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Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia: a survey

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posted on 2023-05-11, 05:36 authored by Nathan Ward, Kathy Stiller, Anne HollandAnne Holland, Jenn Bingham, Jennifer Bishop, Brenda Button, Rebecca Chambers, Robyn Cobb, Jennifer CordaJennifer Corda, Ruth Dentice, Margot Green, Kathleen Hall, Jenny Hauser, Scott Morrow, Rebecca Netluch, Amanda Nichols, Hilary Rowe, Andrew Shaw, Danielle Shortall, Tara Smith, Jamie Wood
Questions: What airway clearance techniques and exercise regimens are used by adults with cystic fibrosis (CF) in Australia when well or unwell? What proportion of these adults believe that exercise can be used as a substitute for traditional airway clearance techniques, and how have they come to this belief? What type of exercise is used as a substitute for traditional airway clearance techniques? Design: Cross-sectional survey at 13 CF centres in Australia, using a purpose-designed questionnaire. Participants: Six hundred and ninety-two adults with CF completed the questionnaire. Outcome measures: The questionnaire included questions about: the participants' current use of traditional airway clearance techniques and exercise, when well and unwell; and beliefs regarding the use of exercise as a substitute for traditional airway clearance techniques. Results: Coughing, huffing and positive expiratory pressure were the most commonly used airway clearance techniques. Walking, jogging and lifting weights were the most commonly used forms of exercise. Overall, 43% of participants believed that exercise could be used as a substitute for traditional airway clearance techniques, with 44% having substituted exercise for traditional airway clearance techniques in the previous 3 months. Personal experience was the most commonly reported factor influencing participants' beliefs about the use of exercise as a substitute for traditional airway clearance techniques. Conclusion: Exercise is commonly used as a substitute for traditional airway clearance techniques. Physiotherapists should advise patients that whilst there is some research suggesting a possible mechanism for exercise as a form of airway clearance, there are currently no medium-term to long-term data supporting exercise as a stand-alone form of airway clearance. These results suggest that future research to investigate the clinical effectiveness of exercise as a substitute for traditional airway clearance techniques should be a priority. Registration: ACTRN12616000994482.

Funding

This study was supported by an Australian Government Research Training Program Scholarship. Participating sites provided in-kind support for the investigators' time.

History

Publication Date

2019-01-01

Journal

Journal of Physiotherapy

Volume

65

Issue

1

Pagination

8p. (p. 43-50)

Publisher

Elsevier

ISSN

1836-9553

Rights Statement

© 2018 Published by Elsevier B.V. on behalf of Australian Physiotherapy Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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