Asthma – A Disease of How We Breathe: Role of Breathing Exercises and Pranayam
To describe the role of breathing exercises or yoga and/or pranayama in the management of childhood asthma. We conducted an updated literature search and retrieved relevant literature on the role of breathing exercises or yoga and/or pranayama in the management of childhood asthma. We found that the breathing exercises or yoga and/or pranayama are generally multi-component packaged interventions, and are described as follows: Papworth technique, Buteyko technique, Yoga and/or Pranayam. These techniques primarily modify the pattern of breathing to reduce hyperventilation resulting in normalisation of CO2 level, reduction of bronchospasm and resulting breathlessness. In addition they also change the behaviour, decrease anxiety, improve immunological parameters, and improve endurance of the respiratory muscles that may ultimately help asthmatic children. We found 10 clinical trials conducted in children with asthma of varying severity, and found to benefit children with chronic (mild and moderate) and uncontrolled asthma, but not acute severe asthma. Breathing exercises or yoga and/or pranayama may benefit children with chronic (mild and moderate) and uncontrolled asthma, but not acute severe asthma. Before these techniques can be incorporated into the standard care of asthmatic children, important outcomes like quality of life, medication use, and patient reported outcomes need to be evaluated in future clinical trials.
KeywordsPediatric Asthma Yoga Pranayam Breathing exercise Lung function Allergy Quality of life
The authors are very much thankful to Dr. Nishant P Jaiswal, Scientist C, ICMR Advanced Centre for Evidence Based Child Health, PGIMER, Chandigarh, India for providing help in the database search.
JS was involved in designing the protocol for the review, reviewing the literature, statistical analysis and in writing of the manuscript. RRD was involved in reviewing the literature, data extraction, statistical analyses and in writing the paper. Both authors approved the final version of the manuscript. JS will act as the guarantor of the manuscript.
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- 1.Global Initiative for Asthma. Global strategy for asthma management and prevention. 2015. Available at: www.ginasthma.com. Accessed 26 May 2017.
- 5.Welsh EJ, Hasan M, Li P. Home-based educational interventions for children with asthma. Cochrane Database Syst Rev. 2011;10:CD008469.Google Scholar
- 8.Holloway EA. The role of the physiotherapist in the treatment of hyperventilation. In: Timmon BH, Hornsveld H, Garssen B, editors. Behavioral and Psychological Approaches to Breathing Disorders. New York: Plenom Press; 1994.Google Scholar
- 9.Bruton A, Kirby S, Arden-Close E, et al. The BREATHE study: Breathing REtraining for Asthma--Trial of Home Exercises. a protocol summary of a randomised controlled trial. Prim Care Respir J. 2013;22:PS1–7.Google Scholar
- 13.El-Helaly N, Aboel-magd MF. Ventilatory functions response to breathing training versus aerobic training in asthmatic children. Egypt J Pediatr Allergy Immunol. 2012;10:33–7.Google Scholar
- 14.Karakoç GB, Yilmaz M, Sur S, Altintas DU, Sarpel T, Kendirli SG. The effects of daily pulmonary rehabilitation program at home on childhood asthma. Allergol Immunopathol. 2000;28:12–4.Google Scholar
- 16.Sakshi MNK. Comparison of breathing exercises and aerobic exercise in asthmatic children. J Exercise Sci Physiother. 2010;6:112–9.Google Scholar
- 17.Gupta M, Jit S, Kaur P. Effectiveness of selected Yoga postures and procedures for improvement in pulmonary functions in 8-14 year old children of nasobronchial allergy. Int J Med Res Rev. 2017;5:149–55.Google Scholar
- 18.Jasrotia RB, Kanchan A. Effect of yoga on pulmonary functions in asthmatic children. Int J Life Sci Educat Res. 2013;1:110–4.Google Scholar
- 19.Azab ASR, Moawd SA, Abdul-Rahman RS. Effect of buteyko breathing exercises versus yoga training on pulmonary functions and functional capacity in children with bronchial asthma: a randomized controlled trial. Int J Therap Rehab Res. 2017;6:148–53.Google Scholar
- 32.Jiwtode MT, Rathod VR. Effect of integrated yoga module on respiratory pressures and pulmonary functions in children. Int J Res Med Sci. 2015;3:3548–52.Google Scholar