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Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals

Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals
Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals
Replacing traditional airway clearance therapy (tACT) with exercise (ExACT) in people with cystic fibrosis (pwCF) is a top research priority. A UK-based e-Delphi consensus was performed to inform the type(s), duration and intensity of ExACT. The expert panel comprised CF physiotherapists, doctors, pwCF and parents/partners. Exercise ACT was considered to be aerobic activity, of at least 20 min duration and intense enough to elicit deep breathing. Consensus was reached that assessment breaths, coughs and huffs should accompany exercise to remove loose secretions, with support for trials to investigate ExACT versus tACT during times of stable disease but not pulmonary exacerbations.
airway clearance, cystic fibrosis, e-Delphi survey, exercise, physiotherapy
0040-6376
88-91
Saynor, Zoe Louise
a4357c7d-db59-4fa5-b24f-58d2f7e74e39
Cunningham, Steve
af05acb9-d051-4c2c-95a7-91c458f603c4
Morrison, Lisa
578735a6-11ee-4fed-889f-394414a374ee
Main, Eleanor
2c9c3833-006c-4931-adf0-1c9afd46ecc2
Vogiatzis, Ioannis
bb600836-7508-46df-bdae-8d68945048d6
Reid, Simon
c5948f06-dd17-4326-9624-b2dd7915a220
Urquhart, Donald
7a848fd9-77c4-4a68-abc3-ad95b03d5115
Saynor, Zoe Louise
a4357c7d-db59-4fa5-b24f-58d2f7e74e39
Cunningham, Steve
af05acb9-d051-4c2c-95a7-91c458f603c4
Morrison, Lisa
578735a6-11ee-4fed-889f-394414a374ee
Main, Eleanor
2c9c3833-006c-4931-adf0-1c9afd46ecc2
Vogiatzis, Ioannis
bb600836-7508-46df-bdae-8d68945048d6
Reid, Simon
c5948f06-dd17-4326-9624-b2dd7915a220
Urquhart, Donald
7a848fd9-77c4-4a68-abc3-ad95b03d5115

Saynor, Zoe Louise, Cunningham, Steve, Morrison, Lisa, Main, Eleanor, Vogiatzis, Ioannis, Reid, Simon and Urquhart, Donald (2022) Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals. Thorax, 78 (1), 88-91. (doi:10.1136/thorax-2022-219213).

Record type: Article

Abstract

Replacing traditional airway clearance therapy (tACT) with exercise (ExACT) in people with cystic fibrosis (pwCF) is a top research priority. A UK-based e-Delphi consensus was performed to inform the type(s), duration and intensity of ExACT. The expert panel comprised CF physiotherapists, doctors, pwCF and parents/partners. Exercise ACT was considered to be aerobic activity, of at least 20 min duration and intense enough to elicit deep breathing. Consensus was reached that assessment breaths, coughs and huffs should accompany exercise to remove loose secretions, with support for trials to investigate ExACT versus tACT during times of stable disease but not pulmonary exacerbations.

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Accepted/In Press date: 21 July 2022
Published date: 9 September 2022
Keywords: airway clearance, cystic fibrosis, e-Delphi survey, exercise, physiotherapy

Identifiers

Local EPrints ID: 493397
URI: http://eprints.soton.ac.uk/id/eprint/493397
ISSN: 0040-6376
PURE UUID: 75bd5dac-01d0-46d8-8965-2fcea62a4fcd
ORCID for Zoe Louise Saynor: ORCID iD orcid.org/0000-0003-0674-8477

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Date deposited: 02 Sep 2024 16:50
Last modified: 03 Sep 2024 02:14

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Contributors

Author: Zoe Louise Saynor ORCID iD
Author: Steve Cunningham
Author: Lisa Morrison
Author: Eleanor Main
Author: Ioannis Vogiatzis
Author: Simon Reid
Author: Donald Urquhart

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