Using Buteyko Breathing Technique to Control Asthma in School-Age Children

NCT05390554 | Completed DMC

• 1 other identifier: Pediatric Asthma
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

Asthma is a complex condition that can impair not only the child's physical growth but also his optimal functional capacity and performance. Buteyko Breathing Technique (BBT) is an exercise designed to regulate the breathing process. The Buteyko technique also proposes lifestyle changes beyond breathing, including diet, allergy avoidance, and stress control. This study aims to evaluate the effect of the Buteyko breathing technique on asthma severity control among school-age children. In Egypt, this technique was applied through five studies, four among adult patients and only one among children. At Mansoura University, only one study was conducted among adult patients, and no studies were conducted among children. To fulfill this knowledge gap, it is necessary to study the effect of this technique on asthma severity control among school-age children. This study will use the Childhood Asthma Control, Peak Expiratory Flow Rate, and Control Pause tests to evaluate the children's asthma severity control.

Conditions

Childhood Asthma

Outcome Measures

Primary Outcomes (1)

• Childhood Asthma Control Test(C-ACT)

  The tool is a valid test established by GlaxoSmithKline that involves seven questions to evaluate asthma control and the effects of asthma on diurnal activities among school age children. It has seven questions; the first four are answered by the children and the last three by their parents. Each question had four answer options for children, and six answer options for parents. This part completed at the first and final sessions as a pre and posttest. Its scores were categorized as the following: * 20:27 good asthma control * 10:19 moderate asthma control * Less than 10 poorly asthma control

  4 weeks

Secondary Outcomes (2)

• Peak Expiratory Flow Rate (PEFR)

  4 weeks

• Control Pause Test (CP)

  4 weeks

Study Arms (1)

Buteyko Breathing Technique

EXPERIMENTAL

single group pre-post test

Behavioral: Buteyko Breathing Technique

Interventions

Buteyko Breathing Technique BEHAVIORAL

* The child was instructed to sit and take a relaxed posture in a vertical chair, relax his shoulders and lean his lower back against the back of the chair. * Until conducting CP, the child was told to avoid alternate breathing, the child was asked to take a small breath in (two seconds), a small breath out (three seconds) and clutch the nose with empty lungs but not too clear on the 'out-breath. To prevent air from escaping through the airways, clutching the nose is necessary. * The researcher estimates how many seconds the child can continue safely before the need to breathe in again, * The child was told to hold their breath until the first need to breathe in was felt. Release the nose then and naturally breathe through it smoothly. * The first intake of breath after the CP should be no higher than the breath before taking the measurement; the child should not hold the breath for too long as this could lead the child to take a major breath after measuring the CP.

Also known as: Breathing Exercises

Buteyko Breathing Technique

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The school age child of both sex whose age range from 6: 12 years to insure the ability of the child to perform Buteyko exercise.
• The child whose condition is mild to moderate as confirmed by the medical practitioner.
• The child treated from asthma only by medications and no other alternative treatment as revealed by their primary caregiver.
• The child and their parents not take any previous instruction about Buteyko method.
• The child and their parents were accepting participation for four weeks during the study.

You may not qualify if:

• The child with severe asthma, cardiac disease, mental retardation, pneumonia, infectious disease, lung disease, physical disabilities and psychiatric disorders as confirmed by the medical practitioner.
• The child who receive any other alternative therapy. The sample size was limited because the starting of the COVID 19 pandemic which affect the children attendance to the clinic and refusal from mothers to continue in the study program.

Sponsors & Collaborators

• Mansoura University: lead

Study Sites (1)

Mansoura University

Al Mansurah, 30016, Egypt

Location

Related Publications (6)

• Chen E, Shalowitz MU, Story RE, Ehrlich KB, Levine CS, Hayen R, Leigh AK, Miller GE. Dimensions of Socioeconomic Status and Childhood Asthma Outcomes: Evidence for Distinct Behavioral and Biological Associations. Psychosom Med. 2016 Nov-Dec;78(9):1043-1052. doi: 10.1097/PSY.0000000000000392.

  PMID: 27749682 BACKGROUND

• Kuti BP, Omole KO. Epidemiology, triggers, and severity of childhood asthma in Ilesa, Nigeria: Implications for management and control. Niger Med J. 2017 Jan-Feb;58(1):13-20. doi: 10.4103/0300-1652.218412.

  PMID: 29238123 BACKGROUND

• Liu AH, Zeiger R, Sorkness C, Mahr T, Ostrom N, Burgess S, Rosenzweig JC, Manjunath R. Development and cross-sectional validation of the Childhood Asthma Control Test. J Allergy Clin Immunol. 2007 Apr;119(4):817-25. doi: 10.1016/j.jaci.2006.12.662. Epub 2007 Mar 13.

  PMID: 17353040 BACKGROUND

• American Academy of Allergy Asthma and Immunology (AAAAI) (2019). New study sheds light on the challenges and barriers of severe asthma management available at: https://www.aaaai.org/About/News/News/asthma.

  BACKGROUND

• Buteyko Clinic International (2014). Breathing Exercise 1: The Control Pause (Part I). Available at https://buteykoclinic.com/breathing-exercise-1-the-control-pause-part-i/

  BACKGROUND

• Kopač, M. (2017). Calculation of Predicted Peak Expiratory Flow in Children with a Formula. Open J Asthma, 1(1), 007-008. Available at https://www.peertechz.com/articles/OJA-1-102.php

  BACKGROUND

MeSH Terms

Interventions

Breathing Exercises

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• Fawzia E Abusaad, Professsor

  Mansoura University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 21, 2022
• First Posted: May 25, 2022
• Study Start: September 15, 2019
• Primary Completion: December 24, 2019
• Study Completion: December 24, 2019
• Last Updated: May 25, 2022

Record last verified: 2022-04

Locations

EG (1)