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Comparative Effects of Buteyko Versus Pilates Breathing Combined With McKenzie Neck Exercises on Lung Function and Chest Expansion in Asthmatic Patients With Forward Head Posture

RECRUITINGN/ASponsored by Foundation University Islamabad
Actively Recruiting
PhaseN/A
SponsorFoundation University Islamabad
Started2025-08-20
Est. completion2026-01-01
Eligibility
Age18 Years – 40 Years
Healthy vol.Accepted
View on ClinicalTrials.gov →

NCT07289789

Summary

Asthma is characterized by airway inflammation and hyperinflation that flattens the diaphragm and increases reliance on accessory neck muscles. Chronic overuse shortens these muscles and promotes forward head posture (FHP), which in turn compromises rib-cage motion and respiratory mechanics. Correcting FHP alongside breathing retraining may therefore improve lung function and symptoms in asthma. This interventional, parallel-group study investigates the combined effects of McKenzie neck exercises with two different breathing approaches on lung function, chest expansion, posture, and quality of life in adults with asthma. Participants are allocated to two groups for a 4-week program: Group A performs McKenzie neck exercises plus Pilates-based breathing; Group B performs McKenzie neck exercises plus Buteyko breathing.

Eligibility

Age: 18 Years – 40 YearsHealthy volunteers accepted
Inclusion Criteria:

* Age group 18-40years
* Both males and females
* Individuals clinically diagnosed with asthma that is well controlled (Level 1 and Level 2) with FHP
* Not participated in any structured exercise regime for improving lung function during the past 6 months.
* Individuals well tolerated with a current exercise plan of combination exercises. (Buteyko breathing/Pilate breathing and McKenzie neck exercises

Exclusion Criteria:

* -Level 3 and 4 asthma or status asthmatics.
* Any congenital deformity of the chest wall
* Any active infections like fever, TB
* Those with any contraindication to exercise testing or training.
* Recent history of any chest wall trauma
* Any abdominal or cardio thoracic surgery
* Any psychiatric illness
* Unstable Cardiopulmonary disease i.e. unstable angina, heart failure, recent MI.
* Unstable hemodynamic parameters (arterial pressure \>140mmhg systolic and \>90mmhg for diastolic
* Pregnancy
* Previous or parallel participation in interventional programs.

Conditions1

Asthma

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