Guest guest Posted August 27, 2003 Report Share Posted August 27, 2003 Hi , we met with Randah at Chapel Hill last year after we moved to North Carolina. She does indeed advocate strenuous exercise as a replacement for traditional CPT. We have done this sometimes by substituting exercise for one of the CPT sessions of the day. Randah likes trampolines or jumping on a bed, running in the yard (tag, etc.), or pretty much anything that has Kate breathing hard. This sounds good, but the hard breathing has to be maintained for about 15 minutes or so. And, most kids will want to stop sooner - that was our experience anyway. So (as Randah warned us) it was a workout for mom and dad too! We really had to push Kate to keep her moving and breathing hard. It's nice though on days when Kate has just had it with CPT. I tried to find Randah's email address, but the UNC websites seem to be kinda bonkers right now. They have a notice posted about having lots of computers down due to the recent viruses and worms. Anyway, you may want to call the UNC CF Center at . Jane Lindrum Mom of Kate, 4 w/cf CFRI conference Does anyone have any information on exercise as a form of airway clearance? I was told this was a presentation given at the CFRI conference but they will not have copies of it for a few months. They said it was given by Randah Whitley a PT from NC. It sounds like they use this instead of or along with the traditional cpt. If anyone has any info on this method, please let me know. Thanks, Mom to Ellie 9mo wCF and Jack 3yo noCF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2003 Report Share Posted August 27, 2003 Thanks for the info and the #! I am going to give them a call and see if they can send me more information. My daughter is 9mo and I was told she had exercises for babies as well. It just seems like it would be nice to do in addition to the CPT treatments. She is crawling now and it is so hard some days to make her sit still. I don't feel like I do a very good job at times. Do you feel it is as effective as her CPT sessions? Regardless, I guess it can't hurt. I appreciate the help! Mom to Ellie 9mo wCF and Jack 3yo noCF CFRI conference Does anyone have any information on exercise as a form of airway clearance? I was told this was a presentation given at the CFRI conference but they will not have copies of it for a few months. They said it was given by Randah Whitley a PT from NC. It sounds like they use this instead of or along with the traditional cpt. If anyone has any info on this method, please let me know. Thanks, Mom to Ellie 9mo wCF and Jack 3yo noCF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2003 Report Share Posted August 28, 2003 Regarding the effectiveness of exercise vs. CPT sessions. I believe exercise is generally more effective, judging from the coughing. Kate doesn't usually cough during regular CPT, but with hard breathing brought on by running and jumping she will almost always cough. I should add that the exercise must be sustained for at least 8 - 10 minutes to produce any coughing. Let us know if you get more detailed info from Randah. Jane CFRI conference Does anyone have any information on exercise as a form of airway clearance? I was told this was a presentation given at the CFRI conference but they will not have copies of it for a few months. They said it was given by Randah Whitley a PT from NC. It sounds like they use this instead of or along with the traditional cpt. If anyone has any info on this method, please let me know. Thanks, Mom to Ellie 9mo wCF and Jack 3yo noCF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2003 Report Share Posted August 28, 2003 I agree. This has been our experience too, he coughs more from running and jumping than he does from any kind of airway clearance. At this point, we only do airway clearance (via PEP mask or CPT) when isn't well enough to run around. It was really neat to see the list of exercises to do with them; thank you for posting that. does a lot of this stuff (jumping, hanging from our fingers in the air) on his own initiative. I continue to marvel at how in tune he is with his own body's needs! But now I know to specifically encourage these behaviors. )O( mama to , 2yo, w/CF, and , 4yo, no CF RE: Randah Whitley - exercise as CPT Hi , we met with Randah at Chapel Hill last year after we moved to North Carolina. She does indeed advocate strenuous exercise as a replacement for traditional CPT. We have done this sometimes by substituting exercise for one of the CPT sessions of the day. Randah likes trampolines or jumping on a bed, running in the yard (tag, etc.), or pretty much anything that has Kate breathing hard. This sounds good, but the hard breathing has to be maintained for about 15 minutes or so. And, most kids will want to stop sooner - that was our experience anyway. So (as Randah warned us) it was a workout for mom and dad too! We really had to push Kate to keep her moving and breathing hard. It's nice though on days when Kate has just had it with CPT. I tried to find Randah's email address, but the UNC websites seem to be kinda bonkers right now. They have a notice posted about having lots of computers down due to the recent viruses and worms. Anyway, you may want to call the UNC CF Center at . Jane Lindrum Mom of Kate, 4 w/cf. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2003 Report Share Posted August 28, 2003 What is a PEP mask and how is it used for airway clearance? Mom to Ellie 9mo wCF and Jack 3yo noCF RE: Randah Whitley - exercise as CPT Hi , we met with Randah at Chapel Hill last year after we moved to North Carolina. She does indeed advocate strenuous exercise as a replacement for traditional CPT. We have done this sometimes by substituting exercise for one of the CPT sessions of the day. Randah likes trampolines or jumping on a bed, running in the yard (tag, etc.), or pretty much anything that has Kate breathing hard. This sounds good, but the hard breathing has to be maintained for about 15 minutes or so. And, most kids will want to stop sooner - that was our experience anyway. So (as Randah warned us) it was a workout for mom and dad too! We really had to push Kate to keep her moving and breathing hard. It's nice though on days when Kate has just had it with CPT. I tried to find Randah's email address, but the UNC websites seem to be kinda bonkers right now. They have a notice posted about having lots of computers down due to the recent viruses and worms. Anyway, you may want to call the UNC CF Center at . Jane Lindrum Mom of Kate, 4 w/cf. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2003 Report Share Posted August 29, 2003 It's a mask with a valve attached that provides resistance when you breathe out. PEP stands for positive expiratory pressure - as you exhale you exhale against pressure or resistance. This lengthens the exhalation and keeps the lungs open, which helps move secretions. You do a certain number of breathing cycles with the mask on, then remove it and " huff. " It has proven to be at least as effective as CPT. My son loves the PEP mask and hates CPT, and I have arthritis in my hands that make cupping them and keeping them cupped very difficult. does not nebulize any medications but if you did, they make PEP set-ups that can be attached to the nebulizer so you can do nebs at the same time. )O( mama to , 3yo, w/CF, and , 5yo, no CF RE: Randah Whitley - exercise as CPT I agree. This has been our experience too, he coughs more from running and jumping than he does from any kind of airway clearance. At this point, we only do airway clearance (via PEP mask or CPT) when isn't well enough to run around. It was really neat to see the list of exercises to do with them; thank you for posting that. does a lot of this stuff (jumping, hanging from our fingers in the air) on his own initiative. I continue to marvel at how in tune he is with his own body's needs! But now I know to specifically encourage these behaviors. )O( mama to , 2yo, w/CF, and , 4yo, no CF Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2003 Report Share Posted August 29, 2003 I would love to know this info you find as well. My little one is not crawling yet so not too active. He is almost 8 months old ( Colgan) We do CPT but he really fights me and I would love to do some of this with him in addition. Thanks Ashauna Quote Link to comment Share on other sites More sharing options...
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