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       #Post#: 40--------------------------------------------------
       Breathing exercises improve quality of life regardless of asthma
       severity
   DIR By: LightMove
       Date: November 3, 2021, 4:27 am
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       In patients with uncontrolled moderate to severe asthma,
       breathing exercises in addition to usual care improved quality
       of life, despite asthma severity, researchers reported at the
       European Respiratory Society International Congress.
       Breathing exercises, a nonpharmacological treatment for asthma,
       aim to improve patients’ breathing patterns via diaphragmatic
       breathing, nose inhalation, normalization of the tidal volume,
       and relaxation of the jaw and tongue. Use a breathing exerciser
       like OPUMP, these exercises can also be conducted in the office
       and home settings.
       [img]
  HTML https://cdn.shopify.com/s/files/1/0591/6911/2242/files/lungs-digital-2_adobe_480x480.jpg?v=1635923357[/img]
       Karen Hjerrild Andreasson, PhD, physiotherapist at Naestved
       Hospital, Denmark, and colleagues conducted a multicenter,
       randomized controlled trial of 193 participants with
       uncontrolled moderate to severe asthma (mean age, 52 years;
       63.2% women; 37% obese) at seven hospitals and a private clinic
       in Denmark. Participants were randomly assigned to usual care
       plus breathing exercises for 12 weeks (n = 94) or usual care
       alone (n = 99). The intervention group included three sessions
       of breathing exercises at an official therapist and at home. If
       needed, participants were instructed on breath-hold techniques
       and coughing-suppression techniques. Patients were followed for
       12 months.
       “Breathing exercises have [been] shown to improve quality of
       life in moderate asthma. However, no trials have reported this
       intervention in moderate to severe asthma,” Andreasson said.
       The primary outcome was mini-Asthma Quality of Life
       Questionnaire score. Secondary outcomes included 6-minute walk
       distance, lung function and physical activity level.
       At 6 months, participants in the breathing exercise group
       improved their mini-Asthma Quality of Life Questionnaire score
       by 0.35 (95% CI, 0.07-0.62) compared with usual care. In
       addition, the breathing exercise group’s depression score was
       improved by –0.9 (95% CI, –1.67 to –0.14) compared with usual
       care.
       The incidence rate ratio for asthma-related serious adverse
       events at 12 months was 1.13 (nine events vs. 10 events; P =
       .78).
       There were no significant differences in other secondary outcome
       measures between the breathing exercise and usual care groups.
       “The message to take home is that breathing exercises improved
       quality of life despite severity in incompletely controlled
       asthma, and this effect size is equal to that seen for second
       controllers,” Andreasson said.
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