Getting to grips with ‘dysfunctional breathing’

Barker, Nicki; Everard, Mark L.

doi:10.1016/j.prrv.2014.10.001

Cited by 66 publications

(112 citation statements)

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“…Firstly, breathing has the function of air transport and diffusion (lung function). Secondly, the process of expansion and contraction of the trunk not only serves as the “air pump” but has also an important function in posture and movement (biomechanical function) [17]. Thirdly, the subjective experience of breathing is an important contributor to the “sense of self” (psychic function) [18, 19].…”

Section: The Nijmegen Questionnaire Reflects a Subjective Aspect Of Dmentioning

confidence: 99%

The Nijmegen Questionnaire and dysfunctional breathing

Dixhoorn¹,

2015

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The Nijmegen Questionnaire was introduced over 30 years ago as a screening tool to detect patients with hyperventilation complaints that could benefit from breathing regulation through capnographic feedback [1]. It was validated against the Hyperventilation Provocation Test [2], on the assumption at the time that hypocapnia was causally related to complaints. In later studies, the correlation between Nijmegen Questionnaire scores and carbon dioxide tensions appeared highly variable. The diagnosis of hyperventilation syndrome (HVS) was questioned and slowly disappeared. Nevertheless, the Nijmegen Questionnaire has remained in use and we have noticed even a recent increase in studies in clinical medicine as well as requests for permission to use the Nijmegen Questionnaire in new studies. We would like to formally declare here that the Nijmegen Questionnaire is not copyrighted and is free to use. It has been or will be translated, as far as we know, into Greek, Farsi, Finnish, Norwegian, Swedish, Spanish, Filipino and Chinese. However, the validity of the Nijmegen Questionnaire is often a point of discussion and we would like to make a few comments on that issue [3].

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Section: The Nijmegen Questionnaire Reflects a Subjective Aspect Of Dmentioning

confidence: 99%

The Nijmegen Questionnaire and dysfunctional breathing

Dixhoorn¹,

2015

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“…Dysfunctional breathing affects children (and adults) and is primarily characterised by abnormal breathing patterns [1–5]. These patterns most commonly present as excessive upper chest and accessory muscle activity with the diaphragm contributing little to changes in thoracic volume.…”

Section: Introductionmentioning

confidence: 99%

“…In children and adolescents the most common symptoms of dysfunctional breathing are breathlessness (at rest or with exercise), chest tightness, chest pain, deep sighing and frequent yawning [1, 2]. These symptoms are usually episodic, although they can be persistent.…”

Section: Introductionmentioning

confidence: 99%

The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing

2016

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Dysfunctional breathing is a significant cause of morbidity, adversely affecting an individual's quality of life. There is currently no data from paediatric centres on the impact of breathing retraining for dysfunctional breathing.Symptoms and quality of life were measured in 34 subjects referred sequentially for breathing retraining to the first dedicated paediatric dysfunctional breathing clinic in the UK. Data were obtained prior to the first intervention (time point 1), at discharge (time point 2) and by post 6 months later (time point 3).The mean (interquartile range) age of participants was 13.3 (9.1–16.3) years, with 52% female. Data were obtained at time points 2 and 3 in 23 and 13 subjects, respectively.Statistically significant improvements were observed in symptom scores, child quality of life and parental proxy quality of life between time points 1 and 2 (p<0.0001), while there was no significant difference in the data at time point 3 as compared with time point 2.This study suggests that physiotherapist-led breathing retraining offers significant benefit to young people with dysfunctional breathing which is maintained for at least 6 months after treatment is completed. Future studies will provide more information on the long-term effects of interventions for dysfunctional breathing.

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“…vocal cord dysfunction) forms of DB. [3,7] Symptoms arising from DB may occur independently of other medical conditions or secondary to them. [4,8,9] DB is also strongly associated with anxiety and affective states.…”

Section: Introductionmentioning

confidence: 99%