Change in physiotherapy management of children with cystic fibrosis in a large urban hospital

Farbotko, Katrina, Wilson, Christine, Watter, Pauline and Macdonald, Julie (2005) Change in physiotherapy management of children with cystic fibrosis in a large urban hospital. Physiotherapy Theory and Practice, 21 1: 13-21. doi:10.1080/09593980590911480

Author Farbotko, Katrina
Wilson, Christine
Watter, Pauline
Macdonald, Julie
Title Change in physiotherapy management of children with cystic fibrosis in a large urban hospital
Journal name Physiotherapy Theory and Practice   Check publisher's open access policy
ISSN 0959-3985
Publication date 2005-02
Sub-type Article (original research)
DOI 10.1080/09593980590911480
Volume 21
Issue 1
Start page 13
End page 21
Total pages 9
Editor S. Hassan
Place of publication Oxfordshire, U.K.
Publisher Taylor & Francis
Collection year 2005
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730204 Child health
1114 Paediatrics and Reproductive Medicine
Abstract A retrospective audit was conducted in 1998 and 2000 to review the physiotherapy management of hospitalized children with cystic fibrosis (CF) at the Brisbane Royal Children's Hospital (RCH). The objective was to detect and explore possible changes in patient management in this time period and investigate whether these changes reflected changes in the current theory of CF management. All children over two years of age with CF admitted during 1998 and 2000 with pulmonary manifestation and who satisfied set criteria were included (n = 249). Relative frequency of each of six treatment modalities used were examined on two occasions, revealing some degree of change in practice reflecting the changes in current theory. There was a significant decrease in the frequency of usage of postural drainage with head-down tilt (p < 0.001), and autogenic drainage (p < 0.001) between 1998 and 2000. Modified postural drainage without head-down tilt (p < 0.001), and positive expiratory pressure devices (p < 0.001) were used more frequently in 2000 (p < 0.001). No significant changes were identified in the use of Flutter VRP1 (p = 0.145) and exercise (p = 0.763). No significant differences were found in population demographics or occurrence of concomitant factors that may influence patient management.
Keyword Physiotherapy management
Cystic Fibrosis
Q-Index Code C1
Additional Notes I led this research team, and supervised the first author. One of a series of studies in CF, this documented practice in the major tertiary hospital in Queensland. It showed that changes in physiotherapy management of children with CF from 1998-2000 occurred in line with theoretical advances in the literature, and that evidence is incorporated into clinical practice.

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Created: Wed, 15 Aug 2007, 06:37:42 EST