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Cystic Fibrosis, Exercise Testing, CF Related, Exercise program…

- - - - Assessment of muscular power and endurance
      - Inspiratory and respiratory muscles strength
    - - Measurements are significantly affected by change for nutritional status
      - Muscle and respiratory strength are lower
    - - Peak and average anaerobic power.
      - Force production
    - - Cycling: Windgat, anaerobic test
      - Respiratory muscle function
      - 1 RM: Grip strength
    - - Cycling + 1 RM
  - - - May be respiratory mechanics improve with exercise
    - - Thoracic kyphosis developed as disease worsens
    - - Joint ROM + sit-and-reach
    - - Size and motion by goniometer
      - Sit-and issue
    - - Stretching
      - Sit-and-reach
  - - - ECG
      - VO2
      - BP
      - SaO2
      - HR
    - - Assessment of endurance
      - Risk of desaturation
      - Ventilatory restrictions
      - PWC test
    - - Treadmill: Bruce beams, Naughton
      - Cycling: James Godfrey
    - - FEV1 < 50% = Increased risk for desaturation
      - Severe cases: Decreased peak HT, Increase VO2, RR
    - - Treadmill
      - 6min
      - Cycling
  - - - Body Height, BMI, % Fat, Lean muscle mass
    - - Required BMI >23 Men
      - Required BMI >22 Women
    - - Calculation BMI
      - Triceps skinfold assessment
      - 3 site skin fold assessment
    - - Significant correlation between nutrition and exercise performance and long-term forecast
    - - BMI
      - Body composition
      - Weight, length
- - - -  Regular greasy motion
      -  Abdominal pain
      -  Malnutrition
      -  Cannot maintain body weight.
        
        Try to get BMI > 22 (women), BMI>23 (men)
- - - - • Exercise can positively influence depression.
      - • Exercise in severe Cystic Fibrosis patients can cause them to feel that their disease limits them which can lead to reduced dedication and reduced feelings of wellness, as well as a greater experience of their own mortality
      - • As a Biokineticist you should be able to observe the signs and do exercise in such a manner that they don’t become depressed, for example, to lower the exercise intensity
    - - Maintenance of good nutritional status is extremely important for Cystic Fibrosis patients.
      - • Monitor BMI.
      - • The concern is that the exercise will lead to excessive calorie use. Discuss the concern with your patient.
      - • Work together with patient’s dietician.
      - • Declared that the benefits of exercise more than burnt calories.
    - - Although rare, sometimes cystic fibrosis patients get liver disease.
      - • It leads to bleeding.
      - • Therefore these persons should avoid contact sport.
    - - Handle Cystic Fibrosis patients with diabetes similar to normal diabetes patients.
      - Watch out for signs of hypo- and hyperglycemia
      - • Keep snacks close for possible hypoglycaemia.
      - • Measure blood glucose levels before and during exercise.