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dc.contributor.authorBenjamin, Jordan Guy
dc.contributor.authorBacon, Catherine
dc.contributor.authorVerhoeff, Wesley
dc.contributor.authorMoran, Robert
dc.date.accessioned2016-10-05T02:22:30Z
dc.date.available2016-10-05T02:22:30Z
dc.date.issued2016-04-27
dc.identifier.issn1746-0689
dc.identifier.urihttps://hdl.handle.net/10652/3568
dc.description.abstractBACKGROUND: Breathing retraining (BRT) is commonly used during osteopathic consultations as an adjunct to osteopathic manual therapy (OMT) for assessment and treatment of breathing-related dysfunction. Although BRT and OMT are widely recognised within osteopathy and other allied health disciplines, there are few descriptions of clinically applicable protocols in the literature. OBJECTIVE: To describe the development of a dual-protocol framework (BRT and OMT) for assessment and treatment of dysfunctional breathing. DESIGN: Development and evaluation of a complex intervention. METHODS: Cyclical, iterative processes of development, feasibility and piloting, evaluation and subsequent redevelopment were applied in the design of two conceptual protocols for BRT and OMT. RESULTS: The resulting BRT protocol consists of progressive steps of breathing practice in three body positions (neutral, flexion, extension), followed by a guide for more advanced breathing challenges that can be tailored towards the individual. The OMT protocol provides a semi-standardised assessment and treatment plan, which details body regions for assessment of somatic dysfunction and a list of techniques that can be selected according to practitioner clinical judgement, based on patient presentation and preferences, and clinical context. CONCLUSIONS: Here we present a clinically applicable guide for a complex intervention entailing assessment and management of dysfunctional or abnormal breathing. Implementation of this protocol within the clinical setting is now recommended, along with ongoing development, and further randomised clinical trials assessing its efficacy, effectiveness, and acceptability.en_NZ
dc.language.isoenen_NZ
dc.publisherElservieren_NZ
dc.rightsThis is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copy editing, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.en_NZ
dc.subjectabnormal breathing pattern disordersen_NZ
dc.subjectbreathing dysfunctionen_NZ
dc.subjectbreathing exercisesen_NZ
dc.subjectphysical therapy techniquesen_NZ
dc.subjectosteopathic medicineen_NZ
dc.titlePreliminary development of a complex intervention for osteopathic management of dysfunctional breathingen_NZ
dc.title.alternativeShort title: Osteopathic management of dysfunctional breathingen_NZ
dc.typeJournal Articleen_NZ
dc.rights.holderElservieren_NZ
dc.identifier.doi10.1016/j.ijosm.2016.04.004en_NZ
dc.subject.marsden110499 Complementary and Alternative Medicine not elsewhere classifieden_NZ
dc.subject.marsden110203 Respiratory Diseasesen_NZ
dc.identifier.bibliographicCitationBenjamin, J. G., Bacon, C., Verhoeff, W. J., & Moran, R. M. (2016). Preliminary Development of a Complex Intervention for Osteopathic Management of Dysfunctional Breathing. International Journal of Osteopathic Medicine, May(online), pp.In Press. doi:10.1016/j.ijosm.2016.04.004en_NZ
unitec.institutionUnitec Institute of Technologyen_NZ
unitec.publication.spage1en_NZ
unitec.publication.lpage22en_NZ
unitec.publication.volumeMay(online)en_NZ
unitec.publication.titleInternational Journal of Osteopathic Medicineen_NZ
unitec.peerreviewedyesen_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.identifier.roms58873en_NZ
unitec.identifier.roms59252
unitec.institution.studyareaOsteopathy


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