Breathing exercises for children with asthma

Macêdo, Thalita Medeiros Fernandes de; Freitas, Diana Amélia de; Chaves, Gabriela; Holloway, Elizabeth A; Mendonça, Karla Morganna Pereira Pinto de

doi:10.1002/14651858.cd011017.pub2

Cited by 26 publications

(31 citation statements)

References 48 publications

(18 reference statements)

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“…Evidence for the impact of physiotherapy interventions on asthma symptoms in children is somewhat lacking . Although a double‐blinded randomized study in 16 children found that breathing and endurance exercises at home improved asthma symptoms, the details of the breathing exercises used, the number of drop outs, and the control group were not described.…”

Section: Discussionmentioning

confidence: 99%

Assessing the impact of breathing retraining on asthma symptoms and dysfunctional breathing in children

Hepworth

Sinha

Saint

et al. 2019

Pediatric Pulmonology

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Objective To assess the impact of breathing retraining on asthma symptoms and dysfunctional breathing (DB) in children. Breathing retraining can improve DB but there is a lack of evidence in pediatrics. Methods Participants attended outpatient physiotherapy appointments and received individually tailored interventions, particularly Buteyko breathing techniques. The primary outcome was the change in the Asthma Control Test (ACT) score or change in childhood ACT (CACT) score from first to final appointment. The ACT and CACT are validated in children more than or equal to 12 years and children aged 4 to 11, respectively. The secondary outcome measure was the change in Nijmegen Questionnaire (NQ) score from first to the final appointment (score range, 0‐64) with a score of more than or equal to 23 indicating DB symptoms. Results One hundred and sixty‐nine children with asthma attended and completed a mean of six physiotherapy sessions, over a mean of 15 weeks. Patients were aged 2 to 18, mean 10 years. Fifty‐five patients were more than or equal to 12 years old and 114 were less than or equal to 11 years. One hundred and seven patients were receiving BTS/SIGN asthma guideline step 1 to 3 therapy and 62 were on step 4 to 5 therapy. The mean ACT score improved by 4.4 (P < 0.0001), the mean CACT score improved by 4.9 (P < 0.0001), and the mean NQ score change improved by −9.3 points (P < 0.0001). Conclusion In addition to standard medical therapy, individually tailored physiotherapy interventions improved asthma control and DB in children on all levels of asthma treatment. A randomized controlled study is required to determine whether these improvements are due to the intervention.

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Section: Discussionmentioning

confidence: 99%

Assessing the impact of breathing retraining on asthma symptoms and dysfunctional breathing in children

Hepworth

Sinha

Saint

et al. 2019

Pediatric Pulmonology

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“…The effect of breathing exercise in children with asthma was systematically reviewed in 2016 [ 48 ]. Only three studies [ 33 , 34 , 35 ] were eligible for this systematic review.…”

Section: Resultsmentioning

confidence: 99%

Effects of Diaphragmatic Breathing on Health: A Narrative Review

Hamasaki¹

2020

Medicines

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Background: Breathing is an essential part of life. Diaphragmatic breathing (DB) is slow and deep breathing that affects the brain and the cardiovascular, respiratory, and gastrointestinal systems through the modulation of autonomic nervous functions. However, the effects of DB on human health need to be further investigated. Methods: The author conducted a PubMed search regarding the current evidence of the effect of DB on health. Results: This review consists of a total of 10 systematic reviews and 15 randomized controlled trials (RCTs). DB appears to be effective for improving the exercise capacity and respiratory function in patients with chronic obstructive pulmonary disease (COPD). Although the effect of DB on the quality of life (QoL) of patients with asthma needs to be investigated, it may also help in reducing stress; treating eating disorders, chronic functional constipation, hypertension, migraine, and anxiety; and improving the QoL of patients with cancer and gastroesophageal reflux disease (GERD) and the cardiorespiratory fitness of patients with heart failure. Conclusions: Based on this narrative review, the exact usefulness of DB in clinical practice is unclear due to the poor quality of studies. However, it may be a feasible and practical treatment method for various disorders.

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“…[11,18,19,20] Although some systematic reviews did not include adults, they only investigated the effects of one type of physiotherapy. [21,22,23,24] Thus, we are going to include different types of physiotherapy and asthmatic children only to conduct a systematic review and meta-analysis. This systematic review will calcify the effectiveness of physiotherapy on QoL in asthmatic children and demonstrate which physiotherapy is more helpful.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of physiotherapy on quality of life in children with asthma

et al. 2019

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Background: Asthma is the most common chronic lung disease in childhood, leading to a great burden to the healthcare system worldwide. Despite the medication treatment, physiotherapy is now applied for asthmatic children aiming to improve their lung function and life quality. However, the effectiveness of physiotherapy on quality of life (QoL) in children with asthma is not clear. We are aiming to perform this study to provide some evidence to doctors on asthma treatment. Methods: PubMed, Embase and the Cochrane Library will be searched from their inception to 31 March 2019 for randomized controlled trials (RCTs) published in English, which investigated the effectiveness of physiotherapy on QoL in children with asthma. Besides, additional studies will be searched by scanning the reference lists of studies and the relevant systematic reviews. Two authors will select the studies, extract the data, and assess the risk of bias independently. Data synthesis and statistical analysis will be performed in Review manager 5.3. Stata 14.0 will be used to assess the reporting bias. Quality of evidence will be evaluated based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results: The results will provide information on the effectiveness of physiotherapy on QoL in children with asthma and further demonstrate which physiotherapy is more effective and which domain of QoL could be improved significantly. Conclusion: The findings of this study will provide the latest evidence on the effectiveness of physiotherapy on QoL in children with asthma. Prospero Registration Number: CRD42019133181.

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Breathing exercises for children with asthma

Cited by 26 publications

References 48 publications

Assessing the impact of breathing retraining on asthma symptoms and dysfunctional breathing in children

Assessing the impact of breathing retraining on asthma symptoms and dysfunctional breathing in children

Effects of Diaphragmatic Breathing on Health: A Narrative Review

Effectiveness of physiotherapy on quality of life in children with asthma

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