Wolfgang Gruber1,2, Florian Stehling1, Margarete Olivier1, Stefanie Dillenhoefer3, Cordula Koerner-Rettberg4, Sivagurunathan Sutharsan5, Christian Taube5, Uwe Mellies1, Matthias Welsner5. 1. Pediatric Pulmonology and Sleep Medicine, Cystic Fibrosis Center, Children's Hospital, University of Duisburg-Essen, Essen, Germany. 2. Gruber Sports Science, Sports Consultation, Sports Pedagogy, Stahnsdorf, Germany. 3. Department of Pediatric Pulmonology, University Children's Hospital, Ruhr University, Bochum, Germany. 4. Clinic for Children and Youth Medicine, Marien-Hospital, Wesel, Germany. 5. Department of Pulmonary Medicine, University Hospital Essen-Ruhrlandklinik, Adult Cystic Fibrosis Center, University of Duisburg-Essen, Essen, Germany.
Abstract
OBJECTIVES: The aim of this study was to examine motor performance and trainability in youths with cystic fibrosis (CF). METHODS: Twenty-two children and adolescents (11 f/11 m), age range 6-17 years (11.3 ± 3.3 years), mean FEV1 91.0 ± 21.7% pred.finished the partially monitored 12-months exercise program. Patients performed the Deutsche Motorik Test (DMT) to assess flexibility, balance, strength, power and totalmotor performance. An incremental ergometer cycle test was used to assess maximal exercise capacity (Wpeak). All tests were performed before (T1), after 6 months of monitored exercise training (T3) and another 6 months without monitoring (T4). RESULTS: Motor Competence in total and test-items of the DMT (except foreward bend) improved to T3 (p < .05). No further improvement could be observed after the end of the monitoring (T3). However, the values remained stable at the improved level (T4). Girls scored lower in test items depending on strength/power but scored higher in balancing compared to boys (p > .05). Wpeak and FEV1 were not influenced by the training program. From T3 to T4 a slight decrease was observed (p ≤ .05). CONCLUSIONS: The findings demonstrate benefits of an individualizedmonitored long-term exercise intervention on motor performance in CF with improvements of test-tasks to predicted normal. Monitoringseems to be a facilitator in maintaining motivation toward physical activity as no further increase in motor performance was observed after stopping supervision. The results suggest that an individually tailored monitoredregular exercise program should include all aspects of physical fitness with a variety of movement experiences.
OBJECTIVES: The aim of this study was to examine motor performance and trainability in youths with cystic fibrosis (CF). METHODS: Twenty-two children and adolescents (11 f/11 m), age range 6-17 years (11.3 ± 3.3 years), mean FEV1 91.0 ± 21.7% pred.finished the partially monitored 12-months exercise program. Patients performed the Deutsche Motorik Test (DMT) to assess flexibility, balance, strength, power and totalmotor performance. An incremental ergometer cycle test was used to assess maximal exercise capacity (Wpeak). All tests were performed before (T1), after 6 months of monitored exercise training (T3) and another 6 months without monitoring (T4). RESULTS: Motor Competence in total and test-items of the DMT (except foreward bend) improved to T3 (p < .05). No further improvement could be observed after the end of the monitoring (T3). However, the values remained stable at the improved level (T4). Girls scored lower in test items depending on strength/power but scored higher in balancing compared to boys (p > .05). Wpeak and FEV1 were not influenced by the training program. From T3 to T4 a slight decrease was observed (p ≤ .05). CONCLUSIONS: The findings demonstrate benefits of an individualizedmonitored long-term exercise intervention on motor performance in CF with improvements of test-tasks to predicted normal. Monitoringseems to be a facilitator in maintaining motivation toward physical activity as no further increase in motor performance was observed after stopping supervision. The results suggest that an individually tailored monitoredregular exercise program should include all aspects of physical fitness with a variety of movement experiences.
Authors: Wolfgang Gruber; Florian Stehling; Christopher Blosch; Stefanie Dillenhoefer; Margarete Olivier; Cordula Koerner-Rettberg; Sivagurunathan Sutharsan; Uwe Mellies; Christian Taube; Matthias Welsner Journal: Int J Environ Res Public Health Date: 2022-06-28 Impact factor: 4.614