The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Effectiveness of Manual Therapy for Asthma in Children and Adolescents: A Systematic Review

소아·청소년 천식에 대한 수기요법의 효과: 체계적 문헌 고찰

  • Park, Sun-Young (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Heo, In (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Shin, Byung-Cheul (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 박선영 (부산대학교 한의학전문대학원 임상의학 3부) ;
  • 허인 (부산대학교 한의학전문대학원 임상의학 3부) ;
  • 신병철 (부산대학교 한의학전문대학원 임상의학 3부)
  • Received : 2022.05.20
  • Accepted : 2022.05.31
  • Published : 2022.06.30
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Abstract

Objectives This systematic review aimed to provide evidence of the effectiveness and safety of manual therapy for asthma in children and adolescents. Methods We queried eight electronic databases (PubMed, Ovid-MEDLINE, EMBASE, The Cochrane Library, CNKI, ScienceON, KISS, and RISS) up to the end of April 2022. We included only randomized controlled trials (RCTs) investigating manual therapy for the treatment of asthma in children and adolescents. The methodological quality of the included RCTs was evaluated using the Cochrane risk-of-bias tool 1.0. Results Four RCTs were eligible for inclusion. Meta-analysis could not be performed due to the heterogeneity of the studies. One study showed the statistical significance of SMD 0.41 (95% CI: 0.06, 0.76, p<0.05) in the comparison with the osteopathic therapy group and the sham control group before and after treatment on the same day of peak expiratory flow. Conclusions This possibility was observed in a non-pharmacological approach to manual therapy. Manual therapy can be considered as an adjunct therapy for asthma treatment in children and adolescents who have difficulty with drug therapy.

Keywords

Acknowledgement

이 논문은 부산대학교 기본연구지원사업(2년)에 의하여 연구되었음.

