Physiotherapy assessment of breathlessness and disordered patterns of breathing: Defining a consensus on terminology and assessment.

IF 3.5 3区 医学 Q2 RESPIRATORY SYSTEM
Chronic Respiratory Disease Pub Date : 2025-01-01 Epub Date: 2025-03-14 DOI:10.1177/14799731251315483
Lizzie Jf Grillo, Izzie Easton, Fiona M Schreuder, Adam Lewis, Chloe I Bloom, Nicholas S Hopkinson, Harriet Shannon, Anne-Marie Russell
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引用次数: 0

Abstract

Introduction: Abnormal breathing patterns unexplained by pathophysiology are typically referred to using terms including chronic breathlessness syndrome or complex breathlessness. Often patients with these conditions are referred to physiotherapy for an assessment of this breathlessness, where some are diagnosed with breathing pattern disorder (BrPD) or dysfunctional breathing (DB). The condition seen in physiotherapy occurs in at least 10% of the general population, increasing to 29-40% with coexisting conditions. Inconsistency in the nomenclature and physiotherapy assessment reduces recognition of the condition and hinders development in this area. Aims of the study: To establish expert physiotherapists' consensus on terminology to describe this condition and provide guidance for its physiotherapy assessment. Participants and methods: The opinions and experiences of ten respiratory physiotherapists, nine other clinicians (doctors, nurses, and speech and language therapists), and five patients diagnosed with BrPD were explored in focus groups or interviews regarding the terminology used and assessment experience. A second separate purposive sample of clinical expert physiotherapists (n = 11) took part in a nominal group technique (NGT) process to build consensus on the following questions: Question 1: What is your preferred term for this condition? Question 2: What are the most important assessment components to be included in all assessments? Results: One focus group (n = 10) and 14 interviews were completed. Framework analysis of the data from focus groups and interviews was undertaken and these results were shared with the participants in the nominal group. Consensus (71%) for the term breathing pattern disorder (BrPD) was achieved and an assessment guide was created. Conclusion: With improved consistency in its description and assessment, the adoption of breathing pattern disorder may help to further develop clinical and research priorities in this area within physiotherapy services.

简介病理生理学无法解释的异常呼吸模式通常被称为慢性呼吸困难综合症或复杂性呼吸困难。通常情况下,患有这些疾病的患者会被转诊至物理治疗部门,以便对这种呼吸困难进行评估,其中一些患者被诊断为呼吸模式紊乱(BrPD)或呼吸功能障碍(DB)。在物理治疗中,至少有 10% 的普通人群会出现这种情况,如果同时患有其他疾病,比例会增加到 29-40%。术语和物理治疗评估的不一致降低了对该病症的识别率,阻碍了该领域的发展。研究目的建立物理治疗专家对描述该病症的术语的共识,并为物理治疗评估提供指导。参与者和方法:通过焦点小组或访谈的形式,探讨了 10 名呼吸道物理治疗师、9 名其他临床医生(医生、护士、言语和语言治疗师)以及 5 名确诊为 BrPD 患者在术语使用和评估经验方面的观点和经验。第二组有目的性的临床物理治疗专家样本(n = 11)参加了一个名义小组技术(NGT)过程,以就以下问题达成共识:问题 1:您对此病症的首选术语是什么?问题 2:所有评估中最重要的评估内容是什么?结果:完成了一个焦点小组(n = 10)和 14 次访谈。对焦点小组和访谈的数据进行了框架分析,并与名义小组的参与者分享了这些结果。对呼吸模式障碍(BrPD)一词达成了共识(71%),并制定了评估指南。结论随着呼吸模式紊乱的描述和评估一致性的提高,呼吸模式紊乱的采用可能有助于进一步发展物理治疗服务中这一领域的临床和研究重点。
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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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