Title

Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline

Authors

Brenda M. Button, Alfred Hospital, Melbourne, VIC, Australia
Chrisitne Wilson, Lady Cilento Children's Hospital, Brisbane, Australia
Ruth Dentice, Royal Prince Alfred Hospital, Sydney, Australia
Narelle S. Cox, La Trobe University, Melbourne, VIC, Australia
Anna Middleton, Children's Hospital at Westmead, Sydney, Australia
Esta Tannenbaum, Royal Children's Hospital, Melbourne, VIC, Australia
Jennifer Bishop, Westmead Hospital, Sydney, Australia
Robyn Cobb, Prince Charles Hospital, Brisbane, Australia
Kate Burton, Prince Charles Hospital, Brisbane, Australia
Michelle Wood, Prince Charles Hospital, Brisbane, Australia
Fiona Moran, Royal Children's Hospital, Melbourne, VIC, Australia
Ryan Black, Lady Cilento Children's Hospital, Brisbane, Australia
Summer Bowen, Princess Margaret Hospital, Perth, WA, Australia
Rosemary Day, John Hunter Children's Hospital, Newcastle, NSW, Australia
Julie Depiazzi, Princess Margaret Hospital, Perth, WA, Australia
Katherine Doiron, Bond UniversityFollow
Michael Doumit, Sydney Children's Hospital, Sydney, Australia
Tiffany Dwyer, University of Sydney, Sydney, Australia
Alison Elliot, Children's Hospital at Westmead, Sydney, Australia
Louise Fuller, Alfred Hospital, Melbourne, VIC, Australia
Katherine Hall, Prince Charles Hospital, Brisbane, Australia
Matthew Hutchins, Mater Health Services, Australia
Melinda Kerr, Royal Children's Hospital, Melbourne, VIC, Australia
Annemarie Lee, Alfred Hospital, Melbourne, VIC, Australia
Christina Mans, Waikato DHB, Hamilton, Australia
Lauren O'Connor, Gold Coast University Hospital, Gold Coast, QLD, Australia
Ranjana Steward, Alfred Hospital, Melbourne, VIC, Australia
Angela Potter, Women's and Children's Hospital, Adelaide, SA, Australia
Tshepo Rasekaba, Alfred Hospital, Melbourne, VIC, Australia
Rebecca Scoones, Starship Children's Health, Auckland, New Zealand
Ben Tarrant, Alfred Hospital, Melbourne, VIC, Australia
Nathan Ward, Royal Adelaide Hospital, Adelaide, SA, Australia
Samantha West, Westmead Hospital, Sydney, Australia
Dianne White, Royal Adelaide Hospital, Adelaide, SA, Australia
Lisa Wilson, Alfred Hospital, Melbourne, VIC, Australia
Jamie Wood, Sir Charles Gairdner Hospital, Institute for Respiratory Health, Perth, WA, Australia
Anne E. Holland, La Trobe University, Melbourne, VIC, Australia

Date of this Version

5-1-2016

Document Type

Journal Article

Publication Details

Published version

Button, B.M., Wilson, C., Dentice, R., Cox, N.S., Middleton, A., Tannenbaum, E., Bishop, J., Cobb, R., Burton, K., Wood, M., Moran, F., Black, R., Bowen, S., Day, R., Depiazzi, J., Doiron, K., Doumit, M., Dwyer, T., Elliot, A., Fuller, L., Hall, K., Hutchins, M., Kerr, M., Lee, A.L., Mans, C., O'Connor, L., Steward, R., Potter, A., Rasekaba, T., Scoones, R., Tarrant, B., Ward, N., West, S., White, D., Wilson, L., Wood, J., & Holland, A.E. (2016). Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline. Respirology, 21(4), 656-667.

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© Copyright, The Authors, 2016.

Distribution License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

ISSN

1323-7799

Abstract

Physiotherapy management is a key element of care for people with cystic fibrosis (CF) throughout the lifespan. Although considerable evidence exists to support physiotherapy management of CF, there is documented variation in practice. The aim of this guideline is to optimize the physiotherapy management of people with CF in Australia and New Zealand. A systematic review of the literature in key areas of physiotherapy practice for CF was undertaken. Recommendations were formulated based on National Health and Medical Research Council (Australia) guidelines and considered the quality, quantity and level of the evidence; the consistency of the body of evidence; the likely clinical impact; and applicability to physiotherapy practice in Australia and New Zealand. A total of 30 recommendations were made for airway clearance therapy, inhalation therapy, exercise assessment and training, musculoskeletal management, management of urinary incontinence, managing the newly diagnosed patient with CF, delivery of non-invasive ventilation, and physiotherapy management before and after lung transplantation. These recommendations can be used to underpin the provision of evidence-based physiotherapy care to people with CF in Australia and New Zealand

 

This document has been peer reviewed.