Exercise intervention for individuals with dysfunctional breathing: a matched controlled trial
Open accessAbstract
Introduction Dysfunctional breathing (DB) is common (60-80%) in adults. Individuals with DB may have decreased pain thresholds, impaired motor control and balance, and movement dysfunction. These impairments likely adversely affect performance. Research has demonstrated that DB is multi-dimensional and includes biochemical, biomechanical, and psychophysiological categories. Purpose The purpose of this study was to test the impact of breathing exercises in an otherwise healthy population of individuals diagnosed with at least one category of DB. It was hypothesized that the exercise program would normalize at least one category of DB. Methods An experimental group with DB was recruited, then the control group was matched for gender, age, BMI and activity. Baseline breathing metrics were obtained for each category of breathing dysfunction: capnography for biochemical (ETCO2 of Results Thirty-five individuals comprised the participant sample (16 experimental, 19 control, mean age 26.0 years, mean BMI of 24.3). There were no statistically significant differences between groups at baseline. Eighty-one percent of subjects in the experimental group improved in at least one category compared to 21% of subjects in the control group. Seventy-eight percent of subjects with biomechanical category of DB in the experimental group normalized this dysfunction, while none normalized in the control group, which was statistically significantly different. Twenty-seven percent of subjects with bi…
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Various studies report DB prevalence in the general population ranging from 6-10% but with some estimates reaching up to 60-80%, particularly in patients with asthma.
“Various studies report its prevalence in the general population ranging from 6-10% but with some estimates reaching up to 60-80%, particularly in patients with asthma (6,7).”
From How is dysfunctional breathing characterised in the clinical literature? A scoping review (2026) · cites this paper as [7]
Four classification systems for DB have been proposed.
“Four classification systems for DB have been proposed, as referenced in sources (4,7,8,10), with further details provided in Supplementary Materials 2.”
From How is dysfunctional breathing characterised in the clinical literature? A scoping review (2026) · cites this paper as [7]
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References 30 · Cited by 15
- Authors
- Kiesel, K., Burklow, M., Garner, M. B., Hayden, J., Hermann, A., Kingshott, E., McCullough, G., Ricard, R., Stubblefield, G., Volz, J., Waskiewicz, D., & Englert, A.
- Affiliations
- University of Evansville (US)
- Encompass Health (United States) (US)
- Gibson Area Hospital and Health Services (US)
- Orthopedic and Sports Physical Therapy, Richmond, KY, USA
- ProRehab PC, Evansville, IN, USA
- Skyline Medical Center, Nashville, TN, USA
- ProRehab PC, Louisville, KY, USA
- OhioHealth Mansfield Hospital (US)
- Venue
- International Journal of Sports Physical Therapy
- Published
- 2020-02
- Volume
- 15
- Issue
- 1
- Pages
- 114-125
- ISSN
- 2159-2896 (ISSN-L)
- PMC
- PMC7015034
- OpenAlex
- W3008582780
- Cited by
- 15
- References
- 30
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 1 · 2022: 2
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- International Journal of Sports Physical Therapy (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- dysfunctional breathing, breathing exercises, paradoxical breathing, capnography, end-tidal carbon dioxide, Nijmegen questionnaire, healthy adults, exercise rehabilitation, pain threshold, motor control, balance, movement dysfunction, exercise adherence
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