Finding consensus on the physiotherapy management of asymptomatic infants with cystic fibrosis.

Prasad SA, Main E, Dodd ME

This study aimed to provide expert consensus regarding the physiotherapy management of asymptomatic infants with Cistic Fibrosis. A Delphi consensus method was used to gather and refine expert opinions of senior paediatric physiotherapists in the UK. Agreement was sought on 16 statements reflecting aspects of physiotherapy management in 'asymptomatic' babies with cystic fibrosis. There was high consensus of opinion amongst senior physiotherapists in the UK on most aspects of the physiotherapy management of babies with CF. Consensus could not be achieved on whether routine daily chest physiotherapy is necessary in 'asymptomatic' babies. An agreed amendment to the original statement allows professionals to modify or change traditional practice with the sanction of their senior colleagues. The results of this process will be used by the Association of Chartered Physiotherapists in Cystic Fibrosis to form the basis of national clinical guidelines.

Pediatric Pulmonology, 2008, 43(3), 236-44

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