Dentice, Ruth ^{[9
]}

Cox, Narelle S. ^{[2
]}

Middleton, Anna ^{[10
]}

Tannenbaum, Esta ^{[3
]}

Bishop, Jennifer ^{[11
]}

Cobb, Robyn ^{[4
]}

Burton, Kate ^{[4
]}

Wood, Michelle ^{[4
]}

Moran, Fiona ^{[3
]}

Black, Ryan ^{[5
]}

Bowen, Summar

Day, Rosemary ^{[14
]}

Depiazzi, Julie ^{[15
]}

Doiron, Katherine ^{[7
]}

Doumit, Michael ^{[12
]}

Dwyer, Tiffany ^{[9
,13
]}

Elliot, Alison

Fuller, Louise ^{[1
]}

Hall, Kathleen ^{[4
]}

Hutchins, Matthew ^{[6
]}

Kerr, Melinda ^{[3
]}

Lee, Annemarie L. ^{[1
]}

Mans, Christina ^{[20
]}

O'Connor, Lauren ^{[8
]}

Steward, Ranjana ^{[1
]}

Potter, Angela ^{[18
]}

Rasekaba, Tshepo ^{[1
]}

Scoones, Rebecca ^{[21
]}

Tarrant, Ben ^{[1
]}

Ward, Nathan ^{[19
]}

West, Samantha

White, Dianne ^{[19
]}

Wilson, Lisa ^{[1
]}

Wood, Jamie ^{[16
,17
]}

Holland, Anne E. ^{[2
]}

机构：

[1] Alfred Hosp, Melbourne, Vic 3004, Australia

[2] La Trobe Univ, Melbourne, Vic, Australia

[3] Royal Childrens Hosp, Melbourne, Vic, Australia

[4] Prince Charles Hosp, Brisbane, Qld 4032, Australia

[5] Lady Cilento Childrens Hosp, Westmead, NSW, Australia

[6] Mater Hlth Serv, Brisbane, Qld, Australia

[7] Bond Univ, Pindara Private Hosp, Gold Coast, Qld, Australia

[8] Gold Coast Univ Hosp, Gold Coast, Qld, Australia

[9] Royal Prince Alfred Hosp, Sydney, NSW, Australia

[10] Childrens Hosp Westmead, Sydney, NSW, Australia

[11] Westmead Hosp, Sydney, NSW, Australia

[12] Sydney Childrens Hosp, Sydney, NSW, Australia

[13] Univ Sydney, Sydney, NSW 2006, Australia

[14] John Hunter Childrens Hosp, Newcastle, NSW, Australia

[15] Princess Margaret Hosp, Perth, WA, Australia

[16] Sir Charles Gairdner Hosp, Perth, WA 6000, Australia

[17] Inst Resp Hlth, Perth, WA, Australia

[18] Womens & Childrens Hosp, Adelaide, SA, Australia

[19] Royal Adelaide Hosp, Adelaide, SA 5000, Australia

[20] Waikato DHB, Hamilton, New Zealand

[21] Starship Childrens Hlth, Auckland, New Zealand

来源：

RESPIROLOGY | 2016年 / 21卷 / 04期

关键词：

airway clearance; cystic fibrosis; exercise; inhalation therapy; physiotherapy; POSITIVE EXPIRATORY PRESSURE; TERM COMPARATIVE TRIAL; MODIFIED SHUTTLE TEST; BONE-MINERAL DENSITY; CHEST PHYSIOTHERAPY; NONINVASIVE VENTILATION; URINARY-INCONTINENCE; POSTURAL DRAINAGE; PHYSICAL-ACTIVITY; AIRWAY CLEARANCE;

D O I：

10.1111/resp.12764

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non-invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence-based physiotherapy care to people with CF in Australia and New Zealand.

引用

页码：656 / 667

页数：12

共 189 条

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