1 / 18

Cystic Fibrosis Exercise , and Quality of Life

Cystic Fibrosis Exercise , and Quality of Life. http://med.stanford.edu/ism/2010/february/cystic-fibrosis-0208.html. http://app1.unmc.edu/publicaffairs/todaysite/sitefiles/today_full.cfm?match=1503. Presented by: John Hardy, Adam Hooten, Andrew Stethen, and Cody Russell.

ernie
Télécharger la présentation

Cystic Fibrosis Exercise , and Quality of Life

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cystic Fibrosis Exercise, and Quality of Life http://med.stanford.edu/ism/2010/february/cystic-fibrosis-0208.html http://app1.unmc.edu/publicaffairs/todaysite/sitefiles/today_full.cfm?match=1503 Presented by: John Hardy, Adam Hooten, Andrew Stethen, and Cody Russell

  2. Becky Foster(Adam Hooten’s Aunt)

  3. P.I.C.O P.- Adults with cystic fibrosis I.- Physical activity C.- Inactivity O.- Decreased hospitalizations and exacerbations http://blog.prashantgorule.com/wp-content/uploads/2011/12/Albert-Einstein-pic.png

  4. Cystic Fibrosis -”inherited disease of the secretory glands” -National Heart, Lung, and Blood Institute -Organs mainly affected: -Lungs -Pancreas -Liver -Intestines -Sinuses -Sex organs http://www.ilquotidianoitaliano.it/gallerie/2011/01/news/chopin-le-sue-allucinazioni-colpa-dell%E2%80%99epilessia-53847.html/

  5. Other Names For Cystic Fibrosis: Andrew Simmons -Cystic Fibrosis of the pancreas -Fibrocystic disease of the pancreas -Mucoviscidosis -Mucoviscidosis of the pancreas -Pancreas fibrocystic disease -Pancreatic cystic fibrosis http://wwewallpaper4u.blogspot.com/2011/11/wwe-umaga-wallpaper.html Nathan Charles http://www.zimbio.com/pictures/Pn8gQIz6yw0/Super+14+Rd+8+Western+Force+v+Stormers/ZsYbhPuhZJe/Nathan+Charles

  6. Epidemiology: • Highest among Caucasians of Northern Europe descent. • Signs and Symptoms- • Variable • Diagnosis- • Series of tests: Cystic Fibrosis Fraser Brown http://tutongkita.blogspot.com/2010/05/kerajaan-baru-uk-dalom-gambar.html

  7. P.I.C.O P.- Adults with cystic fibrosis I.- Physical activity C.- Inactivity O.- Decreased hospitalizations and exacerbations http://discovermagazine.com/2013/september/14-doorway-to-a-cure

  8. Goldbeck 2006 • Results • -QOL is proven directly correlated with hospitalizations and exacerbation. • Conclusion: • -QOL assessments are clinically feasible and practical to monitor in regards to CF

  9. Sahlberg 2008 • Results: • -Max HR remained unchanged • -Max workload and maximal VO2 improved significantly. • Conclusions: • -Endurance training alone improved cardio-pulmonary function

  10. Hebestreit 2010 • Results: • -Intervention group reported significant increase in sports activities • -No difference between groups with reported infections • -Significant intervention effect on peak VO2 • -No significant effect on the QOL scale • Conclusion: • -No long term significant changes in the QOL

  11. Enright 2004 • Results: • -Significant increases in PWC, VC, TLC, Pimax, SPimax • -Decrease in anxiety and depression • Conclusion: • -IMT program resulted in significant benefits for CF pts

  12. Schmidt 2010 • Results: • -Significantly increased VO2Max • -Showed no significant change in QOL except the scores in the domain of treatment burden and emotional functioning • -No significant difference in QOL between exercise group and questionnaire group. • Conclusion: • -Significantly increased VO2Max • -Could not demonstrate improvement in QOL.

  13. Bradley 2006 • Results: • -Evidence supports different types of training including: • resistance and aerobic conditioning. • Conclusions: • -No intervention proven superior to others • -Interventions should be used in conjunction with aerobic • exercise

  14. Abbott 2008 • Results: • -69% of the original participants completed the follow up. • -Higher QOL was associated with better survival. • -Pain and physical functioning domains were statistically • significant. • Conclusions: • -The CFQOL questionnaire is a valid predictor of survival in patients with CF.

  15. Do PT Interventions Positively Affect QOL? Number of Articles -Graphical depiction of article findings. (Abbot, Bradley, Enright, Goldbeck, Hebestriet, Sahlberg, Schmidt)

  16. Summary of Findings • Exacerbations and living circumstances significantly impact QOL. • Physical functioning and pain are important predictors of survival QOL. • Aerobic conditioning can improve cardiovascular function and • psychosocial status. • Little evidenced to support long-term improvements in QOL through exercise and or other PT interventions.

  17. Best intervention is conflicting. • Aerobic Conditioning • Exercise indirectly affects QOL. • Exacerbations = +QOL • Holistic approach needed to produce long-term affects on QOL. • Physical and psychosocial domains. Conclusions/Discussion

  18. Abbott J, Hart A, Morton A, Dey P, Conway S, Webb A. Can health-related quality of life predict survival in adults with cystic fibrosis?. American Journal Of Respiratory And Critical Care Medicine. 2009;179(1):54-58. Available from: MEDLINE, Ipswich, MA. Published January 2009. Accessed September 26, 2013. • Bradley J, Moran F, Elborn S. Evidence for physical therapies in cystic fibrosis: An overview of five Cochrane systematic reviews.Respiratory Medicine. 2006;100(2): 191-201.http://www.sciencedirect.com/science/article/pii/S0954611105005196. Published February 2006.Accessed September 26, 2013. • Enright S, Chatham K, Ionescu A, Unnithan V, Shale D. Inspiratory Muscle Training Improves Lung Function and Exercise Capacity in Adults With Cystic Fibrosis. Chest. 2004;126(2):405-411. Available from: Academic Search Premier, Ipswich, MA. Published August 2004. Accessed September 26, 2013. • Goldbeck L, Zerrer S, Schmitz T. Monitoring quality of life in outpatients with cystic fibrosis: feasibility and longitudinal results. Journal Of Cystic Fibrosis: Official Journal Of The European Cystic Fibrosis Society. 2007;6(3):171-178. Available from: MEDLINE, Ipswich, MA. Published May 2007. Accessed September 26, 2013. • HebestreitH, Kieser S, Kriemler S, et al. Long-term effects of a partially supervised conditioning programme in cystic fibrosis. The European Respiratory Journal. 2010;35(3):578-583. Available from: MEDLINE, Ipswich, MA. Published March 2010. Accessed September 26, 2013. • SahlbergM, Eriksson B, Sixt R, Strandvik B. Cardiopulmonary Data in Response to 6 Months of Training in Physically Active Adult Patients with Classic Cystic Fibrosis. Respiration. 2008;76(4):413-420. Available from: Academic Search Premier, Ipswich, MA. Published November 2008. Accessed September 26, 2013. • Schmidt A, Jacobsen U, OlufSchiøtz P, et al. Exercise and quality of life in patients with cystic fibrosis: A 12-week intervention study. Physiotherapy Theory And Practice. 2011;27(8):548-556. Available from: MEDLINE, Ipswich, MA. Published November 2011. Accessed September 26, 2013. References

More Related