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Trial registered on ANZCTR
Registration number
ACTRN12607000612415
Ethics application status
Approved
Date submitted
27/11/2007
Date registered
28/11/2007
Date last updated
10/06/2021
Date data sharing statement initially provided
10/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of an exercise program on function, activity and participation of young people with cystic fibrosis
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Scientific title
Effect of a targeted exercise program versus current exercise practice on function, activity and participation of young people with cystic fibrosis: a randomised controlled trial
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
2592
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Condition category
Condition code
Human Genetics and Inherited Disorders
2702
2702
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0
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Cystic fibrosis
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Physical Medicine / Rehabilitation
2703
2703
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants allocated to the intervention group receive usual inpatient treatment, including medical, nutritional and physiotherapy. In place of the usual physiotherapy exercise program, participants in this group receive a targeted exercise program, addressing components of strength, flexibility and aerobic and anaerobic activities. This supervised program is performed five days per week (for up to 60 minutes), and is encouraged to be continued over the weekend (supervised by parent / guardian). Participants receive an exercise pack which includes items to encourage physical activity. A log is used for documentation of activities and relevant measures (for example: heart rate, breathlessness score, shuttle level attained or number of jumps performed in 30 seconds etc). A pedometer is provided to count the number of steps taken during the session and between sessions. Prior to discharge from hospital, advice is given regarding continuation of the program at home, aiming for 30 minutes on three days per week. This program is continued for 12 weeks following discharge. Strategies to encourage adherence to the home program include contact via telephone and email.
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Intervention code [1]
2324
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Rehabilitation
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Comparator / control treatment
Participants allocated to the control group receive usual inpatient treatment including medical, nutritional and physiotherapy. Participants receive the usual practice exercise program as part of the physiotherapy airway clearance regimen. This supervised program includes general aerobic-type activity, performed five days per week (for up to 60 minutes). Detail of session duration and activities performed is documented by the treating therapist on a study form. Following discharge from hospital, participants perform usual physical activity.
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Control group
Active
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Outcomes
Primary outcome [1]
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Six Minute Walk Test (distance). Measures of breathlessness (Borg Scale of Perceived Breathlessness and the Fifteen Count Breathlessness Score) are taken at baseline and completion of the walk test. Physiological variables (heart rate and oxygen saturation) are taken at baseline and monitored throughout the walk test via pulse oximetry.
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Assessment method [1]
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Timepoint [1]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [1]
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Range of motion of the thoracolumbar, upper limbs and lower limbs.
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Assessment method [1]
6029
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Timepoint [1]
6029
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [2]
6030
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Isometric muscle force using a La Fayette portable handheld dynamometer, for six muscle groups on the non-dominant side.
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Assessment method [2]
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Timepoint [2]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [3]
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Muscle power of the upper limbs (seated ball throw) and lower limbs (vertical jump height).
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Assessment method [3]
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Timepoint [3]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [4]
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Functional capacity using two jump tasks (astride jumps and forwards-backwards jumps). Measures of breathlessness (Borg Scale of Perceived Breathlessness and the Fifteen Count Breathlessness Score) are taken at baseline and completion of each jump task. Physiological variables (heart rate and oxygen saturation) are taken at baseline and monitored throughout the jump tasks via pulse-oximetry.
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Assessment method [4]
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Timepoint [4]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [5]
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Quality of life using the Cystic Fibrosis Questionnaire - revised version (CFQr).
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Assessment method [5]
6033
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Timepoint [5]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Secondary outcome [6]
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Activity levels and participation in physical activity using the Fels Physical Activity Questionnaire for Children, and the Three Day Activity Diary.
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Assessment method [6]
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Timepoint [6]
6034
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These measures are completed once during the 14 day inpatient period, and once during the 12 week outpatient period.
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Secondary outcome [7]
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Respiratory function (namely Forced Expiratory Volume in one second), tested by a trained respiratory function technician.
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Assessment method [7]
6035
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Timepoint [7]
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All measures are taken at three timepoints: admission to hospital, prior to discharge from hospital (14 days from admission) and twelve weeks post discharge.
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Eligibility
Key inclusion criteria
Diagnosis of Cystic Fibrosis; Hospitalised due to acute exacerbation of respiratory symptoms; Cognitively and physically able to perform the study tasks.
