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Deviations of body functions and structure, activity limitations, and participation restrictions of the International Classification of Functioning, Disability, and Health model in children with cystic fibrosis and non–cystic fibrosis bronchiectasis
Author(s) -
Ozipek Melike,
Arikan Hulya,
CalikKutukcu Ebru,
KeremGunel Mintaze,
Saglam Melda,
InalInce Deniz,
VardarYagli Naciye,
Livanelioglu Ayse,
BozdemirOzel Cemile,
Cakmak Aslihan,
SonbaharUlu Hazal,
Emiralioglu Nagehan,
Ozcelik Ugur
Publication year - 2020
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.24708
Subject(s) - bronchiectasis , international classification of functioning, disability and health , medicine , cystic fibrosis , physical therapy , pulmonary function testing , rehabilitation , physical medicine and rehabilitation , pediatrics , lung
Background To the best of our knowledge, there is no study in the literature investigating the extrapulmonary outcomes of children with non–cystic fibrosis (CF) bronchiectasis and CF under the framework of the International Classification of Functioning, Disability, and Health (ICF) model. The purpose of the present study is to evaluate the children with CF and non‐CF bronchiectasis using the ICF model. Materials and Methods Children with CF, non‐CF bronchiectasis, and healthy counterparts were evaluated (20 participants in each group) according to the ICF items in domain b (body functions), domain s (body structures), and domain d (activities and participation). The pulmonary functions, respiratory and peripheral muscle strength tests, and posture analysis were carried out for domain b. For domain d, however, the Glittre‐activities of daily living test and Pediatric Outcome Data Collection were used. Results Muscle strength of shoulder abductors and hip extensors in children with CF was significantly lower than healthy children and adolescents ( P < .05). The severity of lateral and posterior postural abnormalities in children with CF and non‐CF bronchiectasis was higher than those of healthy children ( P < .05). Among the patient groups, global function, sports/physical function, expectations, transfers/basic mobility, and pain/comfort were the most affected participation dimensions ( P < .05). Conclusions This study highlights the need for comprehensive up‐to‐date evaluation methods according to the ICF model for understanding rehabilitation requirements in CF and non‐CF bronchiectasis in different age groups.