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Breathing retraining

Hui-Ya Chan, Yu-Tzu Dai, I-Ching Hou
PURPOSE: Tablet computers are a convenient audio-visual aid for patient education. Teaching patients with chronic obstructive pulmonary disorder (COPD) appropriate therapeutic breathing techniques and encouraging them to practice regularly has been recognized as an effective care strategy. The purpose of this study was to evaluate the effectiveness of using a tablet computer with the Breathing Easier Support Toolkit (BEST), a supplemental software application we developed that instructs and assists COPD patients during the process of respiratory retraining...
October 2016: International Journal of Medical Informatics
Julie Depiazzi, Mark L Everard
Excessive exercise-induced shortness of breath is a common complaint. For some, exercise-induced bronchoconstriction is the primary cause and for a small minority there may be an alternative organic pathology. However for many, the cause will be simply reaching their physiological limit or be due to a functional form of dysfunctional breathing, neither of which require drug therapy.The physiological limit category includes deconditioned individuals, such as those who have been through intensive care and require rehabilitation, as well as the unfit and the fit competitive athlete who has reached their limit with both of these latter groups requiring explanation and advice...
June 2016: Breathe
S Gunay, I Eser, M Ozbey, M Agar, I Koruk, I C Kurkcuoglu
INTRODUCTION: Although the methods used in thoracic surgery have been developing rapidly over the last five decades, postoperative pulmonary complications are seen in this field more than in other surgical branches. We aimed at comparing the acute effects of incentive spirometry (IS) and breathing retraining exercises by a respiratory physiotherapist or experienced physiotherapist. METHODS: Patients were randomized into two groups as spirometry and physiotherapist...
May 2016: Nigerian Journal of Clinical Practice
Katri Nieminen, Gerhard Andersson, Barbro Wijma, Elsa-Lena Ryding, Klaas Wijma
OBJECTIVE: The aim of the present study was to test the feasibility of Internet interventions among nulliparous women suffering from severe fear of childbirth (FOC) by means of an Internet-delivered therapist-supported self-help program based on cognitive behavioral therapy (ICBT). DESIGN: Prospective, longitudinal cohort study. SETTING: A feasibility study of an ICBT program for the treatment of severe FOC in pregnant women. SAMPLE: Twenty-eight Swedish-speaking nulliparous women with severe FOC recruited via a project home page from January 2012 to December 2013...
2016: Journal of Psychosomatic Obstetrics and Gynaecology
Michele Vitacca, Luca Barbano, Fabio Vanoglio, Alberto Luisa, Palmira Bernocchi, Amerigo Giordano, Mara Paneroni
OBJECTIVE: This study aims to determine whether a 6-month home physiotherapy program can improve outcomes in critical care survivors. DESIGN: Forty-eight consecutive patients were randomized. The treatment group underwent 2 sessions/day of breathing retraining and bronchial hygiene, physical activity (mobilization, sit-to-stand gait, limb strengthening), and exercise re-conditioning whereas controls underwent standard care. Maximum inspiratory/expiratory pressures (MIP/MEP), forced volumes, blood gases, dyspnea, respiratory rate, disability, peripheral force measurements, perceived health status (Euroquol-5D), patient adherence/satisfaction, safety, and costs were assessed...
August 2016: American Journal of Physical Medicine & Rehabilitation
Brian Tiep, Virginia Sun, Marianna Koczywas, Jae Kim, Dan Raz, Arti Hurria, Jennifer Hayter
Pulmonary rehabilitation, as a quality of life intervention, has a role to play in palliative care for lung cancer patients. Combining the art and skills of clinical care, physiological, and behavioral tools, pulmonary rehabilitation can serve to rebuild the functional capacity of patients limited by breathlessness and deconditioning. Exercise programs are the primary tool used to restore and rebuild the patient's endurance by challenging the entire pathway of oxygen transport and improving gas exchange. Other tools of pulmonary rehabilitation include breathing retraining, self-management skills, airway clearance techniques, bronchodilitation, smoking cessation and oxygen therapy...
October 2015: Journal of Hospice and Palliative Nursing: JHPN
Robert N Cuyler
Kim and colleagues (2015) explored influences on clinical outcomes related to nonspecific therapeutic factors, addressing the importance of client expectancy and development of the therapeutic alliance. In the process, however, the authors carry forward conclusions from their prior research on treatment of panic that two opposing breathing retraining protocols are equally effective. Neither the experimental design nor the sample size of the current or previous study warrants reaching those conclusions. This commentary examines the findings of the current and previous studies and points to consistent trends that suggest that breathing retraining of panic patients may be enhanced by protocols aimed at raising exhaled CO2...
