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
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData 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