Cystic Fibrosis Service, Royal Adelaide Hospital, Adelaide, Australia; Physiotherapy Department, School of Allied Health, La Trobe University, Melbourne, Australia.
Central Adelaide Local Health Network, Adelaide, Australia.
J Physiother. 2019 Jan;65(1):43-50. doi: 10.1016/j.jphys.2018.11.006. Epub 2018 Dec 14.
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?
Cross-sectional survey at 13 CF centres in Australia, using a purpose-designed questionnaire.
Six hundred and ninety-two adults with CF completed the questionnaire.
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.
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.
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.
ACTRN12616000994482.
澳大利亚的囊性纤维化（CF）成人在健康或不适时使用哪些气道清除技术和运动方案？这些成年人中有多大比例认为运动可以替代传统的气道清除技术，他们是如何得出这一信念的？他们将哪种运动用作传统气道清除技术的替代品？
澳大利亚 13 个 CF 中心的横断面调查，使用专门设计的问卷。
692 名 CF 成年人完成了问卷。
问卷包括以下问题：参与者当前在健康和不适时使用传统气道清除技术和运动的情况；以及关于将运动用作传统气道清除技术替代品的信念。
咳嗽、呼气和正压呼气是最常用的气道清除技术。步行、慢跑和举重是最常用的运动形式。总体而言，43%的参与者认为运动可以替代传统的气道清除技术，其中 44%在过去 3 个月中已将运动替代传统的气道清除技术。个人经验是影响参与者对运动作为传统气道清除技术替代品的信念的最常见因素。
运动常被用作传统气道清除技术的替代品。物理治疗师应告知患者，虽然有一些研究表明运动作为一种气道清除形式可能存在某种机制，但目前尚无中长期数据支持运动作为一种独立的气道清除形式。这些结果表明，未来应优先研究运动作为传统气道清除技术替代品的临床效果。
ACTRN12616000994482。
