Effectiveness Of Nasal Cycle Breathing And Sinus Mobiliztaion Technique In Subject With Sinusitis
DOI:
https://doi.org/10.52783/jns.v14.2834Keywords:
Sinusitis, Nasal Cycle Breathing, Sinus Mobilization Techniques, Chronic Sinusitis, Nasal Airflow, Sinus PressureAbstract
Background: This study investigates the combined effectiveness of Nasal Cycle Breathing (NCB)and Sinus Mobilization Techniques (SMT) in individuals with sinusitis, a common condition characterized by inflammation of the sinuses, leading to symptoms like nasal congestion, facial pain, and difficulty breathing. Traditional treatments, including antibiotics and corticosteroids, may have limited effectiveness, especially in chronic cases. NCB, which involves alternating nostril breathing to regulate nasal airflow, and SMT, a physical therapy technique targeting sinus drainage, offer promising non-invasive alternatives for managing sinusitis.
Aim: The aim of this study was to assess the impact of these methods on reducing symptoms, improving sinus ventilation, and enhancing overall nasal function.
Objective: The objectives included evaluating the effect of NCB on nasal airflow, the effectiveness of SMT in alleviating sinus pressure, and comparing results to standard medical treatment.
Method: The study involved 40 participants with chronic or recurrent sinusitis, who were randomly assigned to either a treatment group receiving NCB and SMT receiving standard medical care.
Results: After four weeks of treatment, results showed a significant reduction in SNOT-22 scores, indicating improved symptoms of nasal congestion, facial pain, and headache.
Conclusion: These findings suggest that combining NCB and SMT with conventional treatment is a promising adjunctive therapy for managing sinusitis, offering a non-pharmacological approach to symptom relief and improved sinus health.
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Harrison T, Williams L, Jones P. Nasal cycle breathing and its impact on sinus function. J Respir Ther. 2018;35(2):113-20.
Havlik M, Doran D, Grant C. The relationship between nasal airflow and sinusitis: A review of current evidence. Int J Rhinol. 2022;60(4):312-8.
Johnson F, Smith K. The role of sinus mobilization techniques in treating chronic sinusitis. Man Ther J. 2020;12(5):187-92.
Patel D, Agarwal R, Lee J. Manual techniques for sinus drainage in chronic sinusitis: A clinical approach. J Phys Ther Sci. 2019;31(3):160-8.
Walker A, Roberts J, Anderson B. Combining nasal cycle exercises with sinus mobilization for chronic sinusitis: A pilot study. J Complement Altern Med. 2021;8(2):45-52.
Hariton E, Locascio JJ (2018) Randomised controlled trials – the gold standard for effectiveness of research. BJOG 125(13): 1716.
Karacioglu O, Topacoglu H, Dikme O, Dikme O (2018) A systematic review of the pain scales in adults: Which to use? Am J Emerg Med 36(4): 714-715.
King HH (2011) Osteopathic manipulation may be beneficial in the treatment of patients with chronic sinusitis: review article – the somatic connection. Journal of the American Osteopathic Association 111(10): 569-570.
Lee-Wong M, Karagic M, Doshi A, Gomez S, Resnick D (2011) An osteopathic approach to chronic sinusitis. Journal of Allergy & Therapy 2(2).
Licciardone JC, Brimhall AK, King LN (2005) Osteopathic manipulative treatment for low back pain: a systemic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord 4(6): 43.
Licciardone JC, Franke H, Franke JD, Fryer G (2014) Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskelet Disord 30(15): 286.
Haight SJ, Cole P. The site and function of the nasal valve. Laryngoscope. 1983;93:49-55.
Havas TE, Cochineas C, Rhodes L. Is there a rationale for using nasal splints to enhance exercise performance? Mod Med Austr. 1997 May;130-2.
Kirkness JP, Wheatley JR, Amis TC. Nasal airflow dynamics: mechanisms and responses associated with an external nasal dilator strip. Eur Respir J. 2000;15:929-36.
Lorino A, Lofaso F, Drogou I, Abi-Nader E, Dahan E, Coste A, Lorino H. Effects of different mechanical treatments on nasal resistance assessed by rhinometry. Chest. 1998;114:166-70.
Niinimaa V, Cole P, Mintz S, Shephard R. The switching point from nasal to oronasal breathing. Respir Physiol. 1980;42:61-71.
Chaurasia BD. BD Chaurasia’s Human Anatomy. Vol. 2. 6th ed. New Delhi: CBS Publishers; 1979.
Snell R. Clinical Anatomy by Regions. 8th ed. New Delhi: Wolters Kluwer Health; 2008.
Shah SN. API Medicine Textbook. Vol. 2. 8th ed. Mumbai, India: Association of Physicians of India; 1992.
Davidson S. Davidson’s Principles and Practice of Medicine. 22nd ed. Edinburgh, UK: Churchill Livingstone Elsevier; 1952.
Mandell A. Nasal septum mobilization for instant sinus drainage [Internet]. 2018 [cited YYYY MM DD].
Bolger WE, Parson DS, Butzin CA. Paranasal sinus bony anatomic variations and mucosal: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991.
Gordts F, Clement PA, Buisseret T. Prevalence of sinusitis signs in a non-ENT population. ORL J Otorhinolaryngol. 1996.
Kimura A, et al. Phase of nasal cycle during sleep tends to be associated with sleep stage. Laryngoscope. 2013;123(9):2050–5.
Li Y, et al. A preliminary report on the correlation between nasal function and the different phases of the nasal cycle. Ear Nose Throat J. 2021;10(10).
Gotlib T, Samolinski B, Grzanka A. Bilateral nasal allergen provocation monitored with acoustic rhinometry. Assessment of both nasal passages and the side reacting with greater congestion: relation to the nasal cycle. Clin Exp Allergy. 2005;35(3):313–8.
Rohrmeier C, Schittek S, Ettl T, Herzog M, Kuehnel TS. The nasal cycle during wakefulness and sleep and its relation to body position. Laryngoscope. 2014;124(7):1492–7.
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