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Explore chapters and articles related to this topic
Breathing pattern disorders in athletes
Published in John W. Dickinson, James H. Hull, Complete Guide to Respiratory Care in Athletes, 2020
John W. Dickinson, Anna Boniface
Which is of the following methods cannot provide objective measurements of breathing pattern? Opto-electronic plethysmographyStructured light plethysmographyMouth Inspiratory PressureBrompton BPATNijmegen questionnaire
Respiratory comorbidities in severe asthma: focus on the pediatric age
Published in Expert Review of Respiratory Medicine, 2023
Amelia Licari, Beatrice Andrenacci, Maria Elisa Di Cicco, Maddalena Leone, Gian Luigi Marseglia, Mariangela Tosca
Hypocapnia and emotional stress are the main pathogenetic mechanisms leading to bronchial hyperreactivity [15,70,83]. Furthermore, increased individual sensitivity to bronchial caliber changes, with exaggerated hyperventilation response to increased airway resistance, may explain the frequent association of DB and asthma [85]. DB worsen asthmatic QoL, increasing symptom perception and limiting everyday activities [15,70,83]. Diagnosis requires subjective tools such as the Nijmegen Questionnaire, focusing on hyperventilation self-perception, and more objective tools such as the Breathing Pattern Assessment Tool (BPAT), intended for doctors after at least one minute of clinical observation of the patient’s breathing [70,86]. Objective tools for DB are lacking, but their development is particularly challenging since such devices may make patients acutely aware of their breathing patterns, affecting the result. In this regard, new technologies such as structured light plethysmography might help to identify better breathing patterns in the future [87]. DB management is non-pharmacologic, with breathing exercise as the preferred chronic treatment [70]. Thoracic mobilization with the Lotorp method, cognitive behavioral therapy, and mindfulness techniques may be proposed as add-on therapies [12,70]. However, patients’ reassurance is mandatory, as is a clear explanation of the functional nature of the disease.