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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.
Saynor, Zoe Louise; Cunningham, Steve; Morrison, Lisa; Main, Eleanor; Vogiatzis, Ioannis; Reid, Simon; Urquhart, Donald.
Affiliation
  • Saynor ZL; Physical Activity, Health and Rehabilitation Thematic Research Group, School of Sport, Health and Exercise Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK zoe.saynor@port.ac.uk.
  • Cunningham S; Wessex Cystic Fibrosis Unit, University Hospitals Southampton NHS Foundation Trust, Southampton, UK.
  • Morrison L; Centre for Inflammation Research, University of Edinburgh, Edinburgh, UK.
  • Main E; Department of Child Life and Health, University of Edinburgh, Edinburgh, UK.
  • Vogiatzis I; West of Scotland Adult CF Unit, Queen Elizabeth University Hospital (The Southern General Hospital), Glasgow, UK.
  • Reid S; Physiotherapy Section, UCL Great Ormond Street Institute of Child Health, University College London, London, UK.
  • Urquhart D; Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle Upon Tyne, UK.
Thorax ; 78(1): 88-91, 2023 01.
Article in En | MEDLINE | ID: mdl-36599464
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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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cystic Fibrosis / Exercise Therapy Type of study: Guideline Limits: Humans Country/Region as subject: Europa Language: En Journal: Thorax Year: 2023 Type: Article Affiliation country: United kingdom
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cystic Fibrosis / Exercise Therapy Type of study: Guideline Limits: Humans Country/Region as subject: Europa Language: En Journal: Thorax Year: 2023 Type: Article Affiliation country: United kingdom