title: The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing.
abstract: Dysfunctional breathing is a significant cause of morbidity, adversely affecting an individual's quality of life. There is currently no data from paediatric centres on the impact of breathing retraining for dysfunctional breathing. Symptoms and quality of life were measured in 34 subjects referred sequentially for breathing retraining to the first dedicated paediatric dysfunctional breathing clinic in the UK. Data were obtained prior to the first intervention (time point 1), at discharge (time point 2) and by post 6 months later (time point 3). The mean (interquartile range) age of participants was 13.3 (9.1-16.3) years, with 52% female. Data were obtained at time points 2 and 3 in 23 and 13 subjects, respectively. Statistically significant improvements were observed in symptom scores, child quality of life and parental proxy quality of life between time points 1 and 2 (p<0.0001), while there was no significant difference in the data at time point 3 as compared with time point 2. This study suggests that physiotherapist-led breathing retraining offers significant benefit to young people with dysfunctional breathing which is maintained for at least 6 months after treatment is completed. Future studies will provide more information on the long-term effects of interventions for dysfunctional breathing.
authors.affiliation: Dept of Respiratory Medicine, Sheffield Children's Hospital, Sheffield, UK.
authors.forename: Nicola J
authors.identifier: 0000-0002-7308-8651
authors.initials: NJ
authors.lastname: Barker
authors.affiliation: Dept of Respiratory Medicine, Sheffield Children's Hospital, Sheffield, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Elphick
authors.affiliation: School of Paediatrics and Child Health, University of Western Australia, TelethonKids Institute, Princess Margaret Hospital for Children, Subiaco, Australia.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Everard