TY - JOUR T1 - A review of physiotherapy practice for people with bronchiectasis JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00569-2020 VL - 7 IS - 2 SP - 00569-2020 AU - Annemarie L. Lee AU - Susy Baenziger AU - Amanda Louey AU - Sophie Jennings AU - Peter Solin AU - Ryan Hoy Y1 - 2021/04/01 UR - http://openres.ersjournals.com/content/7/2/00569-2020.abstract N2 - People with bronchiectasis experience chronic productive cough and acute exacerbations, which are linked to poorer quality of life and a higher rate of disease progression. The clinical guidelines for bronchiectasis management recommend physiotherapy [1, 2]. These guidelines advise the prescription of airway clearance techniques (ACTs) to improve sputum clearance and reduce symptoms [1, 2]. Mucoactive agents may be cautiously considered when required [1, 2]. Individuals with reduced exercise tolerance are recommended to engage in pulmonary rehabilitation or undertake exercise or physical activity [1, 2]. Surveys of physiotherapy management for people with bronchiectasis have described commonly applied ACTs [3, 4] but have not alluded to technique combinations, a strategy considered a key approach towards personalising therapy [3–5]. Other audits have highlighted that ACTs were applied in only 49% and 52% of people with bronchiectasis in Europe and Australia respectively, reflecting a potential underuse of this therapeutic approach [6, 7]. Low referral rates to pulmonary rehabilitation have been noted [3, 7], and the prescription of exercise and physical activity beyond pulmonary rehabilitation is unknown [3].A combination of airway clearance techniques are applied for people with bronchiectasis, together with recommendations for exercise and suggestions for management of common comorbidities https://bit.ly/2U3c99H ER -