Reliability and Determinants of Self-Evaluation of Breathing Questionnaire (SEBQ) Score: A Symptoms-Based Measure of Dysfunctional Breathing

Mitchell, Ashleigh; Bacon, Catherine J.; Moran, Robert

doi:10.1007/s10484-015-9316-7

Cited by 19 publications

(18 citation statements)

References 39 publications

(59 reference statements)

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“…The total SEBQ score was 30 ± 17 (where the score can range from 0-75, and a higher score indicates more severe symptoms). In a sample of 180 participants from the general population, the mean ± SD was reported as 15.5 ± 11.5 [48]. Furthermore, 54.0% of the sample had a score >25, indicating significant breathing discomfort.…”

Section: Resultsmentioning

confidence: 99%

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Chronic fatigue and post-exertional malaise in people living with long COVID

Twomey

DeMars²,

Franklin

et al. 2021

Preprint

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Purpose: People living with long COVID describe a high symptom burden, and a more detailed assessment of chronic fatigue and post-exertional malaise (PEM) may inform the development of rehabilitation recommendations. The aims of this study were to use validated questionnaires to measure the severity of fatigue and compare this with normative data and thresholds for clinical relevance in other diseases; measure and describe the impact of PEM; and describe symptoms of dysfunctional breathing, self-reported physical activity/sitting time, and health-related quality of life. Methods: This was an observational study involving an online survey for adults living with long COVID (data collection from February-April, 2021) following a confirmed or suspected SARS-CoV-2 infection. Questionnaires included the Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F) and DePaul Symptom Questionnaire-Post-Exertional Malaise. Results: After data cleaning, n=213 participants were included in the analysis. Participants primarily identified as women (85.5%), aged 40-59 (78.4%), who had been experiencing long COVID symptoms for ≥6 months (72.3%). The total FACIT-F score was 18±10 (where the score can range from 0-52, and a lower score indicates more severe fatigue), and 71.4% were experiencing chronic fatigue. Post-exertional symptom exacerbation affected most participants, and 58.7% met the scoring thresholds used in people living with myalgic encephalomyelitis/chronic fatigue syndrome. PEM occurred alongside a reduced capacity to work, be physically active, and function both physically and socially. Conclusion: Long COVID is characterized by chronic fatigue that is clinically relevant and is at least as severe as fatigue in several other clinical conditions, including cancer. PEM appears to be a common and significant challenge for the majority of this patient group. Patients, researchers, and allied health professionals are seeking information on safe rehabilitation for people living with long COVID, particularly regarding exercise. Fatigue and post-exertional symptom exacerbation must be monitored and reported in studies involving interventions for people with long COVID.

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Section: Resultsmentioning

confidence: 99%

“…The 25-item Self-Evaluation of Breathing Questionnaire (SEBQ) was used to measure breathing discomfort related to perceptions of air hunger and the work or effort of breathing [48,49]. No cut-point has been validated, but in line with a recent study, we used a strict threshold of >25 as an indicator of significant breathing discomfort [50].…”

Section: Methodsmentioning

confidence: 99%

Chronic fatigue and post-exertional malaise in people living with long COVID

Twomey

DeMars²,

Franklin

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Questionnaire-based approaches, such as the Nijmegen Questionnaire and the self-evaluation of breathing questionnaire (SEBQ) [13] are commonly used in clinical practice to diagnose dysfunctional breathing. These questionnaires are limited by their degree of subjectivity since patients are asked to quantify their own symptoms; they may not necessarily notice their own symptoms or report their frequency accurately.…”

