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Effects of Expiratory Muscle Training on Cough Efficacy in Children and Adolescents With Cystic Fibrosis

Not Applicable
Completed
Conditions
Cystic Fibrosis
Interventions
Other: expiratory muscle training
Registration Number
NCT03873688
Lead Sponsor
Cigdem Emirza
Brief Summary

Cystic fibrosis (CF) is an autosomal recessive genetic disease characterized by recurrent airway infections, affecting many systems including lung, pancreas and sweat glands. Cough is an important defense mechanism for clearing the secretions that increase in respiratory diseases. There have been studies investigating the effect of expiratory muscle training on disease groups such as chronic obstructive pulmonary disease, multiple sclerosis, parkinson's disease, and the elderly and healthy individuals. Studies that evaluating effects of expiratory muscle training in cystic fibrosis are limited in the literature. The aim of this study was to evaluate the effect of cough strength in children and adolescents with CF and the effect of expiratory muscle training program on cough strength, exercise capacity, respiratory muscle strength and quality of life.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28
Inclusion Criteria
  • Diagnosed with cystic fibrosis
  • 8-18 years
  • Clinically stable during last six weeks
Exclusion Criteria
  • hemoptysis
  • low saturation (SpO2<90%)
  • acute lower respiratory tract infection
  • cardiac problems (heart failure, arrhythmia, cardiomyopathy, etc.)
  • cognitive problems
  • pneumothorax

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental Groupexpiratory muscle trainingPatients in experimental group will perform expiratory muscle training as home programme for at least five days a week, twice a day for 15 minutes at each session during six weeks by Threshold Positive Expiratory Pressure device. The intensity of training will been setted 30% of the maximal expiratory pressure level.
Sham Groupexpiratory muscle trainingIn sham group, patients will perform expiratory muscle training at home for at least five days a week, twice a day for 15 minutes at each session during six weeks by Threshold Positive Expiratory Pressure device that the intensity of training will been setted 5 cm H₂O.
Primary Outcome Measures
NameTimeMethod
Cough capacity6 weeks

peak expiratory flow meter

Secondary Outcome Measures
NameTimeMethod
Respiratory muscle strengthevery two weeks

maximal expiratory pressure, maximal inspiratory pressure

Exercise capacity6 weeks

six minute walking test

Trial Locations

Locations (1)

Istanbul University Cerrahpasa, Cerrahpasa Medical Faculty

🇹🇷

Istanbul, Turkey

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