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

Zoe Louise Saynor; Steve Cunningham; Lisa Morrison; Eleanor Main; Ioannis Vogiatzis; Simon Reid; Donald Urquhart

doi:10.1136/thorax-2022-219213

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

Zoe Louise Saynor^*, Steve Cunningham, Lisa Morrison, Eleanor Main, Ioannis Vogiatzis, Simon Reid, Donald Urquhart

^*Corresponding author for this work

School of Sport Exercise and Rehabilitation

Research output: Contribution to journal › Comment/debate › peer-review

18 Citations (Scopus)

33 Downloads (Pure)

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.

Original language	English
Pages (from-to)	88-91
Number of pages	4
Journal	Thorax
Volume	78
Issue number	1
Early online date	9 Sept 2022
DOIs	https://doi.org/10.1136/thorax-2022-219213
Publication status	Published - 1 Jan 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Cystic Fibrosis
Exercise
Paediatric Lung Disaese

Access to Document

10.1136/thorax-2022-219213

Main_Document_this_is_a_clean_copyAccepted author manuscript, 297 KBLicence: CC BY-NC

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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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AU - Main, Eleanor

AU - Vogiatzis, Ioannis

AU - Reid, Simon

AU - Urquhart, Donald

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N2 - 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.

AB - 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.

KW - Cystic Fibrosis

KW - Exercise

KW - Paediatric Lung Disaese

UR - https://www.scopus.com/pages/publications/85139197402

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DO - 10.1136/thorax-2022-219213

M3 - Comment/debate

SN - 0040-6376

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JO - Thorax

JF - Thorax

IS - 1

ER -

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

Abstract

UN SDGs

Keywords

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