Journals / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2026 / Cilt: 11 Sayı: 2

The Imbalance of Breathing: Recognizing and Assessing Dysfunctional Breathing

Solunumun Dengesizliği: Bozulmuş Solunumu Tanıma ve Değerlendirme

Pages
463–467
Publication Date
2026-05-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This review aims to provide clearer information about DB and summarize the assessment methods.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Dysfunctional breathing (DB) is a collective term referring to chronic changes in breathing patterns that occur with or without the presence of a disease, resulting in dyspnea and other symptoms.
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Key Findings & Data:In addition, the high rate of misdiagnosis reveals that DB is not adequately defined and that the level of awareness among health professionals needs to be increased.
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Conclusion & Impact:This review aims to provide clearer information about DB and summarize the assessment methods.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:dispne · solunum bozuklukları · solunum fonksiyonu

Abstract

Dysfunctional breathing (DB) is a collective term referring to chronic changes in breathing patterns that occur with or without the presence of a disease, resulting in dyspnea and other symptoms. While shortness of breath is the most common symptom, additional symptoms such as dizziness and palpitations are also observed. There is no definitive diagnosis or isolated assessment method for DB. A review of the literature on DB evaluation indicates that clinical anamnesis, respiratory function tests, and musculoskeletal system assessments are considered collectively. These uncertainties in the diagnosis and evaluation process of DB make it difficult to determine effective treatment and negatively affect quality of life. In addition, the high rate of misdiagnosis reveals that DB is not adequately defined and that the level of awareness among health professionals needs to be increased. However, the high rate of misdiagnosis suggests that health professionals do not fully comprehend the condition. This review aims to provide clearer information about DB and summarize the assessment methods.

Özet

Disfonksiyonel solunum (DS), solunum düzeninde (bir hastalığın yokluğunda/varlığında) meydana gelen kronik değişikliklerin dispne ve diğer çeşitli semptomlarla sonlandığı kolektif bir terim olarak tanımlanmaktadır. Nefes darlığı en yaygın semptomu olmakla birlikte, baş dönmesi, çarpıntı gibi ek semptomlarda görülmektedir. DS’nin kesin bir tanı ve izole bir değerlendirme yöntemi bulunmamaktadır. DS değerlendirilmesi için literatürü incelediğimizde; klinik anamnez, solunum fonksiyonları ve kas-iskelet sistemi değerlendirmeleri bir bütün olarak ele alınmaktadır. DS’nin tanı ve değerlendirme sürecindeki bu belirsizlikler, etkili tedavi stratejilerinin belirlenmesini zorlaştırmakta ve yaşam kalitesini olumsuz etkilemektedir. Ayrıca yanlış teşhis oranlarının yüksek olması, DS’nin yeterince tanımlanamadığını ve sağlık profesyonelleri arasındaki farkındalık düzeyinin arttırılması gerektiğini ortaya koymaktadır. Bu derleme, DS hakkında daha anlaşılır bilgiler vermek ve değerlendirme yöntemlerini özetlemek amacıyla hazırlanmıştır.

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Cite This Article

Tütüneken, Y. E., Kabasakal, E. (2026). The Imbalance of Breathing: Recognizing and Assessing Dysfunctional Breathing. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Cilt: 11 Sayı: 2, 463–467. https://doi.org/10.61399/ikcusbfd.1715508

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References (27)