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Minimum age
7
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Musculoskeletal impairments (present or in the twelve months preceding testing).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealment via sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table from a statistic book.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/04/2007
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Actual
2/04/2007
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Date of last participant enrolment
Anticipated
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Actual
31/01/2008
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Date of last data collection
Anticipated
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Actual
30/04/2008
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Sample size
Target
40
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Accrual to date
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Final
32
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
502
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4029
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Queensland (Australian Postgraduate Award)
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Address [1]
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The University of Queensland
St Lucia, Qld 4072
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Country [1]
2835
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Australia
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Primary sponsor type
Individual
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Name
Allison Mandrusiak
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Address
School of Health and Rehabilitation Sciences
Division of Physiotherapy
The University of Queensland
St Lucia, Qld 4072
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
2558
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Country [1]
2558
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Other collaborator category [1]
96
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Individual
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Name [1]
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Dr Pauline Watter
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Address [1]
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School of Health and Rehabilitation Sciences
Division of Physiotherapy
The University of Queensland
St Lucia, Qld 4072
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Country [1]
96
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Australia
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Other collaborator category [2]
97
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Individual
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Name [2]
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Christine Wilson
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Address [2]
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Physiotherapy Department
Royal Children's Hospital
Herston Road
Herston, Qld 4029
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Country [2]
97
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Australia
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Other collaborator category [3]
98
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Individual
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Name [3]
98
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Dr Jennifer Paratz
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Address [3]
98
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Royal Brisbane and Women's Hospital
Butterfield Street
Herston, Qld 4029
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Country [3]
98
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Australia
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Other collaborator category [4]
99
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Individual
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Name [4]
99
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Julie MacDonald
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Address [4]
99
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School of Health and Rehabilitation Sciences
Division of Physiotherapy
The University of Queensland
St Lucia, Qld 4072
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Country [4]
99
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Medical Research Ethics Committee (The University of Queensland)
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Ethics committee address [1]
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Office of Research and Postgraduate Studies Cumbrae-Stewart Building (#72) The University of Queensland St Lucia, Qld 4072
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Ethics committee country [1]
4766
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Australia
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Date submitted for ethics approval [1]
4766
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Approval date [1]
4766
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15/11/2006
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Ethics approval number [1]
4766
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2006 000 352
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Ethics committee name [2]
4767
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Royal Children's Hospital Ethics Committee
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Ethics committee address [2]
4767
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Level 3 Foundation Building Royal Children's Hospital Herston Road Hertson, Qld 4029
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Ethics committee country [2]
4767
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Australia
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Date submitted for ethics approval [2]
4767
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Approval date [2]
4767
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25/10/2006
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Ethics approval number [2]
4767
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2006 043
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Summary
Brief summary
Exercise is a vital component of the physiotherapy management for young people with cystic fibrosis (CF). The overall aim of this research is to strengthen knowledge about best practice exercise programs for this population. This study compares effects of two exercise programs (the current exercise practice versus a novel targeted exercise program). Ultimately, it is expected that with improved exercise programs, young people with CF may have improved body structure and function, and activity and participation levels, leading to enhanced quality of life.
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Trial website
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Trial related presentations / publications
Mandrusiak, A., MacDonald, J., Paratz, J., Wilson, C., Watter, P. (2011, June 21-24) A novel exercise program for young people with cystic fibrosis: Moving physiotherapy forward through targeted design (Poster Presentation). World Confederation of Physical Therapy Conference, Amsterdam, Netherlands. Mandrusiak, A., MacDonald, J., Paratz, J., Wilson, C., Wright, S., Watter, P. (2009, August 29 - September 1) A randomised controlled trial of the effects of a novel exercise program for young people with cystic fibrosis. 8th Australasian Cystic Fibrosis Conference, Brisbane, Australia. Mandrusiak, A. (2009, October 15-17) A randomised controlled trial of the effects of a novel exercise program for young people with cystic fibrosis. 23rd Annual North American Cystic Fibrosis Conference, Cystic Fibrosis Foundation, Minneapolis, North America. Mandrusiak, A (2009). Effect of a targeted exercise program on function, activity and participation of young people with cystic fibrosis: Using the ICF model as a basis for design. PhD Thesis, School of Health & Rehabilitation Sciences, The University of Queensland.
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Public notes
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Contacts
Principal investigator
Name
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Address
28217
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Allison Mandrusiak
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Address
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School of Health and Rehabilitation Sciences
Division of Physiotherapy
The University of Queensland
St Lucia, Qld 4072
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Country
11374
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Australia
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Phone
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(07) 3365 4591
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Fax
11374
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Email
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[email protected]
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Contact person for scientific queries
Name
2302
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Allison Mandrusiak
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Address
2302
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School of Health and Rehabilitation Sciences
Division of Physiotherapy
The University of Queensland
St Lucia, Qld 4072
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Country
2302
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Australia
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Phone
2302
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(07) 3365 4591
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Fax
2302
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Email
2302
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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