Cystic Fibrosis Clinical Trial
Official title:
Acute Effects of Combined Exercise and Oscillatory Positive Expiratory Pressure Therapy on Sputum Properties and Lung Diffusion Capacity in Cystic Fibrosis: a Randomized Crossover Trial
The investigators aim to compare a single bout of moderately intense cycling exercise
incorporating Flutter® breathing maneuvers with a single bout of moderately intense cycling
exercise alone on sputum viscoelasticity (primary endpoint) and the diffusion capacity of
the lungs in adult patients with cystic fibrosis.
The investigators further aim to analyze the short-term variability of resting diffusion
capacity of carbon monoxide (DLCO) and nitric oxide (DLNO) in patients with cystic fibrosis.
Regular airway clearance is an integral component of cystic fibrosis care and of critical
importance to lung health. Exercise and standardized chest physiotherapy are accepted airway
clearance techniques in cystic fibrosis. Different airway clearance techniques are
available, but there is no evidence that one technique or a combination is superior.
Oscillatory positive expiratory pressure with the Flutter® is a widely used airway clearance
technique in the European countries and has been shown to favourably alter sputum
viscoelasticity in cystic fibrosis.
This randomized crossover study is designed to assess the acute effects of combined cycling
exercise and Flutter® therapy on sputum viscoelasticity (primary outcome measure) and gas
diffusion in adults with cystic fibrosis.
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