  1. Ionescu MF, Mani-Babu S, Degani-Costa LH, Johnson M, Paramasivan C, Sylvester K, Fuld J. Cardiopulmonary exercise testing in the assessment of dysfunctional breathing. Front Physiol. 2021 Jan 27;11:620955. DOI: 10.3389/fphys.2020.620955.
  2. Boulding R, Stacey R, Niven R, Fowler SJ. Dysfunctional breathing: areview of the literature and proposal for classification. Eur RespirRev. 2016 Sep;25(141):287-94. DOI: 10.1183/16000617.0088-2015.
  3. Mohan V, Rathinam C, Yates D, Paungmali A, Boos C. Validity andreliability of outcome measures to assess dysfunctional breathing: asystematic review. BMJ Open Respir Res. 2024 Apr 16;11(1):e001884.DOI: 10.1136/bmjresp-2023-001884.
  4. Thomas M, McKinley RK, Freeman E, Foy C, Prodger P, Price D.Breathing retraining for dysfunctional breathing in asthma: arandomised controlled trial. Thorax. 2003 Feb;58(2):110-5. DOI:10.1136/thorax.58.2.110.
  5. Vidotto LS, Carvalho CRF, Harvey A, Jones M. Dysfunctionalbreathing: what do we know? J Bras Pneumol. 2019 Feb11;45(1):e20170347. DOI: 10.1590/1806-3713/e20170347.
  6. Barker N, Everard ML. Getting to grips with 'dysfunctionalbreathing'. Paediatr Respir Rev. 2015 Jan;16(1):53-61. DOI:10.1016/j.prrv.2014.10.001.
  7. CliftonSmith T, Rowley J. Breathing pattern disorders andphysiotherapy: inspiration for our profession. Phys Ther Rev.2011;16(1):75-86. DOI: 10.1179/1743288X10Y.0000000025.
  8. van Dixhoorn J, Duivenvoorden HJ. Efficacy of NijmegenQuestionnaire in recognition of the hyperventilation syndrome. JPsychosom Res. 1985;29(2):199-206. DOI: 10.1016/0022-3999(85)90042-x.
  9. Kiesel K, Rhodes T, Mueller J, Waninger A, Butler R. Development ofa screening protocol to identify individuals with dysfunctionalbreathing. Int J Sports Phys Ther. 2017 Oct;12(5):774-86.
  10. Neder JA, Phillips DB, Marillier M, Bernard AC, Berton DC, O'DonnellDE. Clinical interpretation of cardiopulmonary exercise testing:current pitfalls and limitations. Front Physiol. 2021 Mar18;12:552000. DOI: 10.3389/fphys.2021.552000.
  11. Hegel MT, Abel GG, Etscheidt M, Cohen-Cole S, Wilmer CI.Behavioral treatment of angina-like chest pain in patients withhyperventilation syndrome. J Behav Ther Exp Psychiatry. 1989Mar;20(1):31-9. DOI: 10.1016/0005-7916(89)90005-0.
  12. Hornsveld HK, Garssen B, Dop MJ, van Spiegel PI, de Haes JC.Double-blind placebo-controlled study of the hyperventilationprovocation test and the validity of the hyperventilation syndrome.Lancet. 1996 Jul 20;348(9021):154-8. DOI: 10.1016/s0140-6736(96)02024-7.
  13. Hagman C. Dysfunctional breathing: clinical characteristics andtreatment [dissertation]. Uppsala: Acta Universitatis Upsaliensis;2016. 67 p.
  14. Ataş K, Kızmaz E, Mutlu EK. The Turkish Version of the Self Evaluationof Breathing Questionnaire: Cross-cultural Adaptation, Validity andReliability. Appl Psychophysiol Biofeedback. 2025 Jul 7. doi:10.1007/s10484-025-09726-w.
  15. Courtney R, Greenwood KM. Preliminary investigation of a measureof dysfunctional breathing symptoms: The Self Evaluation ofBreathing Questionnaire (SEBQ). Int J Osteopath Med.2009;12(4):121-7. DOI: 10.1016/j.ijosm.2009.02.001.
  16. Courtney R, Cohen M, Reece J. Comparison of the manualassessment of respiratory motion (MARM) and the Hi Lo breathingassessment in determining a simulated breathing pattern. Int JOsteopath Med. 2009;12(3):86-91. DOI:10.1016/j.ijosm.2009.04.002.
  17. Dareh-Deh HR, Hadadnezhad M, Letafatkar A, Peolsson A.Therapeutic routine with respiratory exercises improves posture,muscle activity, and respiratory pattern of patients with neck pain: arandomized controlled trial. Sci Rep. 2022 Mar 9;12(1):4149. DOI:10.1038/s41598-022-08128-w.
  18. Todd S, Walsted ES, Grillo L, Livingston R, Menzies-Gow A, Hull JH.Novel assessment tool to detect breathing pattern disorder inpatients with refractory asthma. Respirology. 2018 Mar;23(3):284-290.DOI: 10.1111/resp.13173.
  19. Hylton H, Long A, Francis C, Taylor RR, Ricketts WM, Singh R, PfefferPE. Real-world use of the Breathing Pattern Assessment Tool inassessment of breathlessness post-COVID-19. Clin Med (Lond).2022 Jul 26;22(4):376-379. DOI: 10.7861/clinmed.2021-0759.
  20. Zhang Z, Zheng J, Wu H, Wang W, Wang B, Liu H. Development ofa respiratory inductive plethysmography module supportingmultiple sensors for wearable systems. Sensors (Basel). 2012 Sep27;12(10):13167-84. DOI: 10.3390/s121013167.
  21. Rees PJ, Higenbottam TW, Clark TJ. Use of a single pair ofmagnetometer coils to monitor breathing patterns in an intensivecare unit. Thorax. 1980 May;35(5):384-8. DOI:10.1136/thx.35.5.384.
  22. Kiesel K, Burklow M, Garner MB, Hayden J, Hermann AJ, Kingshott E,et al. Exercise intervention for individuals with dysfunctionalbreathing: a matched controlled trial. Int J Sports Phys Ther.2020;15(1):114-125.
  23. Chen YC, Hsiao TC. Towards estimation of respiratory muscle effortwith respiratory inductance plethysmography signals andcomplementary ensemble empirical mode decomposition. Med BiolEng Comput. 2018 Jul;56(7):1293-1303. DOI: 10.1007/s11517-017-1766-z.
  24. Rowley J, Nicholls D. Development of the RoBE self-efficacy scale forpeople with breathing pattern disorders. N Z J Physiother.2006;34(3):131-141.
  25. Agache I, Ciobanu C, Paul G, Rogozea L. Dysfunctional breathingphenotype in adults with asthma - incidence and risk factors. ClinTransl Allergy. 2012 Sep 19;2(1):18. DOI: 10.1186/2045-7022-2-18.
  26. Jones M, Troup F, Nugus J, Roughton M, Hodson M, Rayner C,Bowen F, Pryor J. Does manual therapy provide additional benefit tobreathing retraining in the management of dysfunctional breathing?A randomised controlled trial. Disabil Rehabil. 2015;37(9):763-70.DOI: 10.3109/09638288.2014.941020.
  27. Politti F, Amorim CF, Sales Oliveira LH, Guerra FD, Souza Pieres IL,Palomari ET. Maximal clenching effort influence on theelectromyographic activity of the trapezius muscle in healthysubjects. J Bodyw Mov Ther. 2010 Oct;14(4):346-51. DOI:10.1016/j.jbmt.2009.06.001.