Stewart, AbbyEllis, RichardMooney, Sarah2026-05-272026-05-272026-05-09Physical Therapy Reviews, ISSN: 1083-3196 (Print); 1743-288X (Online), Informa UK Limited, 1-12. doi: 10.1080/10833196.2026.26683051083-31961743-288Xhttp://hdl.handle.net/10292/21268Introduction: Breathing pattern disorders (BrPD) are recognised as prevalent and debilitating, often occurring secondary to conditions such as asthma and anxiety. Physiotherapy, particularly breathing retraining, is a core treatment for BrPD, however, physiotherapy management remains poorly defined. This scoping review aimed to map and summarise literature on physiotherapy management in adults with BrPD. Methods: The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews and Joanna Briggs Institute methodology framed this review. Sources published in English from 1975 onwards including adults with BrPD and physiotherapy management approaches were eligible, without restriction on source of evidence. Comprehensive searches were conducted across eight databases and grey literature. Results: A total of 137 sources were included. Physiotherapy BrPD management commonly involved breathing retraining (99%), with frequent inclusion of relaxation (49%) and education (47%). Delivery was predominantly face-to-face and one-on-one, with growing use of self-directed delivery formats. Discussion: Physiotherapy management of BrPD is multifaceted and anchored by breathing retraining, supported by adjunctive education, relaxation, and self-management. Considerable variability was found in treatment components and delivery models. Physiotherapists are well placed to lead BrPD management. Future research should focus on robust intervention and outcome reporting for this challenging and costly condition.© 2026 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.4201 Allied Health and Rehabilitation Science42 Health Sciences6.7 Physical1103 Clinical Sciences1106 Human Movement and Sports Sciences4207 Sports science and exerciseBreathing pattern disorderphysiotherapymanagementscoping reviewJournal ArticleOpenAccess10.1080/10833196.2026.2668305