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The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing
Nicola J Barker1, Heather Elphick1, Mark L Everard2
1Dept of Respiratory Medicine, Sheffield Children's Hospital, Sheffield, UK.
Insights
Breathing retraining significantly improved symptoms and quality of life in children with dysfunctional breathing. These benefits were sustained for at least six months post-treatment, offering a valuable intervention for young patients.
Area of Science:
- Pediatric respiratory health
- Clinical intervention studies
Background:
- Dysfunctional breathing negatively impacts children's quality of life.
- Limited data exists on breathing retraining effectiveness in pediatric populations.
- The UK's first dedicated pediatric dysfunctional breathing clinic was established.
Purpose of the Study:
- To evaluate the impact of breathing retraining on symptoms and quality of life in pediatric patients.
- To assess the short-term and medium-term effectiveness of the intervention.
Main Methods:
- A cohort of 34 children with dysfunctional breathing was enrolled.
- Symptom scores and quality of life (child and parent proxy) were measured before, immediately after, and six months post-intervention.
- Physiotherapist-led breathing retraining was the primary intervention.
Main Results:
- Significant improvements in symptom scores and quality of life were observed from pre-intervention to post-intervention (p<0.0001).
- These improvements were maintained at the six-month follow-up.
- No significant decline in outcomes was noted between discharge and the six-month mark.
Conclusions:
- Physiotherapist-led breathing retraining is an effective intervention for pediatric dysfunctional breathing.
- The positive effects of breathing retraining are sustained for at least six months.
- Further research is needed to understand long-term outcomes.
Abstract:
Dysfunctional breathing is a significant cause of morbidity, adversely affecting an individual's quality of life. There is currently no data from paediatric centres on the impact of breathing retraining for dysfunctional breathing. Symptoms and quality of life were measured in 34 subjects referred sequentially for breathing retraining to the first dedicated paediatric dysfunctional breathing clinic in the UK. Data were obtained prior to the first intervention (time point 1), at discharge (time point 2) and by post 6 months later (time point 3). The mean (interquartile range) age of participants was 13.3 (9.1-16.3) years, with 52% female. Data were obtained at time points 2 and 3 in 23 and 13 subjects, respectively. Statistically significant improvements were observed in symptom scores, child quality of life and parental proxy quality of life between time points 1 and 2 (p<0.0001), while there was no significant difference in the data at time point 3 as compared with time point 2. This study suggests that physiotherapist-led breathing retraining offers significant benefit to young people with dysfunctional breathing which is maintained for at least 6 months after treatment is completed. Future studies will provide more information on the long-term effects of interventions for dysfunctional breathing.
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