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The effect of osteopathic manual therapy with breathing re-training on dysfunctional breathing, exercise economy and the autonomic nervous system

The effect of osteopathic manual therapy with breathing re-training on symptoms of dysfunctional breathing, exercise economy and heart rate variability in active adults

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614001119684
Enrollment
19
Registered
2014-10-22
Start date
2014-11-16
Completion date
2015-05-25
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aims of this study are to assess the effect of osteopathic treatment and breathing re-training on symptoms associated with dysfunctional breathing, exercise economy, and cardiac variables as indices of autonomic nervous system activity. Dysfunctional breathing is thought to entail mechanically inefficient ventilation, and often to come about as a result of chronic psychological stress or anxiety. Therefore, we hypothesise improvements in exercise economy and lowered sympathetic drive following osteopathy treatment and breathing re-training.

Interventions

Osteopathic Manual Therapy + Breathing Re-training Osteopathic Manual Therapy is provided by qualified, experienced osteopaths. Therapy will entail a semi-structured 30-minute osteopathy treatment administered weekly for 4 weeks. Treatment will consist of a selection of manual techniques applied mainly to the neck, thorax, lower back and abdomen with postural advice if indicated. For breathing re-training, participants will be instructed through an individually-paced, progressive programme. Fi

Osteopathic Manual Therapy + Breathing Re-training Osteopathic Manual Therapy is provided by qualified, experienced osteopaths. Therapy will entail a semi-structured 30-minute osteopathy treatment administered weekly for 4 weeks. Treatment will consist of a selection of manual techniques applied mainly to the neck, thorax, lower back and abdomen with postural advice if indicated. For breathing re-training, participants will be instructed through an individually-paced, progressive programme. Final year osteopathy students will assess the breathing function of participants at study onset and provide instruction for breathing re-training techniques in a 15-minute session. Participants will be asked to practice these techniques as often as possible, incorporated into their normal daily activities, but at least for 10 minutes, 2x per day for 4 weeks. They will also have access to an online video demonstrating these techniques that they can refer to. Compliance to the breathing retraining will be retrospectively monitored weekly by osteopath practitioners. Practitioners will complete standardised treatment notes for each osteopathy treatment session. Both the structural changes and breathing retraining outcomes will be monitored.

Sponsors

Unitec Institute of Technology
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
19 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

*Participate in aerobic exercise for more than 4 hours per week *Body mass index no less than 18.5 kg/m2 and not greater than 30 kg/m2 *Perceive that breathing may be limiting their sporting performance *Understand written and verbal English *Upon screening, exhibit an SEBQ score of 10 or greater *In a Functional Movement Screen, exhibit a dysfunction in the neck, thoracic or lumbar region

Exclusion criteria

*Current smoker or smoked in last 6 months *Respiratory-related hospitalisations in the last 6 months *Diagnosed emotional disorders *Diagnosed cardiac condition or dysfunction *Diagnosed autonomic nervous system pathology or dysfunction

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 28, 2026