Manual therapy for asthma

Hondras, MA; Linde, Klaus; Jones, Aaron P.

doi:10.1002/14651858.cd001002

Cited by 33 publications

(37 citation statements)

References 33 publications

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“…The use of such techniques for non-spinal or extremity pain has caused controversy and debate in the literature [19]. Although the proposed physiological mechanisms underpinning these techniques remain poorly understood, reports of improved outcomes following their application exist for asthma [34,35], pneumonia [36] and paediatric respiratory infections [37].…”

Section: Discussionmentioning

confidence: 99%

“…In a well-designed RCT, Balon et al (1998) [38] investigated the effects of chiropractic SMT versus that chiropractic SMT provided no additional benefit to usual medical care in children with mild or moderate asthma. Indeed, this paper accounts for more than 50% of the subjects (1 of 3 papers) considered in a recent Cochrane systematic review [19], which concluded "there is insufficient evidence to support the use of manual therapies for patients with asthma". This finding was confirmed by a recent UK evidence report which reviewed chiropractic and osteopathic MT [39].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does manual therapy provide additional benefit to breathing retraining in the management of dysfunctional breathing? A randomised controlled trial

Jones

Troup

Nugus

et al. 2014

Disability and Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Does manual therapy provide additional benefit to breathing retraining in the management of dysfunctional breathing? A randomised controlled trial

Jones

Troup

Nugus

et al. 2014

Disability and Rehabilitation

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“…31 Comparisons of real versus sham chiropractic show no difference. [32][33][34] Comparisons of real versus sham of acupuncture show a small or no difference. [35][36][37] Real versus sham spiritual healing show either a small effect 38 or that the data are uncertain.…”

Section: Types Of Cammentioning

confidence: 97%

A tale of two therapies: psychotherapy and complementary and alternative medicine (CAM) and the human effect

Hyland

2005

Clinical Medicine

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-Meta-analyses show that psychotherapy and complementary and alternative medicine (CAM) are effective primarily or entirely due to contextual factors rather than the specific disease-treating factors suggested by the therapy. Therapists are the most important contextual factor. Psychotherapy research shows that therapist effectiveness varies from zero to about 80%, but has failed to identify what makes a good (ie charismatic) therapist. Therapist effects are unrelated to experience or training or type of therapy. The conclusion that CAM and psychotherapy are effective due to the human effect leads to more questions than it answers. We do not know what charismatic therapists communicate to patients, we do not know the mechanism of communication, and we do not know how this communication influences the patient therapeutically. The therapist matters, but how or why we do not know. We need a better understanding of therapist effects, in psychotherapy, in CAM and also amongst physicians. KEY WORDS: CAM, common factors, complementary and alternative medicine, context, efficacy, meta-analysis, psychotherapy, therapist effectsPsychotherapy and complementary and alternative medicine (CAM) are both popular but controversial therapies and both involve quality therapist-patient contact. The increasing popularity of CAM 1 is matched by a reduction in the use of psychotherapy. 2 Research into psychotherapy is better established: there are about five times as many psychotherapy publications as there are on CAM (Box 1). This paper uses meta-analyses to: (a) draw attention to similarities in the 'research stories' of these two therapies, and (b) come to some conclusions about the human effect in therapy. The psychotherapy research storyIn any psychotherapy, two types of factor can have a therapeutic effect: specific factors and incidental (or non-specific) factors. The specific factors are specific to a particular psychotherapy, they correct the assumed underlying pathology, and are commonly assumed to be the major contributor to therapeutic outcome. For example, in cognitive behavioural therapy (CBT), the underlying pathology is assumed to be erroneous cognitions, and the specific factors are the therapist-patient interactions that correct those erroneous cognitions. The incidental factors are factors that are incidental to the process of delivering the specific factors. They include emotional contact with the patient, a shared interpretation of the problem, and expectancy of a positive outcome. Because the incidental aspects are common across all psychotherapies, they are also known as common factors.The majority of research in psychotherapy is designed to demonstrate the superiority of one set of specific factors over another or in contrast to the common factors. Many studies demonstrate superiority. However, efficacy research in psychotherapy is confounded by the researcher's allegiance to a therapy (and consequently the therapist's allegiance), and allegiance correlates with outcome. When allegiance is taken into a...

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“…A recent Cochrane review 36 aimed to "evaluate the evidence for the effects of manual therapies for treatment of patients with bronchial asthma". Manual therapy was compared with control treatments in terms of physiological outcomes, morbidity and mortality, and side-effects of therapy.…”

Section: Policy Backgroundmentioning

confidence: 99%

A pilot study on the use of decision theory and value of information analysis as part of the NHS Health Technology Assessment programme

Claxton¹,

Ginnelly

Sculpher³

et al. 2004

Health Technol Assess

164

144

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Manual therapy for asthma

Cited by 33 publications

References 33 publications

Does manual therapy provide additional benefit to breathing retraining in the management of dysfunctional breathing? A randomised controlled trial

Does manual therapy provide additional benefit to breathing retraining in the management of dysfunctional breathing? A randomised controlled trial

A tale of two therapies: psychotherapy and complementary and alternative medicine (CAM) and the human effect

A pilot study on the use of decision theory and value of information analysis as part of the NHS Health Technology Assessment programme

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