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

Journal article

Ward, Nathan, Stiller, Kathy, Holland, Anne E., Australian Cystic Fibrosis Exercise Survey group and Hall, Kathleen. (2019). Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia : A survey. Journal of Physiotherapy. 65(1), pp. 43-50. https://doi.org/10.1016/j.jphys.2018.11.006
AuthorsWard, Nathan, Stiller, Kathy, Holland, Anne E., Australian Cystic Fibrosis Exercise Survey group and Hall, Kathleen
Abstract

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.

Keywordscystic fibrosis; exercise; physical therapy modalities; respiratory therapy
Year2019
JournalJournal of Physiotherapy
Journal citation65 (1), pp. 43-50
PublisherAustralian Physiotherapy Association
ISSN1836-9553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jphys.2018.11.006
Scopus EID2-s2.0-85058535887
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range43-50
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online01 Jan 2019
Publication process dates
Deposited12 Jul 2021
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