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Breathing exercises for adults with asthma

  1. Diana A Freitas1,
  2. Elizabeth A Holloway2,
  3. Selma S Bruno1,
  4. Gabriela SS Chaves1,
  5. Guilherme AF Fregonezi3,
  6. Karla MPP Mendonça3,*

Editorial Group: Cochrane Airways Group

Published Online: 1 OCT 2013

Assessed as up-to-date: 30 JAN 2013

DOI: 10.1002/14651858.CD001277.pub3


How to Cite

Freitas DA, Holloway EA, Bruno SS, Chaves GSS, Fregonezi GAF, Mendonça KMPP. Breathing exercises for adults with asthma. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD001277. DOI: 10.1002/14651858.CD001277.pub3.

Author Information

  1. 1

    Federal University of Rio Grande do Norte, Department of Physical Therapy, Natal, Rio Grande do Norte, Brazil

  2. 2

    University College London, Department of Epidemiology and Public Health, London, UK

  3. 3

    Federal University of Rio Grande do Norte, PhD Program in Physical Therapy, Natal, Rio Grande do Norte, Brazil

*Karla MPP Mendonça, PhD Program in Physical Therapy, Federal University of Rio Grande do Norte, Avenida Senador Salgado Filho, 3000, Bairro Lagoa Nova, Natal, Rio Grande do Norte, 59078-970, Brazil. kmorganna@ufrnet.br.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 1 OCT 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Bidwell 2012 {published data only}
  • Bidwell AJ, Yazel B, Davin D, Fairchild TJ, Kanaley JA. Yoga training improves quality of life in women with asthma. The Journal of Alternative and Complementary Medicine 2012;18(8):749-55.
Fluge 1994 {published data only}
  • Fluge T, Ritcher H, Fabel H, Zysno E, Wehner E, Wagner IUF. Long term effects of breathing exercises and yoga in patients with asthma. [Langzeiteffekte von Atemgymnastik und Yoga bei Patienten mit Asthma Bronchiale]. Pneumologie 1994;48:485-90.
Girodo 1992 {published data only}
  • Girodo M, Ekstrand KA, Metiver GJ. Deep diaphragmatic breathing: rehabilitation exercises for the asthmatic patient. Archives of Physiology, Medicine and Rehabilitation 1992;73:717-20.
Grammatopoulou 2011 {published data only}
  • Grammatopoulou EP, Skordilis EK, Stavrou N, Myrianthefs P, Karteroliotis K, Baltopoulos G, et al. The effect of physiotherapy-based breathing retraining on asthma control. Journal of Asthma 2011;48(6):593-601.
Holloway 2007 {published data only}
  • Holloway EA, West RJ. Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial. Thorax 2007;62(12):1039–42.
Nagarathna 1985 {published data only}
Prem 2013 {published data only}
  • Prem V, Sahoo RC, Adhikari P. Comparison of the effects of Buteyko and pranayama breathing techniques on quality of life in patients with asthma: a randomized controlled trial. Clinical Rehabilitation 2013;27(2):133-41.
Singh 2012 {published data only}
  • Singh S, Soni R, Singh KP, Tandon OP. Effect of yoga practices on pulmonary function tests including transfer factor of lung for carbon monoxide (TLCO) in asthma patients. Indian Journal of Physiology and Pharmacology 2012;56(1):63-8.
Sodhi 2009 {published and unpublished data}
  • Sodhi C, Singh S, Dandona PK. A study of the effect of yoga training on pulmonary functions in patients with bronchial asthma. Indian Journal of Physiology and Pharmacology 2009;53(2):169-74.
Thomas 2003 {published data only}
Thomas 2009 {published data only}
Vedanthan 1998 {published data only}
  • Vedanthan PK, Kasavalu LN, Mutthy KC, Duvall K, Hall MJ, Baker S, et al. Clinical study of yoga techniques in university students with asthma: a controlled study. Allergy and Asthma Proceedings 1998;19(1):3-9.
Vempati 2009 {published data only}
