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Manual therapy for asthma.

M A Hondras1, K Linde, A P Jones

  • 1Consortial Center for Chiropractic, 30W009 Willow Court, Warrenville, Illinois, USA, 60555-1018. mhondras@interaccess.com

The Cochrane Database of Systematic Reviews
|May 2, 2001
PubMed
Summary
This summary is machine-generated.

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Evidence for manual therapies in asthma treatment is insufficient. More high-quality randomized controlled trials (RCTs) are needed to determine the effectiveness of these interventions for asthma patients.

Area of Science:

  • Respiratory Medicine
  • Complementary and Alternative Medicine
  • Clinical Trials

Background:

  • Manual therapies are frequently used for asthma, despite varied practitioner types and similar proposed mechanisms.
  • A comprehensive systematic review across disciplines is necessary to evaluate their efficacy.

Purpose of the Study:

  • To systematically evaluate the existing evidence on the effects of manual therapies for the treatment of bronchial asthma.

Main Methods:

  • Searched multiple databases (EMBASE, CINAHL, MEDLINE, Cochrane, etc.) and contacted authors for published/unpublished trials up to December 1998.
  • Included randomized controlled trials (RCTs) involving asthmatic patients, manual therapy interventions, and clinical outcomes.
  • Data extraction and quality assessment were performed independently by three reviewers.

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Main Results:

  • Five RCTs (290 patients) were included; statistical pooling was not feasible due to heterogeneity.
  • One chiropractic manipulation trial of good quality found no significant differences compared to sham.
  • Other trials (massage, chest physiotherapy, footzone therapy) were of poor quality or had unconfirmed findings, with limited evidence of benefit.

Conclusions:

  • Insufficient evidence currently supports or refutes the use of manual therapies for asthma.
  • Adequately-sized RCTs with clinically relevant outcomes, observer blinding, and reporting of costs/adverse events are needed.
  • Further research is required to establish the role of manual therapies in asthma management.