Wils J, Barthe J
Hôpital Cochin, Paris.
Rev Pneumol Clin. 1995;51(3):164-74.
Kinesitherapy is an important element in the therapeutic strategy for cystic fibrosis. The main objective is to clear the upper airways. The most effective and most widely used method is to accelerate expiratory air flow. Kinesitherapy should take into account the effect of bronchorrhoea on respiratory mechanics, re-train the ventilatory process, improve thoracomuscular mechanics, attempt to reduce dyspnoea and maintain functional capacity. Managed carefully from childhood to adulthood patients should not require ventilatory assistance. Patients and/or parents, in cooperation with the medical and para-medical team should become fully responsible for correct follow-up and effective treatment.
运动疗法是囊性纤维化治疗策略中的一个重要组成部分。其主要目标是清理上呼吸道。最有效且应用最广泛的方法是加速呼气气流。运动疗法应考虑支气管分泌物增多对呼吸力学的影响，重新训练通气过程，改善胸廓肌肉力学，尝试减轻呼吸困难并维持功能能力。从儿童期到成年期若管理得当，患者不应需要通气辅助。患者和/或家长应与医疗及准医疗团队合作，对正确的随访和有效治疗负起全部责任。
