Format

Send to

Choose Destination
Respirology. 2016 May;21(4):656-67. doi: 10.1111/resp.12764. Epub 2016 Apr 18.

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

Author information

1
Alfred Hospital, Victoria.
2
The Royal Children's Hospital, Victoria.
3
Royal Prince Alfred Hospital, NSW.
4
La Trobe University, Victoria.
5
The Children's Hospital at Westmead, NSW.
6
Westmead Hospital, NSW.
7
The Prince Charles Hospital, Queensland.
8
Lady Cilento Children's Hospital, Brisbane.
9
Princess Margaret Hospital, Western Australia.
10
John Hunter Children's Hospital, NSW.
11
Bond University/Pindara Private Hospital, Queensland.
12
Sydney Children's Hospital, NSW.
13
University of Sydney, Sydney, NSW.
14
Mater Health Services, Brisbane.
15
Waikato DHB, Hamilton, New Zealand.
16
Gold Coast University Hospital, Gold Coast, Queensland.
17
Women's & Children's Hospital, SA.
18
Starship Children's Health, New Zealand.
19
Royal Adelaide Hospital, South Australia.
20
Sir Charles Gairdner Hospital and Institute for Respiratory Health, Western Australia.

Abstract

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.

KEYWORDS:

airway clearance; cystic fibrosis; exercise; inhalation therapy; physiotherapy

PMID:
27086904
PMCID:
PMC4840479
DOI:
10.1111/resp.12764
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center