title: Physiotherapy in cystic fibrosis: optimising techniques to improve outcomes.
abstract: Optimisation of physiotherapy techniques to improve outcomes is an area of cystic fibrosis (CF) care, which has developed considerably over the last two decades. With the introduction of newborn screening and an increase in median life expectancy, the management of individuals with CF has needed to adapt to a more dynamic and individualised approach. It is essential that CF physiotherapy management reflects the needs of a changing cohort of paediatric CF patients and it is no longer justifiable to adopt a 'blanket' prescriptive approach to care. The areas of physiotherapy management which are reviewed and discussed in this paper include inhalation therapy, airway clearance techniques, the management of newborn screened infants, physical activity and exercise.
authors.affiliation: Cystic Fibrosis Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK; Portex Unit, UCL Institute of Child Health, London, UK. Electronic address: Sarah.Rand@gosh.nhs.uk.
authors.forename: S
authors.initials: S
authors.lastname: Rand
authors.forename: L
authors.initials: L
authors.lastname: Hill
authors.forename: S A
authors.initials: SA
authors.lastname: Prasad
mesh_terms: D003550:Cystic Fibrosis / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D014943:Global Health; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*; D026741:Physical Therapy Modalities / Q000639:trends; D012129:Respiratory Function Tests; D012138:Respiratory Therapy / Q000379:methods*
keywords: Airway clearance therapy; Cystic fibrosis; Exercise; Inhalation therapy; Physiotherapy