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Surfers with CF benefit from the salt air in the same way the hypertonic saline solution
works. The hypothesis for the Elkins study came from doctors in Australia that noticed
their patients with CF that surfed were noticeably healthier. Fraser (2001) reports that
Charlton Harlow surfs in lieu of taking hypertonic saline with similar benefits but Harlow
remarks, it offers a much more fun way to feel and breathe better. Bacteria levels
should be checked before participants with CF surf in order to reduce chance of infection.
Participants with osteoarthritis: According to the Arthritis Foundation (n.d.),
osteoarthritis is the most common chronic condition of the joints, affecting approximately
27 million Americans. One of the most beneficial treatments for OA is to stay active,
keep moving and maintain a healthy weight (Osteoarthritis Treatment, n.d.). In addition,
building muscles around joints eases the burden of the joints and reduces pain and rangeof motion; exercise helps maintain and improve joint flexibility and reduce stiffness
(Osteoarthritis Treatment, n.d.). Hammer & Loubert (2010) devised an alternative pop-up
for surfers with low back pain. The knee pop-up can be used in lieu of the prone popup to alleviate stress on the lumbar spine (Hammer & Loubert, 2010). Another
alternative to both pop-ups is to use a long-shaft paddle and catch the wave from a
standing position, also known as stand up paddling or SUP (Hammer & Loubert, 2010).
Adaptations References:
Elkins, M. R., Robinson, M., Rose, B. R., Harbour, C., Moriarty, C. P., Marks, G. B., . . .
Bye, P. T. (2006). A Controlled Trial of Long-Term Inhaled Hypertonic Saline in
Patients with Cystic Fibrosis. New England Journal of Medicine N Engl J Med,
354(3), 229-240.
Fraser, S. (2011, February). Saline Solution: The Surf Is Up for Cystic Fibrosis Patients.
Current Science, 10-11.
Hammer, R. L., & Loubert, P. V. (2010). Alternative Pop-Up for Surfers with Low Back
Pain. North American Journal of Sports Physical Therapy: NAJSPT,5(1), 1518.
O'Malley, C. A. (2011). Hypertonic Saline and PEP: Is It Worth a Try? Respiratory Care,
56(6), 886-887.
Osteoarthritis Treatment. (n.d.). Retrieved February 17, 2016, from
http://www.arthritis.org/about-arthritis/types/osteoarthritis/treatment.php
What is Osteoarthritis? (n.d.). Retrieved February 17, 2016, from
http://www.arthritis.org/about-arthritis/types/osteoarthritis/what-isosteoarthritis.php