Some Physiotherapy Asthma Management May Be Questionable


Physiotherapy Asthma management is a concern for about 15 million people in America. There are many different medications and other treatments used successfully for asthma management. However, some methods used are not quite proven to work.

Some physiotherapy clinics claim that massage can be used for asthma management. They state that it works to relieve the symptoms of wheezing and breathlessness. They use massage on patients young and old. However, there is no substantial proof that massage does any more good for asthma management than to relieve stress.

One alternative physiotherapy method that has been used for asthma management is acupuncture. There is some indication that this technique can actually have some benefit in relieving symptoms of asthma.

Acupuncture is claimed to aid the immune system fight off illnesses (although no scientific support evidences this beyond placebo effect). If valid, such immune effects would be beneficial for asthma management because illnesses such as colds or flu exacerbate the asthma condition. Yet, acupuncture is still only recommended to be used along with other treatments and not relied upon solely.

Some acupuncturists use other methods for asthma management. They might burn herbs over acupuncture points. They might give patients a certain kind of massage, or teach them breathing exercises. There is no known validity in these treatments.

Chiropractors rely on spinal manipulation for asthma management. The reviews of this theory are mixed. One study compared a sham, or fake, type of spinal manipulation that was done on one group of asthma patients. The other group got the real manipulations. There was little, if any, difference between the two groups. This would suggest that chiropractic adjustments are not effective for asthma management.

However, another study was done. Eighty-one children were followed through asthma management at a chiropractic clinic over a period of time. Overall, there were 45% fewer asthma attacks among these children after treatment. 30% were able to significantly reduce their asthma medications. Thus, the jury is still out on the effect of chiropractic medicine on asthma management.

There is a physiotherapy specialty certification for those who wish to work with asthma management. Physiotherapists may take a test to become certified as Certified Asthma Educators, and they help people to deal with their condition. What is more, Medicare and Medicaid pay for their services.

There is also some evidence that asthma management for those who have to be admitted to the hospital should involve physiotherapy. There was a study of respiratory patients who were given range of motion exercises while in the hospital. The average stay was three days less than those without the exercises.

One challenge of traditional physiotherapy for asthma management is that dehydration happens easily. Asthmatics get dehydrated more easily, and it affects them in a worse way. It can even bring on an asthma attack. Any exercise plan must take this into account.

There are ways for physiotherapy to be used for asthma management. Certainly, there are other methods, and research may prove these methods have value. In the meantime, some methods are better reserved as alternatives to be used only as supplements to medications and proven physiotherapy treatments.


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Further Reading

Amputee Rehabilitation
Alexander Technique
Asthma Management
Cardiac Surgery
Chronic Airways Disease
Down Syndrome
Geriatric Physiotherapy
History Of Physiotherapy
How To Check Physiotherapy Credentials
Lower Back Pain
Neurological Conditions
Occupational Injury
Pediatric Disorders
Physiotherapy Assessment
Physiotherapy Insurance
Physiotherapy Statistics
Physiotherapy Training
Postural Problems
Rheumatoid Arthritis Treatment
Spinal Cord Injury
Sports Injuries
Start A Physiotherapy Career
Stroke Rehabilitation
What Happens After Physiotherapy
What Is Physiotherapy?
Why Physical Therapy?
Women's Health





  

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By adffs
25th February 2010 - 10:42pm

My thanks to Professor David Colquhoun for his comments. The text has been revised to reflect them.

The impact of mental attitude on physical conditions is widely observed anecdotally amongst health care professionals. I don't know if any objective research has been done to validate such observations. Or even if it would be feasible to conduct scientifically?

I know absolutely nothing about acupuncture - but the power of suggestion is indeed formidable and widely observed. Do we care ultimately how a technique works, provided it yields helpful results?

There is an element of the witch-doctor in most professions, and medicine is no exception!
In Defense of Snake Oil - By Steven Henderson - Homepage
26th November 2008 - 5:35pm

"Acupuncture does seem to help the immune system fight off illnesses"

I'm not aware of any good evidence at all for this statement. Barker Baussel's book, Snake Oil Science sums up all the research beautifully and the outcome is that acupuncture has turned out to be nothing more than a theatrical placebo.
There is nothing wrong with placebos of course as long as you admit that they are the best you can do, But there is everything wrong in teaching students about meridians and Qi that are no more than the imaginary constructs of a pre-scientific age.
Acupuncture sham - By David Colquhoun - Homepage
4th August 2008 - 4:01pm