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.
- Cystic Fibrosis
- Paediatric Lung Disaese
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Contributors ZLS, SC, LM, EM, IV, SR and DU substantially contributed to the conception and design of this work. ZLS, SC, LM and DU substantially contributed to the acquisition of data. ZLS, SC, LM, EM, IV, SR and DU substantially contributed to the analysis and interpretation of the data; drafting and revising the work for important intellectual content and final approval of this version of the manuscript. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SC and DU have shared last authorship.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
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