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Are exercise and electrostimulation effective in improving muscle strength and cardiorespiratory fitness in children with cystic fibrosis and mild to moderate pulmonary insufficiency?: Randomized controlled trial

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Institution
Children’s Hospital Nino Jesus in Madrid.
Institution Typology
Hospital
Country
Spain
Description
27 patients - Control (n= 11), Exercise (n= 8) and Exercise plus neuromuscular electrical stimulation (n =8). Resistance exercises were used and each session lasted 60 min. The exercise plans were individualized for each patient. Six resistance exercises were performed: bench press, leg extension, leg press, leg curl, seated rowing and chest press. The 5RM (maximum repetitions) test and the subjective perception of effort (Borg scale) were used to individualize the training loads. Neuromuscular electrical stimulation (NMES) was applied to the quadriceps (vastus lateralis and medialis) and the interscapular region (latissimus dorsi and trapezius), using the Myomed 632X electrostimulator (Enraf Nonius, Spain), at the same time as the resistance exercises. The exercise program was carried out over 8 weeks, 3 days a week (24 sessions in total), from Monday to Saturday. The training program began with a 15-minute warm-up period, followed by a 35-minute resistance workout and a 10-minute cool-down period.
Disease
Cystic Fibrosis
Activity level
Medium
Activity Typology
Rehabilitation section-based activities
Motivation Tools
Not available
Innovation
This study aimed to evaluate the effects of a supervised resistance training program, associated or not with NMES, on muscle strength, aerobic fitness, lung function and quality of life in children with CF who have mild to moderate pulmonary impairment.
Evaluation System
The main outcome measures were lung function, cardiorespiratory fitness, functional capacity, quality of life and muscle strength.
Assessment
A resistance exercise training program led to improvements in muscle strength and functional capacity in CF patients with mild to moderate pulmonary compromise.
References
Donadio, M. V. F., Cobo-Vicente, F., San Juan, A. F., Sanz-Santiago, V., Fernández-Luna, Á., Iturriaga, T., ... & Pérez-Ruiz, M. (2022). Is exercise and electrostimulation effective in improving muscle strength and cardiorespiratory fitness in children with cystic fibrosis and mild-to-moderate pulmonary impairment?: Randomized controlled trial. Respiratory Medicine, 196, 106798.
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Ricardo Sousa Mestre, Escola Superior de Saúde Atlântica - Portugal (PT)
Very helpful and interesting article.