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Breathing pattern recordings using respiratory inductive plethysmography, before and after a physiotherapy breathing retraining programme for asthma: a case report

Breathing pattern recordings using respiratory inductive plethysmography, before and after a physiotherapy breathing retraining programme for asthma: a case report
Breathing pattern recordings using respiratory inductive plethysmography, before and after a physiotherapy breathing retraining programme for asthma: a case report
Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does result in measurable changes in breathing pattern. In this case report we describe the effects of physiotherapy BR on a 57-year-old female with a 10-year history of asthma. Data were collected before and after a physiotherapy BR program comprising three sessions over 18 weeks: breathing pattern (respiratory inductive plethysmography (RIP); physiology (end tidal carbon dioxide (ETCO2), heart rate, oxygen saturations, spirometric lung function); questionnaires (Asthma Control Questionnaire (ACQ), Hospital Anxiety and Depression Score, Nijmegen Questionnaire); and medication usage. After BR, the patient’s symptoms improved. Her physiology was largely unchanged, although her FEV1 increased by 0.12L, peak flow by 21L/min. The patient reported using less Salbutamol, yet her asthma control improved (ACQ down 1.5). Her Nijmegen score dropped from positive to negative for hyperventilation (from 39 to 7). Her anxiety-depression levels both reduced into ‘normal’ ranges. The patient’s expiratory time increased, with longer respiratory cycles and slower respiratory rate. No changes were seen in relative contributions of ribcage and abdomen. Controlled trials are now needed to determine the generalizability of these findings.
0959-3985
Tehrany, R.
aeb87093-01bb-48af-b69d-ae0275052242
DeVos, R.
8f407282-b03c-4923-81f3-54ef266fb95a
Bruton, A.
9f8b6076-6558-4d99-b7c8-72b03796ed95
Tehrany, R.
aeb87093-01bb-48af-b69d-ae0275052242
DeVos, R.
8f407282-b03c-4923-81f3-54ef266fb95a
Bruton, A.
9f8b6076-6558-4d99-b7c8-72b03796ed95

Tehrany, R., DeVos, R. and Bruton, A. (2017) Breathing pattern recordings using respiratory inductive plethysmography, before and after a physiotherapy breathing retraining programme for asthma: a case report. Physiotherapy Theory and Practice. (doi:10.1080/09593985.2017.1400139).

Record type: Article

Abstract

Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does result in measurable changes in breathing pattern. In this case report we describe the effects of physiotherapy BR on a 57-year-old female with a 10-year history of asthma. Data were collected before and after a physiotherapy BR program comprising three sessions over 18 weeks: breathing pattern (respiratory inductive plethysmography (RIP); physiology (end tidal carbon dioxide (ETCO2), heart rate, oxygen saturations, spirometric lung function); questionnaires (Asthma Control Questionnaire (ACQ), Hospital Anxiety and Depression Score, Nijmegen Questionnaire); and medication usage. After BR, the patient’s symptoms improved. Her physiology was largely unchanged, although her FEV1 increased by 0.12L, peak flow by 21L/min. The patient reported using less Salbutamol, yet her asthma control improved (ACQ down 1.5). Her Nijmegen score dropped from positive to negative for hyperventilation (from 39 to 7). Her anxiety-depression levels both reduced into ‘normal’ ranges. The patient’s expiratory time increased, with longer respiratory cycles and slower respiratory rate. No changes were seen in relative contributions of ribcage and abdomen. Controlled trials are now needed to determine the generalizability of these findings.

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Breathing pattern recordings using respiratory inductive plethysmography, before and after a physiotherapy breathing retraining programme for asthma: a case report - Accepted Manuscript
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More information

Accepted/In Press date: 11 February 2017
e-pub ahead of print date: 10 November 2017
Organisations: Researcher Development

Identifiers

Local EPrints ID: 406339
URI: http://eprints.soton.ac.uk/id/eprint/406339
ISSN: 0959-3985
PURE UUID: ee8497cf-76b3-477a-be9f-4af893e133e4
ORCID for A. Bruton: ORCID iD orcid.org/0000-0002-4550-2536

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Date deposited: 10 Mar 2017 10:45
Last modified: 16 Mar 2024 05:04

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Contributors

Author: R. Tehrany
Author: R. DeVos
Author: A. Bruton ORCID iD

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