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.

ERJ Open Research
|December 14, 2016
PubMed

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.

Related Concept Videos

Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
2.3K
Breathing01:05

Breathing

The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...
65.7K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
778
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
1.1K
Respiratory System Abnormal Finding I: Inspection and Percussion01:30

Respiratory System Abnormal Finding I: Inspection and Percussion

Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
1.0K
Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
2.2K