Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

Journal article


Button, Brenda M., Wilson, Christine, Dentice, Ruth, Cox, Narelle S., Middleton, Anna, Tannenbaum, Esta, Bishop, Jennifer, Cobb, Robyn, Burton, Kate, Wood, Michelle, Moran, Fiona, Black, Ryan, Bowen, Summar, Day, Rosemary, Depiazzi, Julie, Doiron, Katherine, Doumit, Michael, Dwyer, Tiffany, Elliot, Alison, ... Holland, Anne E.. (2016). Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline. Respirology. 21(4), pp. 656 - 667. https://doi.org/10.1111/resp.12764
AuthorsButton, Brenda M., Wilson, Christine, Dentice, Ruth, Cox, Narelle S., Middleton, Anna, Tannenbaum, Esta, Bishop, Jennifer, Cobb, Robyn, Burton, Kate, Wood, Michelle, Moran, Fiona, Black, Ryan, Bowen, Summar, Day, Rosemary, Depiazzi, Julie, Doiron, Katherine, Doumit, Michael, Dwyer, Tiffany, Elliot, Alison, Fuller, Louise, Hall, Kathleen, Hutchins, Matthew, Kerr, Melinda, Lee, Annemarie L., Mans, Christina, O'Connor, Lauren, Steward, Ranjana, Potter, Angela, Rasekaba, Tshepo, Scoones, Rebecca, Tarrant, Ben, Ward, Nathan, West, Samantha, White, Dianne, Wilson, Lisa, Wood, Jamie and Holland, Anne E.
Abstract

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non-invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence-based physiotherapy care to people with CF in Australia and New Zealand.

Keywordsairway clearance; cystic fibrosis; exercise; inhalation therapy; physiotherapy
Year2016
JournalRespirology
Journal citation21 (4), pp. 656 - 667
PublisherBlackwell Publishing
ISSN1323-7799
Digital Object Identifier (DOI)https://doi.org/10.1111/resp.12764
Scopus EID2-s2.0-84963547174
Open accessOpen access
Page range656 - 667
Research GroupSchool of Allied Health
Publisher's version
License
Place of publicationAustralia
Permalink -

https://acuresearchbank.acu.edu.au/item/8701q/physiotherapy-for-cystic-fibrosis-in-australia-and-new-zealand-a-clinical-practice-guideline

Download files

  • 374
    total views
  • 716
    total downloads
  • 2
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Physiotherapist perspectives of airway clearance techniques in bronchiectasis
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2023). Physiotherapist perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. 39(4), pp. 785-793. https://doi.org/10.1080/09593985.2022.2028326
Evaluation of the inclusion of an allied health assistant within an adult cystic fibrosis centre : Their role, scope of practice, and impact on physiotherapy services
Hall, Kathleen. (2022). Evaluation of the inclusion of an allied health assistant within an adult cystic fibrosis centre : Their role, scope of practice, and impact on physiotherapy services [PhD Thesis]. Australian Catholic University https://doi.org/10.26199/acu.90096
Patient perspectives of airway clearance techniques in bronchiectasis
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2022). Patient perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. pp. 1-11. https://doi.org/10.1080/09593985.2022.2126741
Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery
Hall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Chambers, Rebecca, Roll, Mark, Bell, Scott C. and Kuys, Suzanne. (2022). Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery. Physiotherapy Theory and Practice. 38(4), pp. 572-578. https://doi.org/10.1080/09593985.2020.1777606
Physiotherapy service provision in a specialist adult cystic fibrosis service : A pre-post design study with the inclusion of an allied health assistant
Hall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Steele, Michael, Chambers, Rebecca, Roll, Mark, Bell, Scott Cameron and Kuys, Suzanne. (2021). Physiotherapy service provision in a specialist adult cystic fibrosis service : A pre-post design study with the inclusion of an allied health assistant. Chronic Respiratory Disease. 18, pp. 1-10. https://doi.org/10.1177/14799731211017895
Measuring airway clearance outcomes in bronchiectasis : A review
Franks, Lisa J., Walsh, James R., Hall, Kathleen and Morris, Norman R.. (2020). Measuring airway clearance outcomes in bronchiectasis : A review. European Respiratory Review. 29(156), p. 190161. https://doi.org/10.1183/16000617.0161-2019
Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia : A survey
Ward, Nathan, Stiller, Kathy, Holland, Anne E., Australian Cystic Fibrosis Exercise Survey group and Hall, Kathleen. (2019). Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia : A survey. Journal of Physiotherapy. 65(1), pp. 43-50. https://doi.org/10.1016/j.jphys.2018.11.006
Relating exercise-induced desaturation and gas-exchange in pulmonary artery hypertension
Balmain, Bryce N., Seale, Helen, Harris, Julie, Hall, Kathleen, Lin, Aaron C. W., Sabapathy, Surendran and Morris, Norman R.. (2019). Relating exercise-induced desaturation and gas-exchange in pulmonary artery hypertension. Respiratory Physiology & Neurobiology. 259, pp. 58-62. https://doi.org/10.1016/j.resp.2018.07.008
Comparing the performance characteristics of different positive expiratory pressure devices
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Jacuinde, Guillermo, Yerkovich, Stephanie and Morris, Norman R.. (2019). Comparing the performance characteristics of different positive expiratory pressure devices. Respiratory Care. 64(4), pp. 434-444. https://doi.org/10.4187/respcare.06410
Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension
Morris, Norman R., Seale, Helen, Harris, Julie, Hall, Kathleen, Lin, Aaron C. W. and Kermeen, Fiona. (2017). Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension. Respirology. 22(1), pp. 165 - 171. https://doi.org/10.1111/resp.12868
The challenge of establishing, growing and sustaining a large biobank. A personal perspective
McQueen, M. J., Keys, J. L., Bamford, K. and Hall, Kathleen. (2014). The challenge of establishing, growing and sustaining a large biobank. A personal perspective. Clinical Biochemistry. 47(4 - 5), pp. 239 - 244. https://doi.org/10.1016/j.clinbiochem.2013.11.017
Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial
Kuys, Suzanne, Hall, Kathleen, Peasey, Maureen, Wood, Michelle, Cobb, Robyn and Bell, Scott. (2011). Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial. Journal of Physiotherapy. 57(1), pp. 35 - 40. https://doi.org/10.1016/S1836-9553(11)70005-4