Airway clearance techniques and exercise in people with bronchiectasis: two different coins

Beatriz Herrero-Cortina, Arietta Spinou, Ana Oliveira, Brenda O'Neill, Cristina Jácome, Simone Dal Corso, William Poncin, Gerard Muñoz, Deniz Inal-Ince, Victoria Alcaraz-Serrano, Gregory Reychler, Angela Bellofiore, Annette Posthumus, James D Chalmers, Annemarie L Lee

Research output: Contribution to journalEditorialpeer-review


For people with bronchiectasis, achieving long-term adherence to physiotherapy strategies is a major challenge. The regular use of airway clearance techniques (ACTs) reduces the burden of sputum-related symptoms (e.g. increased expectoration during ACT session and reduced need to expectorate/cough throughout the rest of the day), improves quality of life and may reduce exacerbations, according to a recent European Respiratory Society statement; however, there are barriers to long-term implementation. There are traditional (e.g. positioning, manual percussions and vibrations) and contemporary strategies (e.g. breathing techniques and devices providing vibrations and/or positive or negative pressures) for airway clearance. The selection of the most appropriate ACT for an individual patient is usually determined by respiratory physiotherapists, with selection based on clinical judgement and the patient's characteristics, symptoms, understanding and preferences.
Original languageEnglish
Article number2300741
JournalEur Respir J
Issue number4
Early online date12 Oct 2023
Publication statusPublished online - 12 Oct 2023


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