{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T12:12:02Z","timestamp":1780315922406,"version":"3.54.1"},"reference-count":86,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Through this article, the authors explore the challenges faced supporting optimal physiotherapy and exercise in low and middle\u2010income countries (LMIC) for those with cystic fibrosis (CF). Socio\u2010economic, infrastructure, cultural, and policy\u2010related issues are all investigated whilst exploring themes including recognition of the condition, management through the lifespan, and how this should be complemented with exercise in all disease states. The authors look to provide practical support, guidance, and signpost relevant resources to the reader. The concluding section focuses on the importance of local, regional, and global care networks with examples of good practice on how these can be supported.<\/jats:p>","DOI":"10.1002\/ppul.71459","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:30:36Z","timestamp":1774600236000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Supporting Physiotherapy and Exercise for People With Cystic Fibrosis in Low\u2010Resource Settings"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5264-2084","authenticated-orcid":false,"given":"Adam","family":"Walsh","sequence":"first","affiliation":[{"name":"Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8836-9109","authenticated-orcid":false,"given":"M\u00e1rcio Vin\u00edcius Fagundes","family":"Donadio","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy University Internacional de Catalunya Barcelona Spain"},{"name":"Infant Center Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graciana","family":"D'Agostino","sequence":"additional","affiliation":[{"name":"Children's Hospital Sor Maria Ludovica Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Wood","sequence":"additional","affiliation":[{"name":"Liverpool Heart and Chest Hospital Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin W.","family":"Southern","sequence":"additional","affiliation":[{"name":"Alder Hey Children's NHS Foundation Trust Liverpool UK"},{"name":"Department of Women's and Children's Health University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5193-918X","authenticated-orcid":false,"given":"Brenda M.","family":"Morrow","sequence":"additional","affiliation":[{"name":"Departmentof Paediatrics and Child Health Universityof Cape Town Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25733"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1536-4801.1986.tb09023.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2008.06.009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.121657"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.118570"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30187-0"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2021.27.2.281"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.27362"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276310"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(16)00053-9"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2016.12.012"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21330"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2016.48"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0155624"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2020.11.006"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/00045632251350514"},{"key":"e_1_2_8_18_1","unstructured":"The Clinical and Functional TRanslation of CFTR (CFTR2) available athttp:\/\/cftr2.org.US CF Foundation Johns Hopkins University The Hospital for Sick Children.\u201d c2025 accessed July 31 2025."},{"key":"e_1_2_8_19_1","unstructured":"A.Jones M.Desai C.Elston et al. \u201cStandards for the Clinical Care of Children and Adults With Cystic Fibrosis in the UK \u201d c2024 accessed July 29 2025."},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2023.09.008"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1806-37562017000000065"},{"key":"e_1_2_8_22_1","unstructured":"M.Zampoli B.Morrow C.Baird et al. \u201cSouth African Cystic Fibrosis Consensus Guideline: Management of Cystic Fibrosis \u201d c2017 accessed July 29 2025."},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.3928\/24748307-20201118-01"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06304-8"},{"key":"e_1_2_8_25_1","unstructured":"B.Button L.Lannefors M.McIlwaine et al. \u201cPhysiotherapy for People With Cystic Fibrosis: From Infant to Adult \u201d c2019 accessed July 29 2025."},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.09540504"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2012.11.014"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-0786-y"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12719"},{"key":"e_1_2_8_30_1","unstructured":"World Health Organisation \u201cPhysical Activity \u201d c2024 accessed July 29 2025."},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30337-6"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1758733"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24511"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2020.07.004"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01793-2018"},{"issue":"6","key":"e_1_2_8_36_1","article-title":"Exercise Versus Airway Clearance Techniques for People With Cystic Fibrosis","volume":"2022","author":"Heinz K. D.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-035261"},{"issue":"8","key":"e_1_2_8_38_1","article-title":"Physical Activity and Exercise Training in Cystic Fibrosis","volume":"2022","author":"Radtke T.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2007.04.352"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201806-1110OC"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.10550729"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14050933"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1159\/000439057"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26452"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2020.12.014"},{"issue":"3","key":"e_1_2_8_46_1","first-page":"1381","article-title":"The Association of Field Test Outcomes With Peak Oxygen Uptake in Patients With Cystic Fibrosis: A Systematic Review","volume":"15","author":"Campos N. E.","year":"2022","journal-title":"International Journal of Exercise Science"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0029-2023"},{"key":"e_1_2_8_48_1","unstructured":"M.Elkins T.Dwyer andR.Dentice \u201cCF Physio: Video and Audio Library \u201d c2025 accessed July 31 2025."},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26069"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-1993(24)00758-6"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00091607"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.14050"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2025.2494114"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0000000000000766"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2017.04.012"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v18i3.24"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-024-03506-1"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24806"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.029"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201111-2042ST"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pulmoe.2019.04.002"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-021-00237-9"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-017-0024-z"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-023-02701-3"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12764"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S274196"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2021.08.004"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1586\/ers.12.19"},{"issue":"2016","key":"e_1_2_8_69_1","first-page":"1","article-title":"Yoga Therapy in Children With Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain","volume":"2016","author":"McNamara J.","year":"2016","journal-title":"Evidence\u2010Based Complementary and Alternative Medicine"},{"key":"e_1_2_8_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2015.05.019"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2012.08.006"},{"key":"e_1_2_8_72_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13125"},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.3109\/21681805.2015.1096826"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1569-1993(03)00088-2"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68184-1"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2014.00011"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-017-0426-0"},{"key":"e_1_2_8_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2024.05.007"},{"key":"e_1_2_8_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2022.08.006"},{"key":"e_1_2_8_80_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.029"},{"key":"e_1_2_8_81_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.12.001"},{"key":"e_1_2_8_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2017.11.011"},{"key":"e_1_2_8_83_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-319X(03)00063-0"},{"issue":"3","key":"e_1_2_8_84_1","first-page":"CD013018","article-title":"Physical Therapies for Postural Abnormalities in People With Cystic Fibrosis","volume":"2020","author":"Oliveira V. H.","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_85_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2014.03.009"},{"key":"e_1_2_8_86_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2025.03.1093"},{"key":"e_1_2_8_87_1","unstructured":"European Cystic Fibrosis Society \u201cECFS European Twinning Project: ECFS Standards of Care \u201d c2025 accessed July 29 2025."}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71459","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.71459","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:33:18Z","timestamp":1780313598000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71459"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":86,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ppul.71459"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71459","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,27]]},"assertion":[{"value":"2025-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71459"}}