  • Vempati R, Bijlani RL, Deepak KK. The efficacy of a comprehensive lifestyle modification programme based on yoga in the management of bronchial asthma: a randomized controlled trial. BMC Pulmonary Medicine 2009;30(9):10.1186/1471-2466-9-37.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Aleksandrov 1990 {published data only}
  • Aleksandrov. [Russian]. Terapevticheskii Arkhiv 1990.
Anonymous 1968 {published data only}
Asher 1990 {published data only}
Berlowitz 1995 {published data only}
Bobokhodzhaev 1984 {published data only}
  • Bobokhodzhaev II, Rudoi DG, Bobkhodzhaev OI, Kovaleva IF, Vlasova IF. Effectiveness of the early inclusion of physical methods in the combined therapy of bronchial asthma [Russian]. Voprosy Kurortologii, Fizioterapii i Lechebnoi Fizicheskoi Kultury 1984;1:58-9.
Bowler 1998 {published data only}
  • Bowler SD, Green A, Mitchell CA. Buteyko breathing techniques in asthma: a blinded randomised controlled trial. The Medical Journal of Australia 1998;169(11-12):575-8.
Cambach 1997 {published data only}
  • Cambach W, Chadwick-Straver RVM, Wagenaar RC, van Keimpema ARJ, Kemper HCG. The effects of a community-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomized controlled trial. European Respiratory Journal 1997;10:104-13.
Cambach 1999 {published data only}
  • Cambach W, Wagenaar RC, Koelman TW, van Keimpema T, Kemper HCG. The long-term effects of pulmonary rehabilitation in patients with asthma and chronic obstructive pulmonary disease: a research synthesis.. Archives of Physical Medicine Rehabilitation 1999;80:103-11.
Coll 1994 {published data only}
  • Coll R, Tello A. Yoga in bronchial asthma letter [Yoga en el asma bronquial]. Archivos de Bronconeumologia 1994;30(7):369.
Cooper 2003 {published data only}
  • Cooper S, Oborne J, Newton S, Harrison V, Thompson Coon J, Lewis S, et al. Effect of two breathing exercises (Buteyko and pranayama) in asthma: a randomised controlled trial. Thorax 2003;58(8):674-9.
Cowie 2008 {published data only}
  • Cowie RL, Conley DP, Underwood MF, Reader PG. A randomised controlled trial of the Buteyko technique as an adjunct to conventional management of asthma. Respiratory Medicine 2008;102(5):726-32.
Emtner 1998 {unpublished data only}
  • Emtner M. Rehabilitation of adults with asthma. Doctoral Dissertation, Uppsala University Library, 1998.
Erskine 1979 {published data only}
Falkenbach 1993 {published data only}
  • Falkenbach A, Kirchner P, Richter R, Kaiser C, Schultze-Werninghaus G, Meier-Sydow J. The influence of a comprehensive respiratory therapy and educational program on the symptoms during metacholine-induced acute airway obstruction in asthmatic adults. European Journal of Physical Medicine and Rehabilitation 1993;3(3):95-100.
Gallefoss 1999 {published data only}
  • Gallefoss F, Bakke P S, Kjaersgaard P. Quality of life assessment after patient education in a randomised controlled study on asthma and chronic obstructive pulmonary disease. American Journal Respiratory Critical Care Medicine 1999;159:812-7.
Gosselink 1993 {published data only}
  • Gosselink HAAM, Wagenaar RC. Efficacy of breathing exercises in chronic obstructive pulmonary disease and asthma. Journal of Rehabilitation Sciences 1993;6:66-79.
Holmes 1990 {published data only}
  • Holmes P. An air of hope. Nursing Times 1990;86(33):21.
Joseph 1999 {published data only}
  • Joseph CLM, Foxman B, Leickly FE, Peterson E. Ownby D. Sensitivity and specificity of asthma definitions and symptoms used in a survey of childhood asthma. Journal of Asthma 1999;36(7):565-73.
Khanam 1996 {published data only}
  • Khanam AA, Sachdevaq U, Guleria R, Deepak KK. Study of pulmonary and autonomic functions of asthma patients after yoga training. Indian Journal of Physiology and Pharmacology 1996;40(4):318-24.
