The Imbalance of Breathing: Recognizing and Assessing Dysfunctional Breathing

Abstract

Dysfunctional breathing (DB) is a collective term referring to chronic changes in breathing patterns that occur with or without the presence of a disease, resulting in dyspnea and other symptoms. While shortness of breath is the most common symptom, additional symptoms such as dizziness and palpitations are also observed. There is no definitive diagnosis or isolated assessment method for DB. A review of the literature on DB evaluation indicates that clinical anamnesis, respiratory function tests, and musculoskeletal system assessments are considered collectively. These uncertainties in the diagnosis and evaluation process of DB make it difficult to determine effective treatment and negatively affect quality of life. In addition, the high rate of misdiagnosis reveals that DB is not adequately defined and that the level of awareness among health professionals needs to be increased. However, the high rate of misdiagnosis suggests that health professionals do not fully comprehend the condition. This review aims to provide clearer information about DB and summarize the assessment methods.

Keywords

• dyspnea
• respiration disorders
• respiratory function

Solunumun Dengesizliği: Bozulmuş Solunumu Tanıma ve Değerlendirme

Abstract

Disfonksiyonel solunum (DS), solunum düzeninde (bir hastalığın yokluğunda/varlığında) meydana gelen kronik değişikliklerin dispne ve diğer çeşitli semptomlarla sonlandığı kolektif bir terim olarak tanımlanmaktadır. Nefes darlığı en yaygın semptomu olmakla birlikte, baş dönmesi, çarpıntı gibi ek semptomlarda görülmektedir. DS’nin kesin bir tanı ve izole bir değerlendirme yöntemi bulunmamaktadır. DS değerlendirilmesi için literatürü incelediğimizde; klinik anamnez, solunum fonksiyonları ve kas-iskelet sistemi değerlendirmeleri bir bütün olarak ele alınmaktadır. DS’nin tanı ve değerlendirme sürecindeki bu belirsizlikler, etkili tedavi stratejilerinin belirlenmesini zorlaştırmakta ve yaşam kalitesini olumsuz etkilemektedir. Ayrıca yanlış teşhis oranlarının yüksek olması, DS’nin yeterince tanımlanamadığını ve sağlık profesyonelleri arasındaki farkındalık düzeyinin arttırılması gerektiğini ortaya koymaktadır. Bu derleme, DS hakkında daha anlaşılır bilgiler vermek ve değerlendirme yöntemlerini özetlemek amacıyla hazırlanmıştır.

Keywords

• dispne
• solunum bozuklukları
• solunum fonksiyonu

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