Cystic fibrosis (CF) is a genetic disease that affects many organs and systems, especially respiratory system problems due to lung damage. Patients often have difficulty in removing the sticky and viscous secretion that accumulates in the respiratory tract, and the risk of mortality increases with the development of respiratory failure. In patients with CF, exercise capacity, peripheral muscle strength, core endurance, flexibility, postural stability, physical activity level, and quality of life also decrease secondarily. Recently published guidelines recommend respiratory physiotherapy for coping with CF-related symptoms and recommend referral of patients to physical activity and exercise. Hippotherapy simulator is a mechanical exercise tool that imitates the walking movement of a real horse and is used to increase physical fitness parameters. This study aims to show the effects of exercises performed with a hippotherapy simulator in addition to respiratory physiotherapy on physical fitness, sputum production, physical activity and quality of life of children with CF.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
32
30-minute (5 min warm-up+20 min exercise+5 min cool-down) center-based exercise with the hippotherapy simulator will be done 2 days a week for 8 weeks.
Respiratory physiotherapy includes breathing control (5x2), diaphragmatic breathing exercises (5x2), thoracic expansion exercises (5x2), incentive spirometer (5x2), opep device (5x2), postural drainage and percussion and cough improvement techniques (10 min). Home-based respiratory physiotherapy will be applied twice a day and every day of the week for 8 weeks.
Bezmialem Vakif University
Istanbul, Turkey (Türkiye)
Forced Vital Capacity (FVC)
Pulmonary Function Test
Time frame: 8 weeks
Forced Expiratory Volume in 1 second (FEV1)
Pulmonary Function Test
Time frame: 8 weeks
Tiffeneau ratio (FEV1/FVC)
Pulmonary Function Test
Time frame: 8 weeks
Peak Expiratory Flow (PEF)
Pulmonary Function Test
Time frame: 8 weeks
Distance covered in six minute walk test
Functional Capacity
Time frame: 8 weeks
Postural stability test score in Biodex Balance System SD
Postural Stability
Time frame: 8 weeks
Limits of stability test score in Biodex Balance System SD
Postural Stability
Time frame: 8 weeks
Biering Sorenson Test
Core Muscles Endurance
Time frame: 8 weeks
Lateral Bridge Test
Core Muscles Endurance
Time frame: 8 weeks
Trunk Flexion Test
Core Muscles Endurance
Time frame: 8 weeks
m. quadriceps strength
Peripheral Muscle Strength
Time frame: 8 weeks
Amount of sputum expelled (gr)
Sputum amount
Time frame: 8 weeks
Ease of expectoration
Subjective assessment that evaluates "how hard the person has during sputum production" with a visual analog scale (0-10 point). A high score means that it is easy to sputum.
Time frame: 8 weeks
Sense of chest congestion
Subjective evaluation method questioning "sense of chest congestion" with visual analog scale (0-10 point). A higher score indicates greater sense of chest congestion.
Time frame: 8 weeks
Sit and reach test
Flexibility
Time frame: 8 weeks
Physical Activity Questionnaire for Children (PAQ-C)
Physical Activity Level. As a result of the 9-item questionnaire, 1 means lowest and 5 means highest physical activity level.
Time frame: 8 weeks
Cystic Fibrosis Questionnaire Revised (CFQ-R)
Quality of Life Assessment. In this questionnaire, which consists of 35 questions, the total score is 100, and a higher score indicates a better quality of life.
Time frame: 8 weeks
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