Kotses 1978 {published data only}
Kurabayashi 1998 {published data only}
  • Kurabayashi H, Machida I, Handa H, Akiba T, Kubota K. Comparison of three protocols for breathing exercises during immersion in 38C water for chronic obstructive pulmonary disease. American Journal of Physical Medicine Rehabilitation 1998;77(2):145-8.
Lacasse 1997 {published data only}
Loew 1996 {published data only}
  • Loew TH, Siegfried W, Martus P, Tritt K, Hahn EG. 'Functional relaxation' reduces acute airway obstruction in asthmatics as effectively as inhaled terbutaline. Psychotherapy and Psychosomatics 1996;65:124-8.
Manocha 2002 {published data only}
Mass 1991 {published data only}
  • Mass R, Harden H, Leplow B, Wessel M, Richter R, Dahme B. A device for functional residual capacity controlled biofeedback of respiratory resistance [Ein Messaufbau zur Ruckmeldung des Atemwiderstandes unter Kontrolle der funktionellen Residualkapazitat]. Biomedizinische Technik 1991;36(4):78-85.
McFadden 1986 {published data only}
McHugh 2003 {published data only}
  • McHugh P, Aitcheson F, Duncan B, Houghton F. Buteyko Breathing Technique for asthma: an effective intervention. The New Zealand Medical Journal 2003;116(1187):U710.
Mussell 1986 {published data only}
Opat 2000 {published data only}
Paleev 1988 {published data only}
  • Paleev. [Russian]. Klinicheskaia Meditsina 1988.
Pryor 1979 {published data only}
  • Pryor J, Webber BA. An evaluation of the forced expiration technique as an adjunct to postural drainage. Physiotherapy 1979;65(10):304-7.
Redchits 1986 {published data only}
  • Redchits IV, Treumova SI. Effectiveness of the differential treatment of bronchial asthma patients on the southern coast of the Crimea [Russian]. Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury 1986;Jul-Aug(4):54-56.
Sabina 2005 {published data only}
  • Sabina AB, Williams A-L, Wall HK, Bansal S, Chupp G, Katz DL. Yoga intervention for adults with mild-to-moderate asthma: a pilot study. Annals of Allergy, Asthma, & Immunology 2005;94(5):543-8.
Saxena 2009 {published data only}
  • Saxena T, Saxena M. The effect of various breathing exercises (pranayama) in patients with bronchial asthma of mild to moderate severity. International Journal of Yoga 2009;2(1):22-5.
Schulze 2000 {published data only}
  • Schulze J, Riel B, Fischer S, Lecheler J, Hofmann D. Improvement of the quality of life by asthma training [Verbesserung der Lebensqualität durch Asthmaschulung]. Pravent-Rehabil 2000;12(3):91-8.
Shaw 2011 {published data only}
  • Shaw BS, Shaw I. Static standing posture and pulmonary function in moderate-persistent asthmatics following aerobic and diaphragmatic breathing training. Pakistan Journal of Medical Sciences 2011;27(3):549-52.
Singh 1987 {published data only}
Singh 1990 {published data only}
Slader 2006 {published data only}
  • Slader CA, Reddel HK, Spencer LM, Belousova EG, Armour CL, Bosnic-Anticevich SZ, et al. Double blind randomised controlled trial of two different breathing techniques in the management of asthma. Thorax 2006;61(2):651-6.
Smyth 1999 {published data only}
  • Smyth JM. Soeffer MH, Hurewitz A, Stone AA. The effect of tape recorded relaxation training on well being symptoms, and peak expiratory flow rate in adult asthmatics: a pilot study. Psychology and Health 1999;14:487-501.
Tandon 1978 {published data only}
van der Schans 1997 {published data only}
  • van der Schans CP, de Jong W, de Vries G, Postma DS, Koeter GH, van der Mark TW. Respiratory muscle activity and pulmonary function during acutely induced airways obstruction. Physiotherapy Research International 1997;2(3):167-94.
Weiner 1992 {published data only}
Wilson 1975 {published data only}