References

  1. The Korean Academy of Asthma, Allergy and Clinical Immunology. Korean guideline for asthma 2021. 2021.
  2. National Center for Health Statistics. National Health Interview Survey (NHIS 2005). Hyattsville, MD:National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention. 2005.
  3. Strachan DP, Anderson HR, Limb ES, O'Neill A, Wells N. A national survey of asthma prevalence, severity and treatment in Great Britain. Arch Dis Child. 1994;70(3): 174-8. https://doi.org/10.1136/adc.70.3.174
  4. Australian Centre for Asthma Monitoring. Asthma in Australia 2008. AIHW Asthma Series no. 3, Cat. no ACM 14. Canberra: AIHW. 2008.
  5. Gruchalla RS, Pongracic J, Plaut M, Evans R, Visness CM, Walter M, Crain EF, Kattan M, Morgan WJ, Steinbach S, Stout J, Malindzak G, Smartt E, Mitchell H. Inner city asthma study: Relationships among sensitivity, allergen exposure, and asthma morbidity. J Allergy Clin Immunol. 2005;115(3):478-85. https://doi.org/10.1016/j.jaci.2004.12.006
  6. Nurmagambetov T, Kuwahara R, Garbe P. The economic burden of asthma in the United States, 2008-2013. Ann Am Thorac Soc. 2018;15(3):348-56. https://doi.org/10.1513/AnnalsATS.201703-259OC
  7. Lane DJ, Lane TV. Alternative and complementary medicine for asthma. Thorax. 1991;46(11):787-97. https://doi.org/10.1136/thx.46.11.787
  8. Lane DJ. What can alternative medicine offer for the treatment of asthma? J Asthma. 1994;31(3):153-60. https://doi.org/10.3109/02770909409044821
  9. Williams M. Complementary therapies for asthma. Community Nurse. 1997;3(8):20-2.
  10. Andrews L, Lokuge S, Sawyer M, Lillywhite L, Kennedy D, Martin J. The use of alternative therapies by children with asthma: A brief report. J Paediatr Child Health. 1998; 34(2):131-4. https://doi.org/10.1046/j.1440-1754.1998.00179.x
  11. Vange B. Contact between preschool children with chronic diseases and the authorized health services and forms of alternative therapy. Ugeskr Laeger. 1989;151(28):1815-8.
  12. Fedorchuk CF. Correction of subluxation and reduction of dysponesis in a 7 year old child suffering from chronic cough and asthma: A case report. Annals of Vertebral Subluxation Research. 2007:1-5.
  13. Cho JG, Jeong GM. A literature review on chuna therapy for childhood asthma. The Journal of Pediatrics of Korean Medicine. 1986;1:57-62.
  14. Food and Drug Administration. Guidelines for clinical trials in children, 2018.
  15. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 5.1.0 [updated September 2011]. John Wiley & Sons, Ltd. 2006.
  16. Balon J, Aker PD, Crowther ER, Danielson C, Cox PG, O'Shaughnessy D, Walker C, Goldsmith CH, Duku E, Sears MR. A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma. N Engl J Med. 1998;339(15):1013-20. https://doi.org/10.1056/NEJM199810083391501
  17. 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 Physiol Ther. 2001;24(6):369-77. https://doi.org/10.1067/mmt.2001.116417
  18. Guiney PA, Chou R, Vianna A, Lovenheim J. Effects of osteopathic manipulative treatment on pediatric patients with asthma: A randomized controlled trial. J Am Osteopath Assoc. 2005;105(1):7-12.
  19. Jones LM, Regan C, Wolf K, Bryant J, Rakowsky A, Pe M, Snyder DA. Effect of osteopathic manipulative treatment on pulmonary function testing in children with asthma. J Osteopath Med. 2021;121(6):589-96. https://doi.org/10.1515/jom-2020-0040
  20. Paul FA, Buser BR. Osteopathic manipulative treatment applications for the emergency department patient. J Am Osteopath Assoc. 1996;96(7):403-9.
  21. Reddel HK, Salome CM, Peat JK, Woolcock AJ. Which index of peak expiratory flow is most useful in the management of stable asthma? Am J Respir Crit Care Med. 1995;151(5):1320-5. https://doi.org/10.1164/ajrccm.151.5.7735580
  22. Engel RM, Vemulpad SR, Beath K. Short-term effects of a course of manual therapy and exercise in people with moderate chronic obstructive pulmonary disease: A preliminary clinical trial. J Manipulative Physiol Ther. 2013; 36(8):490-6. https://doi.org/10.1016/j.jmpt.2013.05.028
  23. Schend J, Rowane M, Sanan N, Hostoffer SR. An osteopathic modular approach to asthma: A narrative review. J Am Osteopath Assoc. 2020;120(11):774-82. https://doi.org/10.7556/jaoa.2020.121
  24. Bockenhauer SE, Julliard KN, Lo KS, Huang E, Sheth A. Quantifiable effects of osteopathic manipulative techniques on patients with chronic asthma. J Am Osteopath Assoc. 2002;102(7):371-5.
  25. Barnes PJ. Neurogenic inflammation and asthma. J Asthma. 1992;29(3):165-80. https://doi.org/10.3109/02770909209099025
  26. Dhami MSI, DeBoer KF. Systemic effects of spinal lesions. In: Haldeman S, ed. Principles and practice of chiropractic. 2nd ed. Norwalk, Conn.:Appleton & Lange, 1992:115-35.
  27. Janse J. Chiropractic management of selected spino-visceral disorders. In: Hildebrandt RW, ed. J. Janse principles and practice of chiropractic. Lombard, Ill.:National College of Chiropractic, 1976:227-39.
  28. Rowane W, Rowane MP. An osteopathic approach to asthma. J Am Osteopath Assoc. 1999;99(5):259-64. https://doi.org/10.7556/jaoa.1999.99.5.259
  29. Posadzki P, Lee MS, Ernst E. Osteopathic manipulative treatment for pediatric conditions: A systematic review. Pediatrics. 2013;132(1):140-52. https://doi.org/10.1542/peds.2012-3959