Physiotherapy and Dysfunctional Breathing (HVS)
The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2009 by Royal Brompton & Harefield NHS Foundation Trust.
Recruitment status was Active, not recruiting
Recruitment status was Active, not recruiting
Sponsor:
Royal Brompton & Harefield NHS Foundation Trust
Information provided by:
Royal Brompton & Harefield NHS Foundation Trust
ClinicalTrials.gov Identifier:
NCT00895219
First received: May 7, 2009
Last updated: NA
Last verified: April 2009
History: No changes posted
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Purpose
Traditionally, the physiotherapy management of people with dysfunctional breathing or hyperventilation syndrome is breathing re-training. There is increasing clinical evidence that structural and functional changes develop in the muscles and connective tissues of the chest wall, abdomen and back when the upper chest accessory pattern of breathing is used over time. When treatment includes breathing techniques only it is difficult for a person with chronic hyperventilation, who has developed muscle and connective tissue changes, to revert to using the normal lower chest diaphragmatic breathing pattern. In clinical practice when the problems which have developed in the musculoskeletal system are addressed, the patient reverts more quickly to the lower chest pattern of breathing but there is as yet little evidence to support this clinical finding.
| Condition | Intervention | Phase |
|---|---|---|
|
Hyperventilation |
Other: Breathing re-training Other: Breathing re-training and musculoskeletal techniques |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Comparison of the Effects of Respiratory Physiotherapy Alone and Respiratory Physiotherapy Combined With Musculoskeletal Techniques in the Management of Dysfunctional Breathing |
Further study details as provided by Royal Brompton & Harefield NHS Foundation Trust:
Primary Outcome Measures:
- Nijmegen Questionnaire [ Time Frame: 0, 2, 4, 8, 12 and 26 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Six-minute walking test [ Time Frame: 0, 2, 4, 8, 12 & 26 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 60 |
| Study Start Date: | July 2007 |
| Estimated Study Completion Date: | December 2009 |
| Estimated Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Breathing re-training
|
Other: Breathing re-training
Breathing re-training
|
|
Active Comparator: 2
Breathing re-training and musculoskeletal physiotherapy techniques
|
Other: Breathing re-training and musculoskeletal techniques
Breathing re-training and musculoskeletal physiotherapy techniques including mobilisation techniques to normalise muscle and joint restrictions, doming of the diaphragm to enhance contraction and relaxation, and rib raising to free restriction in rib cage motion.
|
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- diagnosis of dysfunctional breathing (Nijmegen score of more than 23)
Exclusion Criteria:
- active metastatic disease
- osteoporotic disease
- dysfunctional breathing as a consequence of respiratory or cardiac disease
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00895219
Locations
| United Kingdom | |
| Royal Brompton Hospital | |
| London, United Kingdom, SW3 6NP | |
Sponsors and Collaborators
Royal Brompton & Harefield NHS Foundation Trust
Investigators
| Study Director: | Margaret E Hodson, MD | Royal Brompton & Harefield NHS Foundation Trust |
More Information
No publications provided
| Responsible Party: | Dr Jennifer A Pryor, Royal Brompton & Harefield NHS Trust |
| ClinicalTrials.gov Identifier: | NCT00895219 History of Changes |
| Other Study ID Numbers: | 06/Q0404/64 |
| Study First Received: | May 7, 2009 |
| Last Updated: | May 7, 2009 |
| Health Authority: | United Kingdom: National Health Service |
Keywords provided by Royal Brompton & Harefield NHS Foundation Trust:
|
Hyperventilation Dysfunctional breathing Physiotherapy Musculoskeletal techniques |
Additional relevant MeSH terms:
|
Respiratory Aspiration Hyperventilation Respiration Disorders |
Respiratory Tract Diseases Signs and Symptoms, Respiratory Signs and Symptoms |
ClinicalTrials.gov processed this record on May 22, 2013