Physiotherapy and Dysfunctional Breathing

NCT00895219 | Unknown Phase 3

• 1 other identifier: 06/Q0404/64
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

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

Keywords

Hyperventilation; Dysfunctional breathing; Physiotherapy; Musculoskeletal techniques

Outcome Measures

Primary Outcomes (1)

• Nijmegen Questionnaire

  0, 2, 4, 8, 12 and 26 weeks

Secondary Outcomes (1)

• Six-minute walking test

  0, 2, 4, 8, 12 & 26 weeks

Study Arms (2)

1

ACTIVE COMPARATOR

Breathing re-training

Other: Breathing re-training

2

ACTIVE COMPARATOR

Breathing re-training and musculoskeletal physiotherapy techniques

Other: Breathing re-training and musculoskeletal techniques

Interventions

Breathing re-training OTHER

Breathing re-training

1

Breathing re-training and musculoskeletal techniques 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.

2

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• diagnosis of dysfunctional breathing (Nijmegen score of more than 23)

You may not qualify if:

• active metastatic disease
• osteoporotic disease
• dysfunctional breathing as a consequence of respiratory or cardiac disease

Sponsors & Collaborators

• Royal Brompton & Harefield NHS Foundation Trust: lead

Study Sites (1)

Royal Brompton Hospital

London, SW3 6NP, United Kingdom

Location

MeSH Terms

Conditions

Hyperventilation

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Margaret E Hodson, MD

  Royal Brompton & Harefield NHS Foundation Trust

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: May 7, 2009
• First Posted: May 8, 2009
• Study Start: July 1, 2007
• Primary Completion: July 1, 2009
• Study Completion: December 1, 2009
• Last Updated: May 8, 2009

Record last verified: 2009-04

Locations

GB (1)