{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T19:05:42Z","timestamp":1793387142231,"version":"4.5.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Thorax"],"accepted":{"date-parts":[[2022,7,21]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>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\u2009min 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.<\/jats:p>","DOI":"10.1136\/thorax-2022-219213","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T17:57:59Z","timestamp":1662746279000},"page":"88-91","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals"],"prefix":"10.1136","volume":"78","author":[{"given":"Zoe Louise","family":"Saynor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7342-251X","authenticated-orcid":false,"given":"Steve","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Morrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Main","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Vogiatzis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Reid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald","family":"Urquhart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,9]]},"reference":[{"key":"2024051320321264000_78.1.88.1","unstructured":"Standards of Care and Good Clinical Practice for the Physiotherapy Management of Cystic Fibrosis . Uk cystic fibrosis trust. 4th Edition, 2020. https:\/\/www.cysticfibrosis.org.uk\/sites\/default\/files\/2020-12\/Standards%20of%20Care%20and%20Good%20Clinical%20Practice%20for%20the%20Physiotherapy%20Management%20of%20Cystic%20Fibrosis%20Fourth%20edition%20December%202020.pdf"},{"key":"2024051320321264000_78.1.88.2","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.jcf.2019.10.025","article-title":"Characterising burden of treatment in cystic fibrosis to identify priority areas for clinical trials","volume":"19","author":"Davies","year":"2020","journal-title":"J Cyst Fibros"},{"key":"2024051320321264000_78.1.88.3","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2017-210473"},{"key":"2024051320321264000_78.1.88.4","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1016\/j.jcf.2019.10.026","article-title":"Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals","volume":"19","author":"Rowbotham","year":"2020","journal-title":"J Cyst Fibros"},{"key":"2024051320321264000_78.1.88.5","doi-asserted-by":"publisher","DOI":"10.1177\/1359105306069093"},{"key":"2024051320321264000_78.1.88.6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.jphys.2018.11.006","article-title":"Exercise is commonly used as a substitute for traditional airway clearance techniques by adults with cystic fibrosis in Australia: a survey","volume":"65","author":"Ward","year":"2019","journal-title":"J Physiother"},{"key":"2024051320321264000_78.1.88.7","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2020-215836"},{"key":"2024051320321264000_78.1.88.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2008.09.007"},{"key":"2024051320321264000_78.1.88.9","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00421-2019"},{"key":"2024051320321264000_78.1.88.10","doi-asserted-by":"publisher","DOI":"10.12968\/bjtr.1996.3.12.14731"}],"container-title":["Thorax"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/thorax-2022-219213","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T03:48:02Z","timestamp":1715658482000},"score":1,"resource":{"primary":{"URL":"https:\/\/thorax.bmj.com\/lookup\/doi\/10.1136\/thorax-2022-219213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,9]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12,16]]},"published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1136\/thorax-2022-219213"],"URL":"https:\/\/doi.org\/10.1136\/thorax-2022-219213","relation":{},"ISSN":["0040-6376","1468-3296"],"issn-type":[{"value":"0040-6376","type":"print"},{"value":"1468-3296","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,9]]}}}