Physiotherapy and Dysfunctional Breathing
This trial is active, not recruiting.
|Treatments||breathing re-training, breathing re-training and musculoskeletal techniques|
|Sponsor||Royal Brompton & Harefield NHS Foundation Trust|
|Start date||July 2007|
|End date||July 2009|
|Trial size||60 participants|
|Trial identifier||NCT00895219, 06/Q0404/64|
Traditionally, the physiotherapy management of people with dysfunctional breathing or hyperventilation syndrome is breathing re-training. There is increasing clinical evidence that structural and functional changes develop in the muscles and connective tissues of the chest wall, abdomen and back when the upper chest accessory pattern of breathing is used over time. When treatment includes breathing techniques only it is difficult for a person with chronic hyperventilation, who has developed muscle and connective tissue changes, to revert to using the normal lower chest diaphragmatic breathing pattern. In clinical practice when the problems which have developed in the musculoskeletal system are addressed, the patient reverts more quickly to the lower chest pattern of breathing but there is as yet little evidence to support this clinical finding.
|Endpoint classification||efficacy study|
|Intervention model||parallel assignment|
|Masking||single blind (outcomes assessor)|
time frame: 0, 2, 4, 8, 12 and 26 weeks
Six-minute walking test
time frame: 0, 2, 4, 8, 12 & 26 weeks
Male or female participants at least 16 years old.
Inclusion Criteria: - diagnosis of dysfunctional breathing (Nijmegen score of more than 23) Exclusion Criteria: - active metastatic disease - osteoporotic disease - dysfunctional breathing as a consequence of respiratory or cardiac disease
|Official title||A Comparison of the Effects of Respiratory Physiotherapy Alone and Respiratory Physiotherapy Combined With Musculoskeletal Techniques in the Management of Dysfunctional Breathing|
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