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Inspiratory Muscle Training and Diaphragmatic Breathing in GAD
Sponsor: Saglik Bilimleri Universitesi
Summary
This study will compare inspiratory muscle training and diaphragmatic breathing exercises in individuals with generalized anxiety disorder (GAD). It aims to investigate whether adding either breathing-based intervention to a combined exercise program improves anxiety symptoms and other health-related outcomes compared with adding progressive muscle relaxation. Participants will be randomly assigned to one of three groups. All groups will receive the same combined exercise program. In addition, the first group will perform inspiratory muscle training, which involves breathing against resistance to strengthen the inspiratory muscles. The second group will perform diaphragmatic breathing exercises, which focus on using the diaphragm during breathing. The third group will receive Jacobson's progressive muscle relaxation technique, which involves systematically tensing and relaxing different muscle groups. All interventions will be delivered over eight weeks using a hybrid telerehabilitation approach combining face-to-face, synchronous online, and independent home-based sessions. The study will evaluate anxiety symptoms, respiratory muscle strength, pulmonary function, functional exercise capacity, dyspnea, quality of life, depression symptoms, and heart rate variability. The findings may provide further evidence on the comparative effects of these interventions when added to a combined exercise program in individuals with GAD.
Official title: Comparison of the Effectiveness of Inspiratory Muscle Training and Diaphragmatic Breathing Exercises in Individuals With Generalized Anxiety Disorder
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
51
Start Date
2026-09-17
Completion Date
2027-04-20
Last Updated
2026-11-03
Healthy Volunteers
No
Conditions
Interventions
Inspiratory Muscle Training
Inspiratory muscle training will be performed using a pressure-threshold device. Training will begin at 30% of maximum inspiratory pressure, with the load increased by 5% per week. Each session will consist of two sets of 30 inspiratory efforts.
Diaphragmatic Breathing Exercises
Participants will perform structured diaphragmatic breathing exercises according to the study protocol.
Progressive Muscle Relaxation
Participants will perform progressive muscle relaxation according to the study protocol.
Locations (1)
Sultan 2.Abdulhamid Khan Educational and Research Hospital
Istanbul, Uskudar, Turkey (Türkiye)