CLINICAL TRIAL- Buteyko Method for Asthma

Tess Graham was part of the research team and the Buteyko instructor for a clinical trial of the Buteyko Method through the Mater Hospital in Brisbane, Australia with chronic asthma sufferers. The “Buteyko Group” were taught the Buteyko Method; the “Control Group” were taught a standard physiotherapy breathing and asthma management approach. Both groups were followed up for three months. Medication changes were made under medical direction and supervision.

‘Buteyko breathing techniques in asthma: a controlled trial’.  Bowler SD. MJA. 1998; 169: 575–578 . 

Here is a summary of the statistically significant results at the 3-month review endpoint.

Initial Assessment of Minute Volume

Minute Volume MV = Litres breathed per minute

  • Trial subjects averaged
    14L/minute at rest.

    (Normal MV is 4-6 L/min.)

Chronic overbreathing was found in ALL subjects of both groups.

Buteyko Group Results

  • 25% reduction in MV

  • 71% median reduction in symptoms

  • 96% median reduction in daily β2‐agonist (bronchodilator) use

  • 49% reduction in daily inhaled corticosteroid use

  • Correlation between reduction in MV and reduction in need for bronchodilater medication

Control Group Results

No significant change in any parameter.

Faulty breathing patterns are characteristic in asthma

THE LINK WITH YOUR BREATHING PATTERN

People with asthma characteristically ‘overbreathe’ – either through the mouth or through the nose.  Chronic coughing is a form of overbreathing - it also involves high volume breathing and lowered CO2 levels. 

Research shows people with asthma routinely breathe 2-3 times more air per minute than is normal.  Physiologic normal is 5 L/min; multiple studies show the average in people with asthma is  around 14 L/min.

Overbreathing link - asthma, cough, blocked nose

Some of the problems with overbreathing / mouth breathing / coughing:
  • large amounts of unfiltered air may be drawn into the airways
  • large and/or forceful out-breaths cause loss of the body’s naturally produced bronchodilator – carbon dioxide
  • dehydration, irritation and inflammation of the  mucous membranes lining the airways 
  • mucus production increases 
  • stimulation of the mast cells to release histamine – the allergic response
  • the nose gets (more) congested
  • airways become more inflamed and in a vicious circle, mouth breathing becomes habitual
  • chronic coughing dries out the mucus, making it sticky and harder to dislodge 
  • chronic mouth breathing is associated with crowded and crooked teeth, narrowing of the upper palate,  compromised airway and sleep disorders.