Guidance and standard operating procedures for functional exercise testing in cystic fibrosis

Regular exercise testing is recommended for all people with cystic fibrosis (PwCF). A range of validated tests, which integrate both strength and aerobic function, are available and increasingly being used. Together, these tests offer the ability for comprehensive exercise evaluation. Extensive rese...

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Main Authors: Zoe L. Saynor, Mathieu Gruet, Melitta A. McNarry, Brenda Button, Lisa Morrison, Marlies Wagner, Abbey Sawyer, Helge Hebestreit, Thomas Radtke, Don S. Urquhart
Format: Article
Language:English
Published: European Respiratory Society 2023-08-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/32/169/230029.full
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author Zoe L. Saynor
Mathieu Gruet
Melitta A. McNarry
Brenda Button
Lisa Morrison
Marlies Wagner
Abbey Sawyer
Helge Hebestreit
Thomas Radtke
Don S. Urquhart
author_facet Zoe L. Saynor
Mathieu Gruet
Melitta A. McNarry
Brenda Button
Lisa Morrison
Marlies Wagner
Abbey Sawyer
Helge Hebestreit
Thomas Radtke
Don S. Urquhart
author_sort Zoe L. Saynor
collection DOAJ
description Regular exercise testing is recommended for all people with cystic fibrosis (PwCF). A range of validated tests, which integrate both strength and aerobic function, are available and increasingly being used. Together, these tests offer the ability for comprehensive exercise evaluation. Extensive research and expert consensus over recent years has enabled the adaptation and standardisation of a range of exercise tests to aid the understanding of the pathophysiology related to exercise limitation in PwCF and has led to the development of novel exercise tests which may be applied to PwCF. This article provides expert, opinion-based clinical practice guidance, along with test instructions, for a selection of commonly used valid tests which have documented clinimetric properties for PwCF. Importantly, this document also highlights previously used tests that are no longer suggested for PwCF and areas where research is mandated. This collaboration, on behalf of the European Cystic Fibrosis Society Exercise Working Group, represents expert consensus by a multidisciplinary panel of physiotherapists, exercise scientists and clinicians and aims to improve global standardisation of functional exercise testing of PwCF. In short, the standardised use of a small selection of tests performed to a high standard is advocated.
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spelling doaj.art-7b0e7fe7a8f94e6db4bed82fdd9cea8a2023-10-04T08:29:29ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172023-08-013216910.1183/16000617.0029-20230029-2023Guidance and standard operating procedures for functional exercise testing in cystic fibrosisZoe L. Saynor0Mathieu Gruet1Melitta A. McNarry2Brenda Button3Lisa Morrison4Marlies Wagner5Abbey Sawyer6Helge Hebestreit7Thomas Radtke8Don S. Urquhart9 Physical Activity, Health and Rehabilitation Thematic Research Group, School of Sport, Health and Exercise Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK Laboratory of the Impact of Physical Activity on Health (IAPS), University of Toulon, Toulon, France Applied Sports, Technology, Exercise and Medicine Research Centre, Swansea University, Swansea, UK Department of Physiotherapy, Melbourne School of Health Science, University of Melbourne, Melbourne, Australia West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria Icahn School of Medicine at Mount Sinai, New York, NY, USA Paediatric Department, University Hospitals Würzburg, Würzburg, Germany Division of Occupational and Environmental Medicine, Epidemiology, Biostatistics and Prevention Institute, University of Zurich and University Hospital Zurich, Zurich, Switzerland Royal Hospital for Children and Young People, Edinburgh, UK Regular exercise testing is recommended for all people with cystic fibrosis (PwCF). A range of validated tests, which integrate both strength and aerobic function, are available and increasingly being used. Together, these tests offer the ability for comprehensive exercise evaluation. Extensive research and expert consensus over recent years has enabled the adaptation and standardisation of a range of exercise tests to aid the understanding of the pathophysiology related to exercise limitation in PwCF and has led to the development of novel exercise tests which may be applied to PwCF. This article provides expert, opinion-based clinical practice guidance, along with test instructions, for a selection of commonly used valid tests which have documented clinimetric properties for PwCF. Importantly, this document also highlights previously used tests that are no longer suggested for PwCF and areas where research is mandated. This collaboration, on behalf of the European Cystic Fibrosis Society Exercise Working Group, represents expert consensus by a multidisciplinary panel of physiotherapists, exercise scientists and clinicians and aims to improve global standardisation of functional exercise testing of PwCF. In short, the standardised use of a small selection of tests performed to a high standard is advocated.http://err.ersjournals.com/content/32/169/230029.full
spellingShingle Zoe L. Saynor
Mathieu Gruet
Melitta A. McNarry
Brenda Button
Lisa Morrison
Marlies Wagner
Abbey Sawyer
Helge Hebestreit
Thomas Radtke
Don S. Urquhart
Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
European Respiratory Review
title Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
title_full Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
title_fullStr Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
title_full_unstemmed Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
title_short Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
title_sort guidance and standard operating procedures for functional exercise testing in cystic fibrosis
url http://err.ersjournals.com/content/32/169/230029.full
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