Evidence map›Paper›PMID 37881306›Full record

ArticleNIHR open research2022

Exercise as an Airway Clearance Technique in people with Cystic Fibrosis (ExACT-CF): rationale and study protocol for a randomised pilot trial.

Don S Urquhart, Steve Cunningham, Emily Taylor, Ioannis Vogiatzis, Lorna Allen, Steff Lewis, Aileen R Neilson, Dia Soilemezi, Naseerah Akooji, Zoe L Saynor

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in NIHR open research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05482048 (ExACT-CF), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05482048 naunknown statusnot on this mapstarted 2023, after this paper: background citation

ExACT-CF: Exercise as an Airway Clearance Technique in People With Cystic Fibrosis - A Randomised Pilot Trial

TypeinterventionalSponsorUniversity Hospital Southampton NHS Foundation TrustRan2023 to 2024Enrolled50ConditionsCystic FibrosisArmsExercise as Airway Clearance Therapy (ExACT)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Measurement of lung clearance index (LCIBMJ open respiratory research · 2026
    Observational
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Don S UrquhartDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-9048-9692
Steve CunninghamDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.
Emily TaylorDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.
Ioannis VogiatzisDepartment of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK.
Lorna AllenCystic Fibrosis Trust, London, UK.
Steff LewisEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-1210-2314
Aileen R NeilsonEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.
Dia SoilemeziDepartment of Psychology, University of Portsmouth, Portsmouth, UK.
Naseerah AkoojiEdinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.
Zoe L SaynorSchool of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, UK.ORCID https://orcid.org/0000-0003-0674-8477
Royal Hospital for Children · GBUniversity of Edinburgh · GBCystic Fibrosis Trust · GBNorthumbria University · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Portsmouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chest physiotherapy is an established cornerstone of care for people with cystic fibrosis (pwCF), but is often burdensome. Guidelines recommend at least one chest physiotherapy session daily, using various airway clearance techniques (ACTs). Exercise (with huffs and coughs) may offer an alternative ACT, however the willingness of pwCF to be randomised into a trial needs testing. The 'ExACT-CF: Exercise as an Airway Clearance Technique in people with Cystic Fibrosis' trial will test the feasibility of recruiting pwCF to be randomised to continue usual care (chest physiotherapy) or replace it with exercise ACT (ExACT) for 28-days. Secondary aims include determining the short-term clinical impact (and safety) of stopping routine chest physiotherapy and replacing it with ExACT, and effects on physical activity, sleep, mood, quality of life and treatment burden, alongside preliminary health economic measures and acceptability. Methods: Multi-centre, two-arm, randomised (1:1 allocation using minimisation), pilot trial at two sites. Fifty pwCF (≥10 years, FEV Discussion: Co-designed with the UK CF community, the ExACT-CF pilot trial is the first multi-centre RCT to test the feasibility of recruiting pwCF stable on ETI into a trial investigating ExACT. This pilot trial will inform the feasibility, design, management, likely external validity for progression to a main phase randomised controlled trial. Registration: Clinicaltrials.gov ( NCT05482048).

Indexed as

airway clearance therapycystic fibrosisexercisefeasibilityphysical activityphysiotherapyrandomised controlled trial

Identifiers

PMID37881306
PMCPMC10593342
OpenAlexW4313406250

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.