CFDB - Cystic Fibrosis DataBase

primary studies published RCT

Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis.

Study design (if review, criteria of inclusion for studies)

randomised controlled trial

Participants

39 Swiss patients with CF, also compared with age-matched Swiss (n=35) and German (n=701) CF registry data.

Interventions

Long-term exercise training. Patients were randomly divided into strength training (ST, n=12), endurance training (AT, n=17) and controls (CONCH, n=10).

Outcome measures

Primary outcome was FEV1 at 6months.

Main results

FEV1 increased significantly in both training groups compared with CONCH (AT:+5.8+/-0.95, ST:+7.4+/-2.5, CONCH:-11.5+/-2.7% predicted, p<0.001) and both registry groups at 6months. At 24months, changes in favour of the training groups persisted marginally compared with CONCH, but not compared with registry data.

Authors' conclusions

A partially supervised training over 6months improved FEV1 but effects were basically gone 18months off training. Regular long-term training should be promoted as essential part of treatment in CF.

Keywords: Adolescent; Adult; Child; exercise; non pharmacological intervention - devices OR physiotherapy; training; non pharmacological intervention - psyco-soc-edu-org; strength training;