Description
Intervention design: An active cycle of breathing techniques (CATR) was carried out by physiotherapy. This is a commonly used method for removing secretions in patients with cystic fibrosis. Each CATR cycle consists of a sequence of breath control, chest expansion exercises and forced exhalation and the cycles are repeated until the secretion is completely eliminated. Mobilization of the thoracic vertebrae, stretching of the pectorals, strengthening of the extensor muscles of the scapula and thorax and core stability exercises.
People involved: 19 pediatric patients with cystic fibrosis. Postural exercise program (Group 1, n=10) Chest physiotherapy program alone (Group 2, n=9)
Barriers identified: The importance of early intervention in this population is not yet appreciated. Adherence to treatment should also be increased and the emotional state improved in order to reduce the frequency of acute exacerbations and the need for hospitalization.
Sustainability: The postural exercise program significantly improves emotional state and adherence to treatment, and chest physiotherapy improves exercise tolerance in these patients.
Transferability: The approach can be adapted to other respiratory diseases or conditions and in other countries or demographic groups.