CYSTIC FIBROSIS: BIBLIOGRAPHIC REVIEW ON THE EFFECTIVENESS OF TREATMENT OF PHYSIOTHERAPY

Abstract

 Introduction: cystic fibrosis (CF) or mucoviscidosis is a systemic disease of the exocrine glands of an autosomal recessive genetic inheritance. Their incidence varies roughly between 1/2.000 and 1/6.000 newborns alive. Most of these patients are diagnosed in childhood. The therapeutic assistance is primarily a symptomatic treatment, especially around the treatment of infection and treatment of respiratory Physiotherapy. The aim of this review is to verify the effectiveness of physical therapy in the course of the pathology CF in children. Material and method: a literature search was conducted using the resources of the Library of Health Sciences, University of Cadiz, in the databases ProQuest Health and Medical complete located in the Consortium of Academic Libraries in Andalucia (CBUA) and The Cochrane Library and requested all dates to 2008 and selecting 32 articles on randomized clinical trials or quasi-trials to CF and Physiotherapy. Fifteen items were selected (evaluated with the PEDro scale) that matched the objectives set: physiotherapeutic treatment, postural and respiratory hygiene, physical activity, role of the physiotherapist in the development and treatment of disease. Results: we found 4 articles on the physiotherapeutic treatment, 2 on respiratory hygiene and posture, 2 more on physical activity in children with cystic fibrosis, and 4 on the role of the physiotherapist in the development and treatment of disease. Conclusions: no significant differences in efficacy between Physiotherapy treatments; there must be appropriate hygiene education in the airway and the posture; in childhood physical activity helps to better development the lung and prevents lung damage caused by the disease; the role of the physiotherapist and the family are very important in the implementation of the approach and treatment of disease.