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Updated: Jul 19, 2025
00:07
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
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Guidance and standard operating procedures for functional exercise testing in cystic fibrosis
Zoe L Saynor1,2, Mathieu Gruet3, Melitta A McNarry4
1Physical Activity, Health and Rehabilitation Thematic Research Group, School of Sport, Health and Exercise Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Summary
Regular exercise testing is crucial for people with cystic fibrosis (PwCF). Standardized, validated tests improve understanding of exercise limitations and guide clinical practice for better PwCF outcomes.
Area of Science:
- Pulmonary Medicine
- Exercise Physiology
- Rehabilitation Science
Background:
- Regular exercise testing is recommended for people with cystic fibrosis (PwCF).
- Validated tests integrating strength and aerobic function are increasingly used for comprehensive exercise evaluation.
- Research and expert consensus have led to standardized exercise tests for understanding exercise limitation pathophysiology in PwCF.
Purpose of the Study:
- Provide expert, opinion-based clinical practice guidance for commonly used, valid exercise tests in PwCF.
- Offer test instructions for selected tests with documented clinimetric properties.
- Highlight previously used tests no longer suggested and identify areas for future research.
Main Methods:
- Expert consensus from a multidisciplinary panel (physiotherapists, exercise scientists, clinicians) of the European Cystic Fibrosis Society Exercise Working Group.
- Review and selection of commonly used, valid exercise tests with documented clinimetric properties for PwCF.
- Inclusion of clinical practice guidance and test instructions.
Main Results:
- A selection of commonly used, valid exercise tests with documented clinimetric properties are recommended for PwCF.
- Guidance is provided on test instructions and clinical practice.
- Previously used tests that are no longer suggested are identified, along with areas needing further research.
Conclusions:
- The standardized use of a small selection of high-standard functional exercise tests is advocated for PwCF.
- This aims to improve global standardization of functional exercise testing in PwCF.
- The guidance supports better understanding and management of exercise limitation in cystic fibrosis.
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