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Related Experiment Videos

Manual therapy for asthma.

M A Hondras1, K Linde, A P Jones

  • 1Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803, USA. maria.hondras@palmer.edu

The Cochrane Database of Systematic Reviews
|April 23, 2005
PubMed
Summary
This summary is machine-generated.

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Current evidence is insufficient to support manual therapies for asthma treatment. More high-quality, large-scale randomized controlled trials are needed to determine the effectiveness of these interventions for asthma patients.

Area of Science:

  • Respiratory Medicine
  • Complementary and Alternative Medicine

Background:

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

Purpose of the Study:

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

Main Methods:

  • Searched multiple medical databases (EMBASE, CINAHL, MEDLINE, Cochrane, ICL, MANTIS) and contacted authors for published/unpublished trials.
  • Included randomized controlled trials (RCTs) of manual therapies in asthma patients (children/adults) with clinical outcomes and ≥2-week observation periods.
  • Data extraction and quality assessment were performed independently by three reviewers.

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Main Results:

  • Nine citations from three RCTs (156 patients) were included; meta-analysis was not possible due to heterogeneity.
  • One high-quality trial found no significant difference between chiropractic spinal manipulation and sham treatment.
  • A small trial showed potential benefits of massage therapy on lung function, but requires confirmation due to poor reporting.

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 essential to establish the role of manual therapies in asthma management.