Finding consensus on the physiotherapy management of asymptomatic infants with cystic fibrosis

Pediatric Pulmonology
S A PrasadAssociation of Chartered Physiotherapists

Abstract

Babies with cystic fibrosis diagnosed by neonatal screening often display no overt signs of respiratory disease. The role of traditional routine daily chest physiotherapy in this particular group of babies is unclear and has generated considerable international debate. There is currently no evidence addressing this issue and present circumstances preclude a rigorous trial in the UK. This study aimed to provide expert consensus regarding the physiotherapy management of asymptomatic infants with CF. A Delphi consensus method was used to gather and refine expert opinions of senior paediatric physiotherapists in the UK. Agreement was sought on 16 statements reflecting aspects of physiotherapy management in 'asymptomatic' babies with cystic fibrosis. Twenty-five senior paediatric physiotherapists from Specialist CF Centres throughout the UK participated in the study. Consensus was high amongst the respondents for 15 of the 16 statements. One statement failed to reach consensus. This related to the question of not routinely initiating a daily chest physiotherapy regimen in apparently healthy babies. Due to the lack of consensus an amendment to this statement was made, to allow a more flexible approach, where physiotherapists would no...Continue Reading

References

Aug 1, 1991·Journal of Developmental and Behavioral Pediatrics : JDBP·L J GudasD Wypij
Jan 1, 1988·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·P A Myer
Mar 1, 1987·Journal of Child Psychology and Psychiatry, and Allied Disciplines·D R Czajkowski, G P Koocher
Aug 5, 1995·BMJ : British Medical Journal·J Jones, D Hunter
Jun 17, 1995·BMJ : British Medical Journal·D S ArmstrongP D Phelan
Jan 1, 1996·The Journal of Orthopaedic and Sports Physical Therapy·L J EnloeB Miller
Mar 4, 1994·Children's Health Care : Journal of the Association for the Care of Children's Health·J W FinneyE R Christophersen
Jan 14, 2000·Nursing Standard·N Bowles
Mar 4, 2000·The Journal of Pediatrics·J Schneiderman-WalkerJ J Reisman
Feb 22, 2001·Thorax·P Robinson
Dec 19, 2001·Lancet·S C RanganathanUNKNOWN London Collaborative Cystic Fibrosis Group
Jan 18, 2002·Journal of Urban Health : Bulletin of the New York Academy of Medicine·UNKNOWN New York City Department of Health HIV Epidemiology Group
Feb 5, 2003·Pediatric Pulmonology·David M Orenstein
Feb 5, 2003·Pediatric Pulmonology·Brenda M ButtonIan Story
Aug 15, 2003·American Journal of Respiratory and Critical Care Medicine·Philip M FarrellMark L Splaingard
Oct 14, 2003·American Journal of Respiratory and Critical Care Medicine·Ronald L GibsonBonnie W Ramsey
Feb 3, 2004·American Journal of Respiratory and Critical Care Medicine·Sarath C RanganathanColin Wallis
Jul 5, 2005·Respiratory Physiology & Neurobiology·Paul AuroraJanet Stocks
Jul 30, 2005·American Journal of Respiratory and Critical Care Medicine·Tanya M MartínezRobert S Tepper
Dec 22, 2006·The European Respiratory Journal·J A DodgeJ Wilsher

❮ Previous
Next ❯

Citations

Mar 3, 2011·Journal of Aerosol Medicine and Pulmonary Drug Delivery·Susanna EspositoNicola Principi
May 13, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I Sermet-GaudelusUNKNOWN Groupe de travail dépistage de la Fédération des centres de ressources et de compétences de la mucoviscidose
May 19, 2009·Current Medical Research and Opinion·Gale HardingChristopher D O'Brien
Nov 12, 2013·Paediatric Respiratory Reviews·S RandS A Prasad
Mar 13, 2012·Revue des maladies respiratoires·G ReychlerP Lebecque
Jan 14, 2012·Pediatric Pulmonology·Michael DoumitYvonne Belessis
Jun 19, 2013·Pediatric Pulmonology·Mirella GaboliManuel Sánchez-Solís de Querol
Feb 28, 2009·Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society·Carlo CastellaniStuart Elborn
Jun 25, 2015·Revista da Associação Médica Brasileira·Laís Cristina RizzoHelena Teresinha Mocelin
Dec 19, 2014·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Renata Nóbrega DelgadoKarla Morganna Pereira Pinto de Mendonça
Apr 14, 2016·The Cochrane Database of Systematic Reviews·Thalita M F MacêdoKarla M P P Mendonça
Dec 22, 2015·The Cochrane Database of Systematic Reviews·Louise Warnock, Alison Gates
Jul 27, 2017·Expert Review of Respiratory Medicine·Jane S LucasWoolf T Walker
Jul 14, 2012·Expert Review of Respiratory Medicine·Sarah Rand, S Ammani Prasad
Dec 1, 2020·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Kristen AndrewsNarelle S Cox
May 14, 2009·Current Opinion in Supportive and Palliative Care
Oct 22, 2021·Pediatric Pulmonology·Nicola J Rowbotham, Tracey E Daniels

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Cystic Fibrosis : Official Journal of the European Cystic Fibrosis Society
Rosa Patricia Arias LlorenteJuan José Díaz Martín
Thorax
I M Balfour-LynnPaediatric Section of the Home Oxygen Guideline Development Group of the BTS Standards of Care Committee
© 2021 Meta ULC. All rights reserved