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. 2016 May;21(4):656-67.
doi: 10.1111/resp.12764. Epub 2016 Apr 18.

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

Brenda M Button  1 , Christine Wilson  2 , Ruth Dentice  3 , Narelle S Cox  4 , Anna Middleton  5 , Esta Tannenbaum  6 , Jennifer Bishop  7 , Robyn Cobb  8 , Kate Burton  8 , Michelle Wood  8 , Fiona Moran  6 , Ryan Black  2 , Summar Bowen  9 , Rosemary Day  10 , Julie Depiazzi  9 , Katherine Doiron  11 , Michael Doumit  12 , Tiffany Dwyer  3   13 , Alison Elliot  5 , Louise Fuller  1 , Kathleen Hall  8 , Matthew Hutchins  14 , Melinda Kerr  6 , Annemarie L Lee  1 , Christina Mans  15 , Lauren O'Connor  16 , Ranjana Steward  1 , Angela Potter  17 , Tshepo Rasekaba  1 , Rebecca Scoones  18 , Ben Tarrant  1 , Nathan Ward  19 , Samantha West  7 , Dianne White  19 , Lisa Wilson  1 , Jamie Wood  20 , Anne E Holland  4
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Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

Brenda M Button et al. Respirology. 2016 May.

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.

Keywords: airway clearance; cystic fibrosis; exercise; inhalation therapy; physiotherapy.

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References

    1. Physiotherapy for cystic fibrosis in australia: a consensus statement. [Accessed 20th March 2015.] Available from URL: http://www.thoracic.org.au/documents/papers/physiotherapyforcf.pdf.
    1. Holland AE, Button BM. Physiotherapy for cystic fibrosis in Australia: knowledge and acceptance of the Consensus Statement recommendations. Respirology 2013; 18: 652–6. - PubMed
    1. National Health and Medical Research Council . 2009. NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. [Accessed: 20th March 2015.] Available from URL: https://www.nhmrc.gov.au/_files_nhmrc/file/guidelines/developers/nhmrc_l....
    1. Yankaskas JR, Marshall BC, Sufian B, Simon RH, Rodman D. Cystic fibrosis adult care: consensus conference report. Chest 2004; 125: 1S–39. - PubMed
    1. van der Schans C, Prasad A, Main E. Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis. Cochrane Database Syst. Rev. 2003; 3: 3. - PubMed

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