Physiotherapy and Dysfunctional Breathing

NCT ID: NCT00895219

Last Updated: 2009-05-08

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE3
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-07-31
• Study Completion Date: 2009-12-31

Brief Summary

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.

Conditions

Hyperventilation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

1

Breathing re-training

Group Type: ACTIVE_COMPARATOR

Breathing re-training

Intervention Type: OTHER

Breathing re-training

2

Breathing re-training and musculoskeletal physiotherapy techniques

Group Type: ACTIVE_COMPARATOR

Breathing re-training and musculoskeletal techniques

Intervention Type: OTHER

Breathing re-training and musculoskeletal physiotherapy techniques including mobilisation techniques to normalise muscle and joint restrictions, doming of the diaphragm to enhance contraction and relaxation, and rib raising to free restriction in rib cage motion.

Interventions

Breathing re-training

Breathing re-training

Intervention Type: OTHER

Breathing re-training and musculoskeletal techniques

Breathing re-training and musculoskeletal physiotherapy techniques including mobilisation techniques to normalise muscle and joint restrictions, doming of the diaphragm to enhance contraction and relaxation, and rib raising to free restriction in rib cage motion.

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Royal Brompton & Harefield NHS Foundation Trust

OTHER

Sponsor Role: lead

Responsible Party

Royal Brompton & Harefield NHS Trust

Principal Investigators

Margaret E Hodson, MD

Role: STUDY_DIRECTOR

Royal Brompton & Harefield NHS Foundation Trust

Locations

Royal Brompton Hospital

London, , United Kingdom

Countries

United Kingdom

Other Identifiers

06/Q0404/64

Identifier Type: -

Identifier Source: org_study_id