Beneficios de una propuesta fisioterapéutica integral en pacientes con fibrosis quística.

Abstract

Cystic fibrosis is a chronic genetic disorder caused by mutations in the CFTR gene, which leads to the accumulation of thick mucus, with the respiratory system being one of the most affected, thereby impairing the quality of life of patients with cystic fibrosis. Objective: To determine the benefits of implementing a comprehensive physiotherapeutic intervention for patients with cystic fibrosis. Methodology: Explanatory-scope research with a quantitative approach, pre-experimental, quantitative, longitudinal design. The study population consisted of 127 patients with cystic fibrosis, with a sample of 26 patients attended at the Ecuadorian Cystic Fibrosis Foundation in Guayaquil. The assessment instruments were the Daniels Scale, the chest expansion test, the mMRC dyspnea scale, the 2-minute step-up test, and the SF- 12 questionnaire. Results: The SF-12 questionnaire showed a mean physical component score of 53.40 ± 4.17 (p=0.000) and a mean mental component score of 58.80 ± 4.64 (p=0.000). Chest expansion yielded a mean of 4.88 ± 1.63 cm (p<0.001). The Daniels Scale results were quadriceps 4.88 ± 0.33 (p=0.001), hamstrings 4.81 ± 0.40 (p<0.001), biceps 4.85 ± 0.37 (p<0.001), and triceps 4.71 ± 0.45 (p<0.001). The 2-Minute Step-Up Test showed 90.65 ± 15.74 steps (p<0.001). Conclusions: The comprehensive physiotherapeutic intervention proved to be an effective approach based on the results obtained