TITLE

Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial

AUTHOR(S)
Holloway, Elizabeth A.; West, Robert J.
PUB. DATE
December 2007
SOURCE
Thorax;Dec2007, Vol. 62 Issue 12, p1039
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: An integrated breathing and relaxation technique known as the Papworth method has been implemented by physiotherapists since the 1 960s for patients with asthma and dysfunctional breathing, but no controlled trials have been reported. This study evaluated the effectiveness of the Papworth method in a raridomised controlled triol. Methods: Eighty-five patients 136 men) were individually randomised to the control group In=46) or to the intervention group receiving five sessions of treatment by the Popworth method (n=39). Both groups received usual medical care. Assessments were undertaken at baseline post-treatment (6 months after baseline) and at 12 months. The primary outcome measure was the St George's Respiratory Symptoms Questionnaire ISGRQI. Secondary outcome measures included the Hospital Anxiety and Depression Scale IHADS), the Nijmegen dysfunctianal breathing questionnaire and objective measures of respiratory function. Results: Post-treatment and 12 month data were cuvailab e for 78 and 72 patients, respectively. At the post-treatment assessment the mean (SD) score on the SGRQ Symptom subscale was 21.8 (18.1) in the intervention group and 32.8 (20.1) in the control group (p=0.00l for the differencel. At the 12 month follow-up the corresponding figures were 24.9 (17.9) and 33.5 (15.9) (p=0.007 for the difference). SGRQ Total scores and HADS and Nilmegen scores were similarly significantly lower in the intervention group than in the control group. The groups did not differ significantly following the treatment on objective measures of respiratory function except for relaxed breathing rate. Conclusions: The Papworth method appears to ameliorate respiratory symptoms, dysfunctional breathing and adverse mood compared with usual care. Further controlled trials are warranted to confirm this finding, assess the effect in other patient groups and determine whether there is some effect on objective measures of respiratory function.
ACCESSION #
27885448

 

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