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Updated: May 4, 2026

Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
Published on: September 16, 2019
Breathing exercises for dysfunctional breathing/hyperventilation syndrome in children
Nicola J Barker1, Mandy Jones, Neil E O'Connell
1Respiratory Medicine, Sheffield Children's NHS Foundation Trust, Sheffield, UK, S10 2TH.
This review found no studies on breathing retraining for children with dysfunctional breathing. More research is urgently needed to determine its effectiveness and safety in this population.
Area of Science:
- Pediatric Respiratory Medicine
- Clinical Trials Methodology
Background:
- Dysfunctional breathing (DB) affects 10% of the population, causing respiratory and non-respiratory symptoms.
- DB in children, particularly those with asthma, is understudied and linked to poorer asthma control.
- Breathing retraining is a recommended treatment for adults but lacks evidence and guidelines for children.
Purpose of the Study:
- To evaluate the effectiveness of breathing retraining in improving quality of life for children with dysfunctional breathing.
- To identify any adverse effects associated with breathing retraining interventions in pediatric populations.
Main Methods:
- A systematic review of randomized, quasi-randomized, or cluster-randomized controlled trials was conducted.
- Searches included electronic databases (CENTRAL, MEDLINE, EMBASE) and trial registries up to October 2013.
- Inclusion criteria specified children up to 18 years with dysfunctional breathing, excluding observational and cross-over studies.
Main Results:
- A comprehensive search identified 264 potential trials and reviews.
- After screening, six full-text papers were evaluated but did not meet the inclusion criteria.
- No suitable studies were found for inclusion in this systematic review.
Conclusions:
- The current lack of suitable trials prevents informing clinical practice regarding breathing retraining for children with dysfunctional breathing.
- It remains unknown if breathing retraining offers benefits or if specific techniques are superior in this pediatric group.
- There is an urgent need for well-designed clinical trials adhering to CONSORT standards and utilizing validated outcomes.
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