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Two Breathing Exercise Types With Neck Exercises in Asthma and Forward Head Posture

Compares two breathing exercise styles plus neck exercises in adults with asthma.

Key facts

Who runs it
Foundation University Islamabad
Where
Islamabad, PakistanSee the site
Trial code
Registry title
Comparative Effects of Buteyko Versus Pilates Breathing Combined With McKenzie Neck Exercises on Lung Function and Chest Expansion in Asthmatic Patients With Forward Head Posture
Status
Recruiting
People taking part
22 people, planned
Started
20 Aug 2025
Planned end
1 Feb 2026
Type of study
Interventional, 2 groups
Treatments tested
  • Pilates Breathing Combined with McKenzie Neck Exercises
  • McKenzie Neck Exercises with Buteyko Breathing
Record updated
17 December 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults aged 18 to 40 with well-controlled asthma and forward head posture. It compares two breathing exercise programs, each combined with McKenzie neck exercises, over 4 weeks.

Age
18 to 40 years
Sex
Men and women can join.
Disease stage
Asthma that is well controlled (Level 1 and Level 2), together with forward head posture.
Earlier treatment
Must not have taken part in any structured exercise program to improve lung function in the past 6 months. Must tolerate the planned exercises (Buteyko or Pilates breathing with McKenzie neck exercises).

Main reasons for not taking part

  • Level 3 and 4 asthma or status asthmaticus
  • Any chest wall deformity from birth or recent chest wall injury
  • Active infection such as fever or TB
  • Unstable heart or lung disease, or unstable blood pressure
  • Pregnancy

The registry criteria, word for word

Show all 16 criteriaShow less

Who can take part

  • Age group 18-40years
  • Both males and females
  • Individuals clinically diagnosed with asthma that is well controlled (Level 1 and Level 2) with FHP
  • Not participated in any structured exercise regime for improving lung function during the past 6 months
  • Individuals well tolerated with a current exercise plan of combination exercises. (Buteyko breathing/Pilate breathing and McKenzie neck exercises

Who cannot take part

  • Any abdominal or cardio thoracic surgery
  • Previous or parallel participation in interventional programs
  • Any active infections like fever, TB
  • Recent history of any chest wall trauma
  • Any psychiatric illness
  • Unstable Cardiopulmonary disease i.e. unstable angina, heart failure, recent MI
  • -Level 3 and 4 asthma or status asthmatics
  • Any congenital deformity of the chest wall
  • Those with any contraindication to exercise testing or training
  • Unstable hemodynamic parameters (arterial pressure >140mmhg systolic and >90mmhg for diastolic
  • Pregnancy

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 40 years old?

Where in Pakistan

  • Foundation University College of Physical Therapy, Islamabad, 44000Islamabad, PakistanContact: FURQAN Ahmed Siddiqi, PhD in Rehabilitation SciencesTaking people

About the trial

What the trial wants to find out

Asthma is characterized by airway inflammation and hyperinflation that flattens the diaphragm and increases reliance on accessory neck muscles. Chronic overuse shortens these muscles and promotes forward head posture (FHP), which in turn compromises rib-cage motion and respiratory mechanics. Correcting FHP alongside breathing retraining may therefore improve lung function and symptoms in asthma. This interventional, parallel-group study investigates the combined effects of McKenzie neck exercises with two different breathing approaches on lung function, chest expansion, posture, and quality of life in adults with asthma. Participants are allocated to two groups for a 4-week program: Group A performs McKenzie neck exercises plus Pilates-based breathing; Group B performs McKenzie neck exercises plus Buteyko breathing.

The 2 groups in the trial

  • McKenzie neck exercises with Pilates-based breathingTreatment being tested

    Participants in this group will perform McKenzie neck exercises in combination with Pilates-based breathing techniques, along with their usual pharmacological management for asthma. The program will run for 4 weeks with progressive intensity. McKenzie exercises will start with 5 repetitions per exercise in Weeks 1-2 and progress to 10 repetitions in Weeks 3-4. Pilates breathing will begin with 2 sets of 10 repetitions in Weeks 1-2, progress to 3 sets in Week 3, and 4 sets in Week 4.

    Treatment: Pilates Breathing Combined with McKenzie Neck Exercises

  • McKenzie neck exercises with Buteyko breathing techniqueTreatment being tested

    Participants in this group will perform McKenzie neck exercises in combination with Buteyko breathing techniques, along with their usual pharmacological management for asthma. The program will run for 4 weeks with progressive intensity. McKenzie exercises will start with 5 repetitions per exercise in Weeks 1-2 and progress to 10 repetitions in Weeks 3-4. Buteyko breathing will begin with 2 sets of 10 repetitions in Weeks 1-2, progress to 3 sets in Week 3, and 4 sets in Week 4.

    Treatment: McKenzie Neck Exercises with Buteyko Breathing

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Comparative Effects of Buteyko Versus Pilates Breathing Combined With McKenzie Neck Exercises on Lung Function and Chest Expansion in Asthmatic Patients With Forward Head Posture
Plain-language title
Two Breathing Exercise Types With Neck Exercises in Asthma and Forward Head PostureGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 13 November 2026.
Fit questions
Built from NCT07289789, who can take part
Record updated
17 December 2025