CFDB - Cystic Fibrosis DataBase

primary studies published RCT

Short-Term Effect of Different Physical Exercises and Physiotherapy Combinations on Sputum Expectoration, Oxygen Saturation, and Lung Function in Young Patients with Cystic Fibrosis.

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

Analysis of data of a previous randomized controlled trial

Participants

35 children with CF.

Interventions

Singing. On two different days (T1, T2) children performed MIP/MEP with at least ten attempts each to achieve < 10% repeatability.

Outcome measures

Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP)

Main results

All children achieved repeatable MIP/MEP values within 10-11 attempts with 24 (68.6%) and 26 (74.3%) of these achieving best values of MIP and MEP, respectively, at attempts 6-11. Median values of the pressures by three, five, eight and all attempts significantly increased with more attempts (all p < 0.05). At T2, 56% required fewer attempts to achieve best values, but 32% required more attempts, indicating that the number of attempts required was inconsistent between test days.

Authors' conclusions

It is likely that at least ten attempts (best two within < 10% variability) is required to achieve best and reliable MIP/MEP in children with CF. A larger sample size in children with CF and various conditions is required to consolidate these findings.

Keywords: Adolescent; Adult; Child; Music Therapy - Singing; non pharmacological intervention - psyco-soc-edu-org; Creative and physical therapies; Behavioural interventions;