This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Dodd, M E Articles by Prasad, S A Search for Related Content PubMed PubMed Citation Articles by Dodd, M E Articles by Prasad, S A Social Bookmarking                   What's this?

Physiotherapy management of cystic fibrosis

Adult Cystic Fibrosis Centre, South Manchester University Hospitals NHS Trust, Manchester, UK

S A Prasad

Cystic Fibrosis Unit, Great Ormond Street Hospital for Children, London, UK

For many years physiotherapy for cystic fibrosis (CF) was synonymous with a daily routine of postural drainage and percussion. Improved longevity and a desire for independence, together with a clearer understanding of the pathophysiology of the disease, has led to the development of many airway clearance techniques. The contribution of ‘chest’ physiotherapy remained unchallenged until recent times when lack of robust evidence and the presentation of asymptomic infants and adults led some physiotherapists to question this traditional approach. As survival increases into the fourth and fifth decade unique complications have evolved and physiotherapy management is challenged with nonrespiratory aspects of treatment. This review will consider the evidence for, and current practice of airway clearance, the value of exercise and the emerging problems of musculoskeletal complications and incontinence.

Key Words: airway clearance • cystic fibrosis • exercise • incontinence • physiotherapy • posture

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?