The Effects of Telerehabilitation on Muscle Function, Physical Activity and Sleep in Cystic Fibrosis During Pandemic

Not Applicable

Completed

Brief Summary: The aim of this study is to evaluate the peripheral muscle function, sleep disorders and physical activity level in children with cystic fibrosis who are physically inactive at home due to social isolation and to examine the effect of the 6-week online exercise protocol.

Detailed Description: Considering the new coronavirus (COVID-19) pandemic global information, some patient populations have been identified at higher risk of this pandemic like older age, hypertension, cardiovascular and respiratory diseases. Self- isolation is recommended for preventive strategy in cystic fibrosis patients. Long-term social isolation and school closure can have negative effects on childrens' physical and mental health. Due to social isolation childrens are less physical active, have longer screen exposure and irregular sleep patterns.

There is no study to evaluate the the peripheral muscle function, sleep disorders and physical activity level and examine the effects of exercise training in children with cystic fibrosis in social isolation due the COVID-19 pandemic.

This study will be included children with cystic fibrosis who had stabile conditions Patients' peripheral muscle function, sleep quality and physical activity level will be assess and record at beginning, after the twelve and eighteen session.

Recruitment & Eligibility

Inclusion Criteria

People who diagnosed cystic fibrosis disease at stabile conditions.
Volunteering to participate in the study,
Having a social isolation due to COVID-19 pandemic
Having forced expiratory volume at one second (FEV1) %> 40 % at last pulmonary function test.

Exclusion Criteria

Being diagnosed with acute pulmonary exacerbation at the time of study and / or within the last month.
having a diagnosed with COVID-19 before or during the study
Being physically or perceptually competent to exercise
Patients with allergic bronchopulmonary aspergillosis (ABPA) who were treated with systemic steroid therapy
Patients who were not complete the exercise training ability.
Having FEV1 %< 40% at pulmonary function test.

Arm && Interventions

Group	Intervention	Description
Telerehabilitation	Telerehabilitation-based	Telerehabilitation based exercise training will be given to the study group.
Exercise brochure	Follow-up based	Exercise training will be provided by sending a document to the control group

Primary Outcome Measures

Name	Time	Method
1 minute sit to stand test (STS) repetitions	six week	number of sit to stand for one minute is recorded

Secondary Outcome Measures

Name	Time	Method
sleep quality assessment	six week	Sleep quality will be evaluated by Epworth Sleepiness Scale and Pediatric Sleep Questionnaire (PSQ). Epworth Sleepiness Scale evaluates persons' daytime sleepiness and scores ranged from 0-24. Higher scores indicate higher daytime sleepiness. PSQ consist of 22 items that evaluate the frequency and severity of snoring during sleep, apnea at night during sleep hyperactivity and other pediatric obstructive sleep apnea symptoms. Responses to the items are as "yes", "no" and "I don't know" which are scored as 1, 0 and missing respectively. Total score of PSQ is the mean of the scores of all items excluding the missing items.
physical activity level	six week	Physical activity level will be evaluated by Physical Activity Questionnaire. Physical Activity Questionnaire is composed ten questions that evaluate the physical activity status for the last seven days. Each question, except last question is evaluated on a 5-point scale and there is an activity score between 1-5. "1" indicates low physical activity, "5" indicates high physical activity.
crunch repetitions	six week	number of crunch completed is recorded
plank duration	six week	duration of keeping plank position is recorded
squat repetitions	six week	number of squats completed is recorded
push-up repetitions	six week	number of push-ups completed is recorded