Pediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children's Hospital, University of Duisburg-Essen, Essen, Germany.
Gruber Sports Science, Sports Consultation, Sports Pedagogy, Stahnsdorf, Germany.
Pediatr Pulmonol. 2020 Dec;55(12):3371-3380. doi: 10.1002/ppul.25064. Epub 2020 Oct 14.
The aim of this study was to examine motor performance and trainability in youths with cystic fibrosis (CF).
Twenty-two children and adolescents (11 f/11 m), age range 6-17 years (11.3 ± 3.3 years), mean FEV1 91.0 ± 21.7% pred.finished the partially monitored 12-months exercise program. Patients performed the Deutsche Motorik Test (DMT) to assess flexibility, balance, strength, power and totalmotor performance. An incremental ergometer cycle test was used to assess maximal exercise capacity (Wpeak). All tests were performed before (T1), after 6 months of monitored exercise training (T3) and another 6 months without monitoring (T4).
Motor Competence in total and test-items of the DMT (except foreward bend) improved to T3 (p < .05). No further improvement could be observed after the end of the monitoring (T3). However, the values remained stable at the improved level (T4). Girls scored lower in test items depending on strength/power but scored higher in balancing compared to boys (p > .05). Wpeak and FEV1 were not influenced by the training program. From T3 to T4 a slight decrease was observed (p ≤ .05).
The findings demonstrate benefits of an individualizedmonitored long-term exercise intervention on motor performance in CF with improvements of test-tasks to predicted normal. Monitoringseems to be a facilitator in maintaining motivation toward physical activity as no further increase in motor performance was observed after stopping supervision. The results suggest that an individually tailored monitoredregular exercise program should include all aspects of physical fitness with a variety of movement experiences.
本研究旨在探讨囊性纤维化（CF）青少年的运动表现和可训练性。
22 名年龄在 6-17 岁（11.3±3.3 岁）的儿童和青少年（11 名女性/11 名男性）完成了部分监测的 12 个月运动方案。患者进行了德国运动测试（DMT）以评估灵活性、平衡、力量、功率和总运动表现。递增式测力计自行车测试用于评估最大运动能力（Wpeak）。所有测试均在基线（T1）、经过 6 个月监测运动训练（T3）和另外 6 个月无监测（T4）时进行。
DMT 的总运动能力和测试项目（除前屈外）在 T3 时得到改善（p<0.05）。在监测结束（T3）后，无法观察到进一步的改善。然而，这些数值在改善水平上保持稳定（T4）。女孩在依赖力量/功率的测试项目中得分较低，但在平衡方面的得分高于男孩（p>0.05）。Wpeak 和 FEV1 不受训练计划的影响。从 T3 到 T4，观察到略有下降（p≤0.05）。
这些发现表明，个体化监测的长期运动干预对 CF 中的运动表现有益，可改善测试任务以达到预测的正常水平。监测似乎是维持对体育活动的动力的促进因素，因为在停止监督后，运动表现没有进一步提高。结果表明，个性化定制的定期运动方案应包括身体健康的各个方面，以及各种运动体验。
