TY - JOUR T1 - Increase motivation and efficiecy in cystic fibrosis teenagers using sport activities, respiratory muscle training and airway clearance techniques JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P608 AU - Bogdan Almajan-Guta AU - Claudiu Avram AU - Alexandra Mihaela Rusu AU - Ornela Olivia Cluci AU - Mihaela Oravitan AU - Zoran Popa AU - Sebastian Gheltofan Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P608.abstract N2 - Purpose: This study is aiming to demonstrate the efficiency of combined physiotherapy techniques: clearance techniques, respiratory muscle training (RMT) and sport activities, in order to improve clinical outcomes and quality of life in cystic fibrosis teenagers.Method: This prospective study was conducted in the Romanian Cystic Fibrosis Centre and included a number of 40 patients, aged between 12 and 18 years. We have used classic techniques of clearance in the daily physiotherapy: the active cycle of breathing techniques, autogenic drainage, oscillating PEP, high frequency chest wall oscillation (5 times a week), sport programmes (2-4 times a week) and RMT (3 times a week using TrainAir computer system). We have evaluated at baseline and after 24 months of intervention the quality of life (using CFQOL questionnaire) and functional respiratory parameters FVC, FEV1, FEF25-75%. The statistical processing of data was made using a non-parametric test: the Wilcoxon matched pairs test.Results: On a long term we noticed a substantial improvement in the clinical outcomes (less acute respiratory hospitalization and medication) and CFQOL scores. We also noticed significant statistical difference (p< 0.05), from initial vs. final evaluation in de functional respiratory parameters.Conclusions: All cystic fibrosis patients should be encouraged to combine airway clearance techniques with respiratory muscle training and sport activities for better clinical outcomes and quality of life.Funding Acknowledgements: This paper was supported by a research grant from UEFISCDI Romania, code TE 36. ER -