P426 The management of musculoskeletal issues in cystic fibrosis: the respiratory physiotherapists’ perspective

Musculoskeletal (MSK) aspects of Cystic Fibrosis (CF) are less commonly studied, yet fractures, pain and injuries seen in the CF population due to lower bone mineral density, dysfunctional skeletal muscle elevated levels pro-inflammatory cytokines (Lambrechts, 2022). The Trust Standards Care recommend that all patients should have annual MSK screening. All be able seek support for pain, posture issues addressed promptly enable timely return activity (CF To benchmark current management within identify any physiotherapy training needs improve service provision. A survey was sent UK centres through Association Chartered Physiotherapists network establish care provision, including skills confidence this area. 15 responded, (8 adults, 7 paediatrics). Confidence managing varied from ‘a little’ (47%), moderate amount’ (20%), lot’ (20%) great deal’ (13%). 67% responding use Manchester screening tool as part review process 13% a specialised physio team. 73% do not feel they receive regular maintain or their specific knowledge skills. There mix provision ‘non related’ issues; 20% ‘never’ manage these issues, 27% ‘rarely’, ‘sometimes’, ‘usually do’ while ‘always do’. Referrals other specialist services happen’ (60%) with only 7% doing this’ lot’.13% refer services. across varies terms teams. is scope upskill increase physiotherapists standardise available CF.