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Murthy 2010 {unpublished data only}
  • Effect of naturopathy interventions in bronchial asthma . Ongoing study 01/10/2009 (date of first enrolment).
Thomas 2011 {unpublished data only}
  • Study of the effectiveness of breathing training exercises taught by a physiotherapist by instructional videos/DVDs/Internet download or by face-to-face sessions in the management of asthma in adults. Ongoing study 01/11/2011.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Allen 2012
  • Allen JC, Seidel P, Schlosser T, Ramsay EE, Ge Q, Ammit AJ. Cyclin D1 in ASM cells from asthmatics is insensitive to corticosteroid inhibition. Journal of Allergy (Cairo) 2012:Article ID 307838. [DOI: 10.1155/2012/307838]
Arun 2012
  • Arun JJ, Lodha R, Kabra SK. Bronchodilatory effect of inhaled budesonide/formoterol and budesonide/salbutamol in acute asthma: a double-blind, randomized controlled trial. BMC Pediatrics 2012;12:21.
Bateman 2008
  • Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M. Global strategy for asthma management and prevention: GINA executive summary. The European Respiratory Journal 2008;31(1):143-78.
Blanc 2001
  • Blanc PD, Trupin L, Earnest G, Katz PP, Yelin EH, Eisner MD. Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis: data from a population-based survey. Chest 2001;120(5):1461-7.
Bousquet 2010
  • Bousquet J, Mantzouranis E, Cruz AA, Aït-Khaled N, Baena-Cagnani CE, Bleecker ER, et al. Uniform definition of asthma severity, control, and exacerbations: document presented for the World Health Organization Consultation on Severe Asthma. The Journal of Allergy and Clinical Immunology 2010;126(5):926-38.
Brightling 2012
Bruton 2005a
Bruton 2005b
Burgess 2011
  • Burgess J, Ekanayake B, Lowe A, Dunt D, Thien F, Dharmage SC. Systematic review of the effectiveness of breathing retraining in asthma management. Expert Review of Respiratory Medicine 2011;5(6):789-807.
Cluff 1984
  • Cluff RC. Chronic hyperventilation and its treatment by physiotherapy. Journal of the Royal Society of Medicine 1984;10(77):855-62.
CONSORT 2010
Dennis 2012
Eisner 2012
Ernst 2000
Evans 1993
Giavina-Bianchi 2010
  • Giavina-Bianchi P, Aun MV, Bisaccioni C, Agondi R, Kalil J. Difficult-to-control asthma management through the use of a specific protocol. Clinics 2010;65(9):905-18.
GINA 2011
  • Global Initiative for Asthma. Global strategy for asthma management and prevention, 2011. www.ginasthma.com (accessed August 2012).
Higgins 2011a
  • Higgins JPT, Deeks JJ. Chapter 7: Selecting studies and collecting data. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. www.cochrane-handbook.org.
Higgins 2011b
  • Higgins JPT, Altman DG, Sterne JAC. Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. www.cochrane-handbook.org.
Higgins 2011c
  • Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data and undertaking meta-analyses. In: Higgins JPT, Green S [editors]. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. www.cochrane-handbook.org.
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Holgate 2009
Holloway 1994
  • Holloway EA. The Role of the physiotherapist. In: Timmons BH, Ley R editor(s). Behavoural and Psychological Approaches to Breathing Disorders. First Edition. New York: Plenum Press, 1994:157-75.
Innocenti 1993
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Juniper 2004
  • Juniper EF, Wisniewski ME, Cox FM, Emmett AH, Nielsen KE, O'Byrne PM. Relationship between quality of life and clinical status in asthma: a factor analysis. The European Respiratory Journal 2004;23(2):287-91.
Laffey 2002
Lum 1994
  • Lum LC. Hyperventilation Syndromes. In: Ley R, Timmons BH editor(s). Behavoural and Psychological Approaches to Breathing Disorders. First Edition. New York: Plenum Press, 1994:113-23.
McCarney 2012
Moher 1994
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van den Elshout 1991
Welsh 2011
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Zhang 2010