Management and treatment of mouth breathing in children: A qualitative study of clinical practices and approaches of allied health professionals

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Authors

Bassett, Helena

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Degree

Master of Osteopathy

Grantor

Unitec, Te Pūkenga – New Zealand Institute of Skills and Technology

Date

2023

Supervisors

Anderson, Helen
Kleinbaum, Andre

Type

Masters Thesis

Ngā Upoko Tukutuku (Māori subject headings)

Keyword

New Zealand
mouth breathing (MB)
paediatrics
dysfunctional breathing (DB)
breathing exercises

Citation

Bassett, H. (2023). Management and treatment of mouth breathing in children: A qualitative study of clinical practices and approaches of allied health professionals (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec, Te Pūkenga – New Zealand Institute of Skills and Technology https://hdl.handle.net/10652/6069

Abstract

BACKGROUND Mouth breathing (MB) is a functional adaptation that is vital in states of arousal and with increased physical demand to support the body’s optimum functions. However, MB at rest can be classified on the spectrum of breathing dysfunctions that may lead to a wide range of physiological, psychosocial and emotional consequences. Mouth breathing is commonly seen in children during a critical time of development and is associated with sleep disordered breathing and behavioural issues. A growing awareness around the topic has prompted continued research, however, it appears few studies have examined the evidence for the clinical management and treatment on the topic. Understanding how MB children currently are being managed may be significant for improving clinical practices and providing MB children with a better health outcome and quality of life. AIM To investigate clinical practices of allied health professionals in the management and treatment of MB in children from a qualitative perspective. METHOD Seven participants were interviewed via Zoom with a semi-structured approach. The data was thematically analysed through an interpretive descriptive process. RESULTS Two main themes emerged in this study. All the participants discussed the complex journey of breathing health, how breathing should be dynamic and that MB is a functional adaptation. Theme two captured clinical practices and management approaches of MB children. CONCLUSION The research findings suggest a lack of general awareness around MB among the general population and many health professionals has implications for diagnosis and management. MB is a complex condition that may require extensive investigation before any treatment approach is advised. This research provides valuable insights into the clinical practices, experiences and perspectives of seven breathing specialists regarding MB in children and provides an understanding of direction for future research on the topic.

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