2015: Bulletin of the Menninger Clinic
Quynh Pham, Yasmin Khatib, Stephen Stansfeld, Simon Fox, Tobias Green
OBJECTIVE: Meeting the complex needs of patients with chronic common mental health disorders (CMHDs) may be the greatest challenge facing organized medical practice. On the basis of a well-established and proven theoretical foundation for controlled respiration as a behavioral intervention for CMHDs, as well as preliminary evidence that gamification can improve health outcomes through increasing patient engagement, this randomized controlled pilot study evaluated the feasibility and clinical efficacy of a mobile health game called "Flowy" ( www...
February 2016: Games for Health
Whitney Janee Raglin Bignall, Christina Marie Luberto, Adrianne Falkenberg Cornette, Monzer Haj-Hamed, Sian Cotton
OBJECTIVE: Asthma affects approximately seven million children/adolescents in the USA, with African-American children disproportionately affected. Breathing retraining techniques have been shown to improve asthma outcomes in adults, though research in youth is limited. The purpose of this pilot study was to test the feasibility and preliminary efficacy of a school-based randomized controlled trial of breathing retraining for asthma outcomes and anxiety symptoms in a sample of urban, African-American adolescents...
2015: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Yaewon Seo, Bernice Yates, Louise LaFramboise, Bunny Pozehl, Joseph F Norman, Melody Hertzog
Dyspnea limits physical activity and functional status in heart failure patients. This feasibility study examined effects of a diaphragmatic breathing retraining (DBR) intervention delivered over 8 weeks with follow-up at 5 months. The intervention group (n = 18) was trained at baseline and received four telephone calls. An attention control group (n = 18) received four telephone calls with general health information. Results from linear mixed model analysis with effect sizes (η(2)) showed dyspnea improved in both groups, with little difference between groups...
March 2016: Western Journal of Nursing Research
Giuseppe De Simone, Giovanna Aquino, Claudio Di Gioia, Gennaro Mazzarella, Andrea Bianco, Giuseppe Calcagno
INTRODUCTION: Combined pulmonary fibrosis and emphysema has recently been recognized as a syndrome but remains under-diagnosed. Neither clinical management nor therapeutic approaches have been clearly defined. Pulmonary rehabilitation has not been considered within the therapeutic options for combined pulmonary fibrosis and emphysema. In this case we explored the potential benefits of a specific aerobic physical retraining program in the management of combined pulmonary fibrosis and emphysema...
2015: Journal of Medical Case Reports
Kim T Mueser, Jennifer D Gottlieb, Haiyi Xie, Weili Lu, Philip T Yanos, Stanley D Rosenberg, Steven M Silverstein, Stephanie Marcello Duva, Shula Minsky, Rosemarie S Wolfe, Gregory J McHugo
BACKGROUND: A cognitive-behavioural therapy (CBT) programme designed for post-traumatic stress disorder (PTSD) in people with severe mental illness, including breathing retraining, education and cognitive restructuring, was shown to be more effective than usual services. AIMS: To evaluate the incremental benefit of adding cognitive restructuring to the breathing retraining and education components of the CBT programme (trial registration: identifier: NCT00494650)...
June 2015: British Journal of Psychiatry: the Journal of Mental Science
Joerg Rottmann, Ross Berbeco
PURPOSE: Precise prediction of respiratory motion is a prerequisite for real-time motion compensation techniques such as beam, dynamic couch, or dynamic multileaf collimator tracking. Collection of tumor motion data to train the prediction model is required for most algorithms. To avoid exposure of patients to additional dose from imaging during this procedure, the feasibility of training a linear respiratory motion prediction model with an external surrogate signal is investigated and its performance benchmarked against training the model with tumor positions directly...
December 2014: Medical Physics
Mandy Jones, Fiona Troup, John Nugus, Michael Roughton, Margaret Hodson, Charlotte Rayner, Frances Bowen, Jennifer Pryor
PURPOSE: Dysfunctional breathing (DB) is associated with an abnormal breathing pattern, unexplained breathlessness and significant patient morbidity. Treatment involves breathing retraining through respiratory physiotherapy. Recently, manual therapy (MT) has also been used, but no evidence exists to validate its use. This study sought to investigate whether MT produces additional benefit when compared with breathing retraining alone in patients with DB. METHODS: Sixty subjects with primary DB were randomised into either breathing retraining (standard treatment; n = 30) or breathing retraining plus MT (intervention; n = 30) group...
