Evidence map›Paper›PMID 41490262›Full record

Trial reportPloS one2026

The effect of diaphragmatic breathing and diaphragmatic mobilization on physical performance, fear of falling, and quality of life in community-dwelling older adults: A randomized controlled trial.

Soyba Nazir, Witaya Mathiyakom, Muhammad Awais Tassawar, Anong Tantisuwat

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07620249 (The Effects of Combined Thoracic Expansion Exercises and Slow Diaphragmatic Breathing on Cognitive Function, Brain Activation, Psychological Status, and Head-Shoulder Posture in Healthy Adults), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07620249 nanot yet recruitingnot on this map

The Effects of Combined Thoracic Expansion Exercises and Slow Diaphragmatic Breathing on Cognitive Function, Brain Activation, Psychological Status, and Head-Shoulder Posture in Healthy Adults

TypeinterventionalSponsorNational Taiwan University Clinical Trial CenterRan2026 to 2027Enrolled60ConditionsDiaphragm PacingArmsthoracic expansion exercises and slow diaphragmatic breathing, Sham Block
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Soyba NazirFaculty of Allied Health Sciences, Chulalongkorn University, Pathumwan, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-4561-1780
Witaya MathiyakomDepartment of Physical Therapy, California State University, Northridge, California, United States of America.
Muhammad Awais TassawarFaculty of Allied Health Sciences, Chulalongkorn University, Pathumwan, Bangkok, Thailand.ORCID https://orcid.org/0009-0001-3220-1259
Anong TantisuwatFaculty of Allied Health Sciences, Chulalongkorn University, Pathumwan, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-3845-932X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls are a significant health concern among older adults, leading to reduced mobility, fear of falling, and poor quality of life. Diaphragmatic breathing (DB) and diaphragmatic mobilization (DM) may serve as therapeutic interventions to address these issues.

objectiveThis study evaluated the effects of DB and combined DB and DM (DB + DM) on physical performance, fear of falling, and quality of life in community-dwelling older adults.

methodsFifty-four older adults (65-75 years) were randomized into group 1, DB; group 2, DB + DM; and group 3, control groups (18 per group). Interventions were delivered twice weekly for 8 weeks. Outcomes, including balance, gait performance, lower extremity strength, fear of falling (FoF), fatigue, and quality of life (QoL), were measured at baseline, post-treatment (8th week), and follow-up (10th week).

resultsSignificant group-by-time interaction effects (p < 0.05) were observed in all outcome measures except a few domains of Short-form 36 (SF-36). At post-treatment, the mini-BEST scores and the time to complete 5-time sit-to-stand test (5xSTS) of the DB and DB + DM groups did not significantly increase compared to baseline. The timed up-and-go (TUG) scores (η² = 0.279) and gait velocity (GV) (η² = 0.619) of both interventions significantly improved (p < 0.05) from baseline to post-treatment and follow-up. Scores for active balance confidence (ABC) (η² = 0.706), fatigue severity scale (FSS) (η² = 0.584), and specific domains of SF-36, physical function (η² = 0.211), pain (η² = 0.173), and general health (η² = 0.168) showed significant improvements in both intervention groups compared to the control group.

conclusionDB and DB + DM interventions significantly improved gait performance, FoF, fatigue, and QoL in community-dwelling older adults. However, their therapeutic effects on balance were limited and need further investigation.

Indexed as

Accidental FallsBreathing ExercisesDiaphragmFearPhysical Functional PerformanceQuality of LifeAgedFemaleGaitHumansIndependent LivingMalePostural Balance

Identifiers

PMID41490262
PMCPMC12768353

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.