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

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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.

Original language	English
Pages (from-to)	88-91
Journal	Thorax
Volume	78
Issue number	3-4
Early online date	9 Sept 2022
DOIs	https://doi.org/10.1136/thorax-2022-219213
Publication status	Published - 16 Dec 2022

Keywords

airway clearance
cystic fibrosis
e-Delphi survey
exercise
physiotherapy

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10.1136/thorax-2022-219213

Exercise as airway clearance therapy
This article has been accepted for publication in Thorax, 2022, following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/thorax-2022-219213
Accepted author manuscript (Post-print), 299 KB

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AU - Reid, Simon

AU - Urquhart, Donald

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KW - e-Delphi survey

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KW - physiotherapy

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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

Abstract

Keywords

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