2015: Disability and Rehabilitation
Richella Ryan, Anna Spathis, Sara Booth
PURPOSE OF REVIEW: To review the science of breathlessness and demonstrate how current therapeutic interventions for breathlessness target the known underlying mechanisms. RECENT FINDINGS: There is increasing evidence that breathlessness is experienced in multiple dimensions. The underlying mechanisms relate to the perceptual processes involved, the emotional response and the functional impact. The theory that breathlessness is perceived when there is a mismatch between the central drive to breathe and the level of ventilation remains a central concept, providing a useful theoretical framework around which many current therapies have been developed...
September 2014: Current Opinion in Supportive and Palliative Care
Priya Vijayvargiya, Johanna Iturrino, Michael Camilleri, Andrea Shin, Maria Vazquez-Roque, David A Katzka, Jill R Snuggerud, Richard J Seime
BACKGROUND: Patients with disorders of gastrointestinal function may undergo unnecessary treatment if misdiagnosed as motility disorders. OBJECTIVE: To report on clinical features, medical, surgical and psychiatric co-morbidities, and prior treatments of a patient cohort diagnosed concurrently with non-psychogenic rumination syndrome and pelvic floor dysfunction (also termed rectal evacuation disorder). METHODS: From a consecutive series (1994-2013) of 438 outpatients with rectal evacuation disorders in the practice of a single gastroenterologist at a tertiary care center, 57 adolescents or adults were diagnosed with concomitant rumination syndrome...
February 1, 2014: United European Gastroenterology Journal
Nicola J Barker, Mandy Jones, Neil E O'Connell, Mark L Everard
BACKGROUND: Dysfunctional breathing is described as chronic or recurrent changes in breathing pattern causing respiratory and non-respiratory symptoms. It is an umbrella term that encompasses hyperventilation syndrome and vocal cord dysfunction. Dysfunctional breathing affects 10% of the general population. Symptoms include dyspnoea, chest tightness, sighing and chest pain which arise secondary to alterations in respiratory pattern and rate. Little is known about dysfunctional breathing in children...
2013: Cochrane Database of Systematic Reviews
Lorraine Avisar, Arthur Shiyovich, Limor Aharonson-Daniel, Lior Nesher
BACKGROUND: Sudden cardiac death is the most common lethal manifestation of heart disease and often the first and only indicator. Prompt initiation of cardiopulmonary resuscitation (CPR) undoubtedly saves lives. Nevertheless, studies report a low level of competency of medical students in CPR, mainly due to deterioration of skills following training. OBJECTIVES: To evaluate the retention of CPR skills and confidence in delivering CPR by preclinical medical students...
October 2013: Israel Medical Association Journal: IMAJ
Eileen G Collins, Christine Jelinek, Susan O'Connell, Jolene Butler, Conor McBurney, Christopher Gozali, Domenic Reda, Franco Laghi
BACKGROUND: Breathing-retraining and helium-oxygen (heliox) have been used to improve exercise tolerance in COPD. We hypothesized that, in patients with COPD, exercise duration after exercise-training plus breathing-retraining and oxygen would be longer than after exercise-training plus heliox or after exercise-training plus oxygen alone. We also explored the short-term maintenance of gains in exercise duration after using each technique. METHODS: Of 192 COPD patients recruited, 103 were randomly assigned to exercise-training plus heliox (n = 33), exercise-training plus breathing-retraining and oxygen (n = 35) and exercise-training and oxygen (n = 35)...
February 2014: Respiratory Medicine
Amanda I Gillespie, Leah B Helou, John W Ingle, Maria Baldwin, Clark A Rosen
Vagal nerve stimulators (VNS) are implanted to treat medically refractory epilepsy and depression. The VNS stimulates the vagus nerve in the left neck. Laryngeal side effects are common and include dysphagia, dysphonia, and dyspnea. The current case study represents a patient with severe dyspnea and dysphonia, persisting even with VNS deactivation. The case demonstrates the use of voice and respiratory retraining therapy for the treatment of VNS-induced dysphonia and dyspnea. It also highlights the importance of a multidisciplinary approach, including laryngology, neurology, and speech-language pathology, in the treatment of these challenging patients...
January 2014: Journal of Voice: Official Journal of the Voice Foundation
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