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Sponsor: Naestved Hospital
Conditions: Dysfunctional Breathing in Asthma
Interventions: Breathing Exercises, Usual care
Countries: Denmark
Dyspnoe can disable patients with asthma. Dysfunctional breathing (DB), resulting in dyspnoe, can mimic or exaggerate asthma. Around every forth patient with asthma have DB. Breathing exercises (BrEX) can improve asthma-related quality of live (QOL) in less severe asthma. No study has investigated the effect of BrEX on QOL neither on level of physical activity in severe asthma. A randomised controlled multicentre trial will include 190 adults with poor asthma control (Asthma Control Questionnaire (ACQ6)-score≥0.8) from seven outpatient departments and one specialized private clinic. Patients will be allocated to either usual care (no intervention) or breathing exercises (BrEX)-treatment consisting of 12-week intervention including three physiotherapist-sessions focusing on breathing pattern modification (Papworth Method; Buteyko technique) in rest and activity and 10 minutes home-exercise twice daily. Primary outcome is change in Mini Asthma Quality of Life Questionnaire (MiniAQLQ) at six-months follow-up.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Referred from GP to a secondary, out-patient respiratory clinic for lack of asthma control * Pulmonologist-diagnosed asthma * ≥ 2 consultations at a pulmonologist-lead asthma clinic * ACQ6 ≥0.8 * Able to provide written informed consent. Exclusion Criteria: * Trained in breathing exercises by physiotherapist last 6 months * Aged \<18 * Pregnancy * Not able to speak, read or understand Danish * Any severe disease as judged by the responsible physician * Participating in another pulmonary interventional research-project.
- Silkeborg, Central Jutland, Denmark
- Bispebjerg, Danish Capital Region, Denmark
- Elsinore, Danish Capital Region, Denmark
- Hvidovre, Danish Capital Region, Denmark
- Aalborg, Region North, Denmark
- Næstved, Region Sjælland, Denmark
- Roskilde, Region Sjælland, Denmark
- Odense, Region Syddanmark, Denmark