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
Permalink -

https://acuresearchbank.acu.edu.au/item/8w5q0/exercise-is-commonly-used-as-a-substitute-for-traditional-airway-clearance-techniques-by-adults-with-cystic-fibrosis-in-australia-a-survey

Log in to edit

Download files

Publisher's version
OA_Ward_2019_Exercise_is_commonly_used_as_a.pdf
License: CC BY-NC-ND 4.0
File access level: Open

  • 131
    total views
  • 64
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Physiotherapist perspectives of airway clearance techniques in bronchiectasis
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2023). Physiotherapist perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. 39(4), pp. 785-793. https://doi.org/10.1080/09593985.2022.2028326
Evaluation of the inclusion of an allied health assistant within an adult cystic fibrosis centre : Their role, scope of practice, and impact on physiotherapy services
Hall, Kathleen. (2022). Evaluation of the inclusion of an allied health assistant within an adult cystic fibrosis centre : Their role, scope of practice, and impact on physiotherapy services [PhD Thesis]. Australian Catholic University https://doi.org/10.26199/acu.90096
Patient perspectives of airway clearance techniques in bronchiectasis
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2022). Patient perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. pp. 1-11. https://doi.org/10.1080/09593985.2022.2126741
Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery
Hall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Chambers, Rebecca, Roll, Mark, Bell, Scott C. and Kuys, Suzanne. (2022). Benchmarking service provision, scope of practice, and skill mix for physiotherapists in adult cystic fibrosis care delivery. Physiotherapy Theory and Practice. 38(4), pp. 572-578. https://doi.org/10.1080/09593985.2020.1777606
Physiotherapy service provision in a specialist adult cystic fibrosis service : A pre-post design study with the inclusion of an allied health assistant
Hall, Kathleen, Maxwell, Lyndal, Cobb, Robyn, Steele, Michael, Chambers, Rebecca, Roll, Mark, Bell, Scott Cameron and Kuys, Suzanne. (2021). Physiotherapy service provision in a specialist adult cystic fibrosis service : A pre-post design study with the inclusion of an allied health assistant. Chronic Respiratory Disease. 18, pp. 1-10. https://doi.org/10.1177/14799731211017895
Measuring airway clearance outcomes in bronchiectasis : A review
Franks, Lisa J., Walsh, James R., Hall, Kathleen and Morris, Norman R.. (2020). Measuring airway clearance outcomes in bronchiectasis : A review. European Respiratory Review. 29(156), p. 190161. https://doi.org/10.1183/16000617.0161-2019
Relating exercise-induced desaturation and gas-exchange in pulmonary artery hypertension
Balmain, Bryce N., Seale, Helen, Harris, Julie, Hall, Kathleen, Lin, Aaron C. W., Sabapathy, Surendran and Morris, Norman R.. (2019). Relating exercise-induced desaturation and gas-exchange in pulmonary artery hypertension. Respiratory Physiology & Neurobiology. 259, pp. 58-62. https://doi.org/10.1016/j.resp.2018.07.008
Comparing the performance characteristics of different positive expiratory pressure devices
Franks, Lisa J., Walsh, James R., Hall, Kathleen, Jacuinde, Guillermo, Yerkovich, Stephanie and Morris, Norman R.. (2019). Comparing the performance characteristics of different positive expiratory pressure devices. Respiratory Care. 64(4), pp. 434-444. https://doi.org/10.4187/respcare.06410
Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension
Morris, Norman R., Seale, Helen, Harris, Julie, Hall, Kathleen, Lin, Aaron C. W. and Kermeen, Fiona. (2017). Gas exchange responses during 6-min walk test in patients with pulmonary arterial hypertension. Respirology. 22(1), pp. 165 - 171. https://doi.org/10.1111/resp.12868
Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline
Button, Brenda M., Wilson, Christine, Dentice, Ruth, Cox, Narelle S., Middleton, Anna, Tannenbaum, Esta, Bishop, Jennifer, Cobb, Robyn, Burton, Kate, Wood, Michelle, Moran, Fiona, Black, Ryan, Bowen, Summar, Day, Rosemary, Depiazzi, Julie, Doiron, Katherine, Doumit, Michael, Dwyer, Tiffany, Elliot, Alison, ... Holland, Anne E.. (2016). Physiotherapy for cystic fibrosis in Australia and New Zealand: A clinical practice guideline. Respirology. 21(4), pp. 656 - 667. https://doi.org/10.1111/resp.12764
The challenge of establishing, growing and sustaining a large biobank. A personal perspective
McQueen, M. J., Keys, J. L., Bamford, K. and Hall, Kathleen. (2014). The challenge of establishing, growing and sustaining a large biobank. A personal perspective. Clinical Biochemistry. 47(4 - 5), pp. 239 - 244. https://doi.org/10.1016/j.clinbiochem.2013.11.017
Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial
Kuys, Suzanne, Hall, Kathleen, Peasey, Maureen, Wood, Michelle, Cobb, Robyn and Bell, Scott. (2011). Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis : A randomised cross-over trial. Journal of Physiotherapy. 57(1), pp. 35 - 40. https://doi.org/10.1016/S1836-9553(11)70005-4