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<p>Dysfunctional breathing is an important cause of breathlessness, characterised by alterations in breathing patterns. Breathing retraining (BRtr) is believed to aid patients re-establish a normal diaphragmatic breathing pattern. Structured light plethysmography was used to assess the breathing pattern of 23 children and adolescents before and after attending a specialist BRtr clinic. It showed that a 3-month physiotherapist-led BRtr programme was associated with a significant reduction in the contribution of rib cage movement to the total change in thoracic volume and respiratory rate, which was maintained when reassessed 3&#xa0;months later, despite having persisted for the 3&#xa0;months prior to intervention. This study provides the first objective evidence that BRtr may result in sustained improvements in breathing patterns in children and adolescents with dysfunctional breathing.</p><p><i>Trial registration</i>: ClinicalTrials.gov, TRN: NCT04215341. Date of registration: 23 April 2015.<Table Float="No" ID="Taba"> <tgroup cols="2"> <colspec align="left" colname="c1" colnum="1" /> <colspec align="left" colname="c2" colnum="2" /> <tbody> <row> <entry nameend="c2" namest="c1"> <p><b>What is Known:</b></p> <p>• <i>Dysfunctional breathing has significant effects on children and adolescents, affecting academic and sport performance, social interactions and activities of daily living.</i></p> <p>• <i>Breathing retraining–based physiotherapy interventions are known to improve symptoms and quality of life in children and adolescents with dysfunctional breathing.</i></p> </entry> </row> <row> <entry nameend="c2" namest="c1"> <p><b>What is New:</b></p> <p>• <i>Breathing retraining may result in positive objective changes in the biomechanics of breathing.</i></p> <p>• <i>Objective improvements in breathing pattern are maintained for at least 3&#xa0;months after intervention.</i></p> </entry> </row> </tbody> </tgroup> </Table></p>

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Breathing retraining for paediatric dysfunctional breathing with objective improvements in breathing patterns

  • 期刊论文

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  • 发表日期：

    2026年7月30日

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  • Nicki Barker,
  • Lowri A. Thomas,
  • Mark L. Everard,
  • Heather E. Elphick

摘要

Dysfunctional breathing is an important cause of breathlessness, characterised by alterations in breathing patterns. Breathing retraining (BRtr) is believed to aid patients re-establish a normal diaphragmatic breathing pattern. Structured light plethysmography was used to assess the breathing pattern of 23 children and adolescents before and after attending a specialist BRtr clinic. It showed that a 3-month physiotherapist-led BRtr programme was associated with a significant reduction in the contribution of rib cage movement to the total change in thoracic volume and respiratory rate, which was maintained when reassessed 3 months later, despite having persisted for the 3 months prior to intervention. This study provides the first objective evidence that BRtr may result in sustained improvements in breathing patterns in children and adolescents with dysfunctional breathing.

Trial registration: ClinicalTrials.gov, TRN: NCT04215341. Date of registration: 23 April 2015.

What is Known:

• Dysfunctional breathing has significant effects on children and adolescents, affecting academic and sport performance, social interactions and activities of daily living.

• Breathing retraining–based physiotherapy interventions are known to improve symptoms and quality of life in children and adolescents with dysfunctional breathing.

What is New:

• Breathing retraining may result in positive objective changes in the biomechanics of breathing.

• Objective improvements in breathing pattern are maintained for at least 3 months after intervention.