Section: Dysfunctional Breathingmentioning

confidence: 99%

Minute ventilation/carbon dioxide production in patients with dysfunctional breathing

et al. 2021

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Dysfunctional breathing refers to a multi-dimensional condition that is characterised by pathological changes in an individual's breathing. These changes lead to a feeling of breathlessness and include alterations in the biomechanical, psychological and physiological aspects of breathing. This makes dysfunctional breathing a hard condition to diagnose, given the diversity of aspects that contribute to the feeling of breathlessness. The disorder can debilitate individuals without any health problems, but may also be present in those with underlying cardiopulmonary co-morbidities. The ventilatory equivalent for CO2 (VeqCO2) is a physiological parameter that can be measured using cardiopulmonary exercise testing. This review will explore how this single measurement can be used to aid the diagnosis of dysfunctional breathing. A background discussion about dysfunctional breathing will allow readers to comprehend its multidimensional aspects. This will then allow readers to understand how VeqCO2 can be used in the wider diagnosis of dysfunctional breathing. Whilst VeqCO2 cannot be used as a singular parameter in the diagnosis of dysfunctional breathing, this review supports its use within a broader algorithm to detect physiological abnormalities in patients with dysfunctional breathing. This will allow for more individuals to be accurately diagnosed and appropriately managed.

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“…30 The Self-Evaluation of Breathing Questionnaire (SEBQ), Version 3 31 is a questionnaire that includes 25 questions to determine selfperception of breathing dysfunction. Test-retest reliability has been shown to be high 32 and a cut score of ≥ 25 on the SEBQ was utilized to define DB for this study. The SEBQ is a new tool, and there is no established cut-score confirmed in the literature to define those with this dimension of breathing dysfunction.…”

Section: Psychophysiological Dimensionmentioning

confidence: 99%

Development of a Screening Protocol to Identify Individuals With Dysfunctional Breathing

Kiesel

Rhodes

Mueller

et al. 2017

Intl J Sports Phys Ther

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Introduction: Dysfunctional breathing (DB) has been linked to health conditions including low back pain and neck pain and adversely effects the musculoskeletal system. Individuals with DB often have decreased pain thresholds and impaired motor control, balance, and movement. No single test or screen identifies DB, which is multi-dimensional, and includes biochemical, biomechanical, and psychophysiological components. Several tools assess and test for DB, but no screen exists to determine whether additional testing and assessment are indicated.Purpose/Background: The purpose of this study was to develop a breathing screening procedure that could be utilized by fitness and healthcare providers to screen for the presence of disordered breathing. A diagnostic test study approach was utilized to establish the diagnostic accuracy of the newly developed screen for DB.Methods: A convenience sample of 51 subjects (27 females, 27.0 years, BMI 23.3) were included. To test for DB related to the biochemical dimension, end-tidal CO2 (ETCO2) was measured with a capnography unit. To test for DB related to biomechanical dimension, the Hi-Lo test was utilized. To test for DB related to the psychophysiological dimension, the Self Evaluation of Breathing Symptoms Questionnaire (SEBQ) and Nijmegen questionnaires were utilized. Potential screening items that have been shown to be related to DB in previous research and that could be performed by non-health care personnel were utilized to create the index test including activity level, breath hold time (BHT), respiration rate, and the Functional Movement Screen (FMS™).Results: There were no strong correlations between the three measures of DB. Five subjects had normal breathing, 14 failed at least one measure, 20 failed at least two, and 12 failed all three. To develop screening items for each dimension, data were examined for association with failure. BHT and a four-item mini-questionnaire were identified as the most closely associated variables with failure of all three dimensions. A BHT of <25 seconds and four questions were combined and yielded a sensitivity of 0.89 (0.85-0.93) and a specificity of 0.60 (0.18-0.92) for clinical identification of DB. Conclusion:Easily obtained clinical measures of BHT and four questions can be utilized to screen for the presence of DB. If the screen is passed, there is an 89% chance that DB is not present. If the screen is failed, further assessment is recommended. Level of Evidence: 2b

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Reliability and Determinants of Self-Evaluation of Breathing Questionnaire (SEBQ) Score: A Symptoms-Based Measure of Dysfunctional Breathing

Cited by 19 publications

References 39 publications

Chronic fatigue and post-exertional malaise in people living with long COVID

Chronic fatigue and post-exertional malaise in people living with long COVID

Minute ventilation/carbon dioxide production in patients with dysfunctional breathing

Development of a Screening Protocol to Identify Individuals With Dysfunctional Breathing

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