Comparing CPET Guided Rehabilitation to Physiotherapy for Dysfunctional Breathing

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effectiveness of a pulmonary rehabilitation program tailored for patients with dysfunctional breathing (DB) using cardiopulmonary exercise testing (CPET). It compares this specialized rehabilitation approach to traditional physiotherapy, which is the current standard treatment for DB. The study aims to provide evidence on the efficacy of these treatments and address the lack of consensus on diagnosing DB. Participants will undergo a two-month outpatient rehabilitation program, including multiple physiotherapy sessions, to assess symptom relief and improvement in breathing patterns.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Dysfunctional breathing (DB) diagnosed with CPET.
* Adult patients (\>18 years of age)
* Able and willing to attend an outpatient multidisciplinary, supervised rehabilitation program of a total duration of two months (8 weeks).
* Able and willing to attend 5 physiotherapy sessions over a period of 9 weeks.
* Sign an informed consent.

Exclusion Criteria:

* No underling pathology explaining dyspnea and DB in CPET (e.g normal dead space to tidal volume ratio (VD/Vt) and normal alveolar-arterial (A-a) gradient.)
* Patients with COPD
* Patients with uncontrolled asthma
* Patients with post-exertional malaise (PEM).
* Patients that cannot attend an outpatient rehabilitation program like suffering from dementia, chronically paralyzed, with paraplegia, multiple injuries, or other serious orthopaedic problems that cause disability or suffer from very serious underlying diseases such as end-stage cancer, and patients with neurological diseases that cause disability, require specialized rehabilitation clinics and special interventions (speech therapy, kinesiotherapy, etc.).

Where it's running

• Pulmonary Rehabilitation Unit, 1st Department of Critical Care and Pulmonary Services Evangelismos Hospital
  Athens, Attica, Greece Recruiting

Study contacts

• Study coordinator: Andreas Asimakos, MD, PhD
• Email: silverakos@gmail.com
• Phone: +302132043395

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.