Güngör Sabiha, Gencer-Atalay Kardelen, Bahar-Özdemir Yeliz, Keniş-Coşkun Özge, Karadağ-Saygı Evrim
Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2021 Mar 4;67(1):91-98. doi: 10.5606/tftrd.2021.5214. eCollection 2021 Mar.
This study aims to investigate the effects of postural exercises as an adjunct to chest physiotherapy program on respiratory function, exercise tolerance, quality of life (QoL), and postural stability in patients with cystic fibrosis (CF).
In this single-blind, randomized-controlled trial, 19 pediatric CF patients (11 males, 8 females; mean age: 9.36 years; range, 6 to 14 years) were randomly allocated to chest physiotherapy and postural exercise program (Group 1, n=10) or chest physiotherapy program alone (Group 2, n=9) between March 2017 and October 2017. Respiratory functions were assessed with pulmonary function tests, whereas exercise tolerance with the Modified Shuttle Test (MST), quality of life with the Cystic Fibrosis Questionnaire-Revised Child Version (CFQR), and postural stability with the Limits of Stability Test (LOS). All tests were performed before treatment and six weeks, three months, and six months after treatment.
Respiratory functions were improved in both groups; however, these changes were not statistically significant. The MST increased after treatment in both groups (p<0.001 and p=0.003 respectively), without a significant difference between the groups. Emotional function and treatment difficulties subdomains in CFQR were significantly increased only in the group with postural exercises (p<0.05).
The postural exercise program in addition to chest physiotherapy in pediatric CF patients whose postural changes were not taken place did not cause significant changes in respiratory function, exercise tolerance, and postural stability; however, it affected the emotional state well and improved the compliance with the treatment.
本研究旨在调查姿势训练作为胸部物理治疗方案的辅助手段对囊性纤维化（CF）患者呼吸功能、运动耐量、生活质量（QoL）和姿势稳定性的影响。
在这项单盲随机对照试验中，19例儿科CF患者（11例男性，8例女性；平均年龄：9.36岁；范围6至14岁）于2017年3月至2017年10月期间被随机分配至胸部物理治疗和姿势训练方案组（第1组，n = 10）或仅接受胸部物理治疗方案组（第2组，n = 9）。通过肺功能测试评估呼吸功能，通过改良往返跑测试（MST）评估运动耐量，通过囊性纤维化问卷修订儿童版（CFQR）评估生活质量，通过稳定性极限测试（LOS）评估姿势稳定性。所有测试均在治疗前以及治疗后6周、3个月和6个月进行。
两组患者的呼吸功能均有所改善，但这些变化无统计学意义。两组患者治疗后MST均增加（分别为p<0.001和p = 0.003），组间无显著差异。仅姿势训练组的CFQR中的情感功能和治疗困难子领域显著增加（p<0.05）。
对于未发生姿势改变的儿科CF患者，在胸部物理治疗基础上增加姿势训练方案，并未引起呼吸功能、运动耐量和姿势稳定性的显著变化；然而，它对情绪状态有良好影响并提高了治疗依从性。
