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Respiratory rehabilitation: a physiotherapy approach to the control of asthma symptoms and anxiety
Laurino, Renata André; Barnabé, Viviane; Saraiva-Romanholo, Beatriz M.; Stelmach, Rafael; Cukier, Alberto; Nunes, Maria do Patrocínio T..
  • Laurino, Renata André; Universidade de São Paulo. Faculdade de Medicina. Department of Medicine. São Paulo. BR
  • Barnabé, Viviane; Universidade de São Paulo. Faculdade de Medicina. Department of Medicine. São Paulo. BR
  • Saraiva-Romanholo, Beatriz M.; Universidade de São Paulo. Faculdade de Medicina. Department of Medicine. São Paulo. BR
  • Stelmach, Rafael; Universidade de São Paulo. Hospital das Clínicas. Heart Institute (InCor). Pulmonary Division. São Paulo. BR
  • Cukier, Alberto; Universidade de São Paulo. Hospital das Clínicas. Heart Institute (InCor). Pulmonary Division. São Paulo. BR
  • Nunes, Maria do Patrocínio T.; Universidade de São Paulo. Faculdade de Medicina. Department of Medicine. São Paulo. BR
Clinics ; 67(11): 1291-1297, Nov. 2012. tab
Article in English | LILACS | ID: lil-656720
ABSTRACT

OBJECTIVES:

The objectives of this study were to verify the degree of anxiety, respiratory distress, and health-related quality of life in a group of asthmatic patients who have experienced previous panic attacks. Additionally, we evaluated if a respiratory physiotherapy program (breathing retraining) improved both asthma and panic disorder symptoms, resulting in an improvement in the health-related quality of life of asthmatics.

METHODS:

Asthmatic individuals were assigned to a chest physiotherapy group that included a breathing retraining program held once a week for three months or a paired control group that included a Subtle Touch program. All patients were assessed using the Diagnostic and Statistical Manual of Mental Disorders IV, the Sheehan Anxiety Scale, the Quality of Life Questionnaire, and spirometry parameter measurements.

RESULTS:

Both groups had high marks for panic disorder and agoraphobia, which limited their quality of life. The Breathing Retraining Group program improved the clinical control of asthma, reduced panic symptoms and agoraphobia, decreased patient scores on the Sheehan Anxiety Scale, and improved their quality of life. Spirometry parameters were unchanged.

CONCLUSION:

Breathing retraining improves the clinical control of asthma and anxiety symptoms and the health-related quality of life in asthmatic patients.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Anxiety Disorders / Asthma / Breathing Exercises Type of study: Controlled clinical trial / Diagnostic study / Practice guideline Limits: Adult / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Anxiety Disorders / Asthma / Breathing Exercises Type of study: Controlled clinical trial / Diagnostic study / Practice guideline Limits: Adult / Female / Humans / Male Language: English Journal: Clinics Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR