Literature DB >> 31740105

Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals.

N J Rowbotham1, S J Smith2, G Davies3, T Daniels4, Z C Elliott5, K Gathercole6, O C Rayner7, A R Smyth2.   

Abstract

Airway clearance techniques (ACTs) are recommended in cystic fibrosis (CF) to prevent accumulation of secretions and lung infection. "Can exercise replace chest physiotherapy for people with CF?" is one of the CF community's top 10 research questions. We conducted an online survey of the CF community to gather data on current ACT use, recommendations, reported adherence levels and exercise strategies used. There were 488 respondents: 194 (40%) people with CF (pwCF), 141 (29%) family and 153 (31%) healthcare professionals (HCPs) (mostly physiotherapists). Only 10/285 (4%) of pwCF do no exercise at present and 163/303 (54%) already incorporate exercise into ACTs. ACTs were omitted by 128/267 (48%) of pwCF when they exercised. Nearly all (110/129, 93%) of HCPs currently recommend exercise to support ACTs. A trial replacing some or all ACTs with exercise, was supported by 80/110 (73%) of HCPs, with an additional 9/110 (8%) willing to consider in selected patients.
Copyright © 2019 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Airway clearance techniques; Clinical trial; Co-production; Cystic fibrosis; Exercise; Priority setting

Year:  2019        PMID: 31740105     DOI: 10.1016/j.jcf.2019.10.026

Source DB:  PubMed          Journal:  J Cyst Fibros        ISSN: 1569-1993            Impact factor:   5.482


  6 in total

Review 1.  Exercise versus airway clearance techniques for people with cystic fibrosis.

Authors:  Katie D Heinz; Adam Walsh; Kevin W Southern; Zoe Johnstone; Kate H Regan
Journal:  Cochrane Database Syst Rev       Date:  2022-06-22

Review 2.  Physical activity and exercise training in cystic fibrosis.

Authors:  Thomas Radtke; Sherie Smith; Sarah J Nevitt; Helge Hebestreit; Susi Kriemler
Journal:  Cochrane Database Syst Rev       Date:  2022-08-09

3.  The impact of physical activity and exercise interventions for physical health in people with cystic fibrosis: protocol for a systematic review.

Authors:  Owen W Tomlinson; Sarah Denford; Alan R Barker; Jane E Schneiderman; Emma S Campisi; Helen Douglas; Sarah Rand; Melitta A McNarry; Kelly A Mackintosh; Craig A Williams
Journal:  Syst Rev       Date:  2021-02-26

4.  The Exeter Activity Unlimited statement on physical activity and exercise for cystic fibrosis: methodology and results of an international, multidisciplinary, evidence-driven expert consensus.

Authors:  Craig A Williams; Alan R Barker; Sarah Denford; Samantha B van Beurden; Mayara S Bianchim; Jessica E Caterini; Narelle S Cox; Kelly A Mackintosh; Melitta A McNarry; Sarah Rand; Jane E Schneiderman; Greg D Wells; Peter Anderson; Daniel Beever; Z Beverley; Ronan Buckley; Brenda Button; Adam J Causer; Máire Curran; Tiffany J Dwyer; Warren Gordon; Mathieu Gruet; Ryan A Harris; Elpis Hatziagorou; H J Erik Hulzebos; Asterios Kampouras; Lisa Morrison; Marietta N Cámara; Clare M Reilly; Abbey Sawyer; Zoe L Saynor; James Shelley; Grace Spencer; Gemma E Stanford; Don S Urquhart; Rachel Young; Owen W Tomlinson
Journal:  Chron Respir Dis       Date:  2022 Jan-Dec       Impact factor: 3.115

5.  Exploring the impact of elexacaftor-tezacaftor-ivacaftor treatment on opinions regarding airway clearance techniques and nebulisers: TEMPO a qualitative study in children with cystic fibrosis, their families and healthcare professionals.

Authors:  Maryam Almulhem; Nuala Harnett; Stephanie Graham; Iram Haq; Shelina Visram; Christopher Ward; Malcolm Brodlie
Journal:  BMJ Open Respir Res       Date:  2022-10

6.  What effective ways of motivation, support and technologies help people with cystic fibrosis improve and sustain adherence to treatment?

Authors:  Rebecca J Calthorpe; Sherie J Smith; Nicola J Rowbotham; Paul A Leighton; Gwyneth Davies; Tracey Daniels; Katie Gathercole; Lorna Allen; Zoe C Elliott; Alan R Smyth
Journal:  BMJ Open Respir Res       Date:  2020-08
  6 in total

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