Table 2

Statements relating to exercise as airway clearance therapy in cystic fibrosis from the ‘exercise as airway clearance’ and ‘exercise intensity’ domains that reached overall panel consensus agreement

Consensus statementsMedianIQRProportion of scores ranked 7–9 (%)
 Exercise as airway clearance1 The right kind of exercise can loosen and move secretions in a similar way to chest physiotherapy in people with cystic fibrosis186.5–974.7
2 Coughs and huffs are needed to remove loose secretions in the airway, especially during or after exercise187–979.5
3 Coughs and huffs must be included in exercise for it to be effective as a form of airway clearance387–980.0
4 Coughs and huffs should also be used regularly during exercise to ensure that any secretions mobilised are effectively cleared386–871.7
5 Coughs and huffs should also be used in the recovery period after an exercise session, to ensure that any secretions mobilised are effectively cleared387–981.7
6 Assessment breaths and huffs can be used in people with cystic fibrosis to help see if secretions are there 387–985.0
7 Assessment breaths, coughs and huffs can be used in people with cystic fibrosis before exercise to help see if secretions are there376–971.7
8 If evidence were supportive, I would be happy for exercise to replace chest physiotherapy for airway clearance during stable cystic fibrosis periods198–989.1
9 How often airway clearance should be undertaken depends on the individual (eg, whether they are productive, lung function)298–986.6
10 It is important for people with cystic fibrosis to keep their chest as clear as possible. Regular clearance will help this298–992.5
11 People with cystic fibrosis should try to do something at least once a day that helps clear their airways297–988.0
12 A combination of exercise and traditional chest physiotherapy methods are important during a cystic fibrosis chest exacerbation 386–973.4
13 People with cystic fibrosis should try to do something at least once a day that helps clear their airways, if they have chest symptoms and feel as though mucus needs moving 299–992.6
 Exercise intensity14 For exercise to be used for airway clearance, exercise intensity is key 287–985.1
15 For exercise to be used for airway clearance, the intensity must be such that the person is deep breathing during exercise 287–989.6
16 Whatever type of exercise is used for airway clearance, it needs to be at a moderate-intensity depending on the individual’s fitness and health 287–980.6
17 Exercise should be undertaken at a level that means, although able to talk in short sentences, the person could not whistle or sing 187–977.1
  • Median is scored on a scale of 0–9, where 0 represents total disagreement and nine represents total agreement. Scores between 7 and 9 were considered to represent good agreement. Consensus was achieved when >70% of participants scored between 7 and 9 on any statement. 1Denotes consensus agreement was reached in round 1, 2Denotes consensus agreement was reached in round 2, 3Denotes consensus agreement was reached in round 3.