8344 7105

82 WALKERVILLE TERRACE WALKERVILLE SA 5081

 

Chiropractor Adelaide - Walkerville Chiropractic

How Chiropractic Can Assist Asthma

The prevalence of asthma in Australia is among the highest in the world: between 10% and 15% of children and between 10% and 12% of adults have asthma.
Chiropractors have anecdotally seen improvements in asthmatic patients for many years.


Further research is needed to try and find ways to help ease the suffering of asthmatic children and adults that are currently reliant on medication to have any kind of lifestyle.

 

Results of the studies listed below indicated that chiropractic care showed improvements in subjective measures and, (to a lesser degree) objective measures. It is evident that some asthmatic patients may benefit from this treatment approach ; however, at this time, the evidence suggests chiropractic care should be used as an adjunct, not a replacement, to traditional medical therapy.


Despite a paucity of evidence supporting the successful management of patients with asthma under chiropractic care, and despite the fact that the evidence that does exist is heterogeneous with respect to its quality strength, there is nonetheless some indication that patients experience positive subjective and at times positive objective results while under chiropractic care. The approaches described in many of the manuscripts reviewed reflect common clinical practice activities used by chiropractors, including an array of different outcome measures. That said, more evidence is required before any definitive statements can be made with respect to the clinical effectiveness of chiropractic care for patients with asthma and with respect to the most appropriate role chiropractors should play in the management of these patients. Such studies may benefit from the use of a valid and reliable outcome measure such as the Pediatric Asthma Health Outcome Measure (PA-HOM).18


References


1. Ni H, Simile C, Hardy AM. Utilization of complementary and alternative medicine by United States adults: Results from the 1999 National Health Interview Survey. Med Care. 2002;40:353–358. [PubMed]


2. National Institutes of Health Global Initiative for Asthma, HNLBI/WHO Report. Jan, 1995.


3. Downs S, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomized and non-randomized studies of health care interventions. J Epidemiol Community Health. 1998;52:377–384. [PMC free article] [PubMed]


4. Hawk C, Knorsa R, Lisi A, Ferrance RJ, Evans MW. Chiropractic care for nonmusculoskeletal conditions: A systematic review with implications for whole systems research. J Altern Complement Med. 2007;13:491–512. [PubMed]


5. Balon J, Aker PD, Crowther ER, Danielson C, Cox GP, O’Shaugnessy D, Walker C, Goldsmith CH, et al. A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma. N Engl J Med. 1998;339:1013–1020. [PubMed]


6. Balon JW, Mior SA. Chiropractic care in asthma and allergy. Ann Allergy Asthma Immunol. 2004;93:S55–60. [PubMed]


7. Brockenhauer SE, Julliard KN, Sing K, Huang E, Sheth A. Quantifiable effects of osteopathic manipulative techniques on patients with chronic asthma. J Am Osteopath Assoc. 2002;102:371–375. [PubMed]


8. Bronfort G, Evans RL, Kubic P, Filkin P. Chronic pediatric asthma and chiropractic spinal manipulation: A prospective clinical series and randomized clinical pilot study. J Manipulative PhysiolTher. 2001;21:369–377. [PubMed]


9. Gibbs AL. Chiropractic co-management of medically treated asthma. ClinChiropr. 2005;8:140–144.


10. Graham RL, Pistolese RA. An impairment rating analysis of asthmatic children under chiropractic care. J Vertebral Subluxation Research. 1997;1:1–8.


11. Green A. Chronic asthma and chiropractic spinal manipulation: a case study. Br J Chiropr. 2000;4:32–35.


12. Hartling L, Brison RJ, Crumley ET, Klassen TP, Pickett W. A systematic review of interventions to prevent childhood farm injuries. Pediatrics. 2004;114:483–496. [PubMed]


13. Hondras MA, Linde K, Jones AP. Manual therapy for asthma. Cochrane Database Syst Rev. 2005;(2) [PubMed]


14. Leboeuf-Yde C, Pedersen EN, Bryner P, Cosman D, Hayek R, Meeker WC, et al. Self-reported nonmusculoskeletal responses to chiropractic intervention: A multination survey. J Manipulative PhysiolTher. 2005;28:294–302. [PubMed]


15. Markham AW, Wilkinson JM. Complementary and alternative medicines (CAM) in the management of asthma: An examination of the evidence. J Asthma. 2004;41:131–139. [PubMed]


16. McKelvey SE, Hayek R, Ali S, Asthma and chiropractic . World Federation of Chiropractic 5th Biennial Congress Symposium Proceedings. Auckland, New Zealand: World Federation of Chiropractic; 1999. 1999. A multi-centre approach; pp. 167–168.


17. Nielsen NH, Bronfort G, Bendix T, Madsen F, Weeke B. Chronic asthma and chiropractic spinal manipulation a randomized clinical trial. ClinExp Allergy. 1995;25:80–88. [PubMed]


18. Chiou CF, Weaver M, Bell M, Lee T, Krieger J. Development of the multi-attribute Pediatric Asthma Health Outcome Measure (PAHOM) Int J Qual Health Care. 2005;17:23–30. [PubMed

]
19. Adrienne Kaminskyj, BKin, DC, Michelle Frazier, BA, DC, Kyle Johnstone, BGS, DC, and Brian J. Gleberzon, BA, DC*. Chiropractic care for patients with asthma: A systematic review of the literature. J Can Chiropr Assoc. 2010 Mar; 54(1): 24–32.