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Öğe Effect of expiratory muscle training on peak cough flow in children and adolescents with cystic fibrosis(European Respiratory Soc Journals Ltd, 2020) Emirza, Cigdem; Aslan, Goksen Kuran; Kilinc, Ayse Ayzit; Cokugras, Haluk Cezmi[Abstract Not Available]Öğe Effect of expiratory muscle training on peak cough flow in children and adolescents with cystic fibrosis: A randomized controlled trial(Wiley, 2021) Emirza, Cigdem; Aslan, Goksen Kuran; Kilinc, Ayse Ayzit; Cokugras, HalukBackground Cough is an important defense and airway clearance mechanism for removing thick and viscous secretions in cystic fibrosis (CF). The primary aim of this study was to investigate the effect of expiratory muscle training (EMT) on peak cough flow (PCF) and secondly on respiratory muscle functions, functional exercise capacity, and quality of life (QoL) in CF. Methods Thirty patients were randomized as training and sham groups. Both groups were trained with the EMT protocol, which involved twice per day for at least 5 days per week for 6 weeks. The training intensity in the training group was 30% of the maximal expiratory pressure (MEP). In the sham group, it remained at the lowest pressure (5 cmH(2)O). The primary outcome was PCF. The secondary outcomes were MEP, maximal inspiratory pressure (MIP), spirometric measures, six-minute walking distance (6MWD), and QoL (Cystic Fibrosis Questionnaire-Revised). Results Twenty-eight patients completed the study. Changes in PCF (p = .041) and MEP (p = .003) were higher in the training group than the sham group. Also, treatment burden (p = .008), digestive symptoms (p = .019), and vitality (p = .042) in QoL were more improved in the training group. MIP (p = .028) and 6MWD (p = .035) changed significantly only in the training group. Spirometric measurements did not change (p > .05). Conclusions The results of the study show that EMT could improve PCF, MEP, treatment burden, digestive symptoms, and vitality domains of QoL in patients with CF. Moreover, MIP and functional exercise capacity improved in the training group with EMT.Öğe Physical activity level and sedentary behavior in patients with bronchiectasis: A systematic review of outcome measures and determinants(Elsevier, 2023) Emirza, Cigdem; Tiryaki, Pelin; Kaya, Begum Kara; Akyurek, Elcin; Aslan, Goksen KuranBackground: Changes in respiratory functions negatively affect the physical activity (PA) levels of patients with bronchiectasis. Therefore, detecting the most frequently used assessments of PA is essential as determining related factors and improving PA. This review study aimed to investigate the PA levels, compare levels with the recommended PA guidelines, determine the outcome measurements of PA and examine the determinants related to PA in patients with bronchiectasis.Method: This review was conducted using databases of MEDLINE, Web of Science, and PEDro. The searched terms were the variations of the words bronchiectasis and physical activity. Full texts of cross-sectional studies and clinical trials were included. Two authors independently screened the studies for inclusion.Result: The initial search identified 494 studies. A hundred articles were selected for full-text review. Following the application of the eligibility process, 15 articles were included. Twelve studies used activity monitors and five studies used questionnaires. The studies that used activity monitors presented daily step counts. The mean number of steps ranged between 4657 and 9164 for adult patients. It was approximately 5350 steps/day in older patients. One study investigated children's PA level reported 8229 steps/day. The functional exercise capacity, dyspnea, FEV1 and, quality of life as related determinants with PA have been reported in the studies. Conclusion: PA levels of patients with non-cystic fibrosis bronchiectasis were lower than the recommended levels. The objective measurements were frequently used in PA assessment. In further studies, it is needed to investigate the related determinants of PA in patients.& COPY; 2023 SPLF and Elsevier Masson SAS. All rights reserved.Öğe Physical activity level in patients with bronchiectasis: a systematic review of determinants and outcome measures(European Respiratory Soc Journals Ltd, 2021) Emirza, Cigdem; Tiryaki, Pelin; Kaya, Begum Kara; Akyurek, Elcin; Aslan, Goksen Kuran[Abstract Not Available]Öğe Physical activity levels of children with cystic fibrosis and their parents: Pilot study(European Respiratory Soc Journals Ltd, 2018) Emirza, Cigdem; Aslan, Goksen Kuran; Atabek, Ayse Ayzit; Cokugras, Haluk[Abstract Not Available]
