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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.

Plain-language title generated from the registry record
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

Key facts

Where
Islamabad, PakistanSee the site

Could this be for you?

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?

Source: NCT07289789, who can take part

Where in Pakistan

  • Foundation University College of Physical Therapy, Islamabad, 44000Islamabad, PakistanTaking people

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?
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Trial details

Who runs it
Foundation University Islamabad
Trial code
NCT07289789
Record updated
17 December 2025
Original description
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.Read full original descriptionShow less

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

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.

Inclusion: 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.

Exclusion: 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.

ClinicalTrials.gov NCT07289789