Physiotherapy in cystic fibrosis: optimising techniques to improve outcomes

Paediatr Respir Rev. 2013 Dec;14(4):263-9. doi: 10.1016/j.prrv.2012.08.006. Epub 2012 Nov 4.


Optimisation of physiotherapy techniques to improve outcomes is an area of cystic fibrosis (CF) care, which has developed considerably over the last two decades. With the introduction of newborn screening and an increase in median life expectancy, the management of individuals with CF has needed to adapt to a more dynamic and individualised approach. It is essential that CF physiotherapy management reflects the needs of a changing cohort of paediatric CF patients and it is no longer justifiable to adopt a 'blanket' prescriptive approach to care. The areas of physiotherapy management which are reviewed and discussed in this paper include inhalation therapy, airway clearance techniques, the management of newborn screened infants, physical activity and exercise.

Keywords: Airway clearance therapy; Cystic fibrosis; Exercise; Inhalation therapy; Physiotherapy.

Publication types

  • Review

MeSH terms

  • Cystic Fibrosis / diagnosis
  • Cystic Fibrosis / epidemiology
  • Cystic Fibrosis / therapy*
  • Global Health
  • Humans
  • Incidence
  • Infant, Newborn
  • Neonatal Screening / methods*
  • Physical Therapy Modalities / trends
  • Respiratory Function Tests
  • Respiratory Therapy / methods*