Effect of Chiropractic Therapy on Asthma and Asthma SymptomsZac Gassman

Background

Asthma

Asthma and Allergy Specialist Medical Group

Background

Chiropractic

Research

Nielsen et al (1995)

Balon et al (2000)

Bronfort et al (2001)

Divided patients into two groups (active and sham)

Performed breathing tests

Personal journal entries

Results

Nielsen et al (1995)

Balon et al (2000)

Bronfort et al (2001)

• P>0.05 in all but two tests

Results (cont.)

• Bronchial hypersensitivity decreased by 36%, p=0.01

• However no difference was seen between trial groups

Results (cont.)

Significant improvement in quality of life seen in many categories measured

Nielsen et al (2001)

Conclusions

No correlation between chiropractic adjustments and increased performance on breathing tests

Only difference between all tests and baseline reading was in hypersensitivity test

Sandburg et al (2000)

See stress can cause asthma symptoms

Surveyed 90 children over 620 days

Results

• Having chronic stress greatly increased the probability of having an asthma attack after severe event has occurred

• Nearly three times more likely to have an attack in the next two weeks as compared to those without chronic stress

Sandburg et al (2000)

Whelan et al (2002)

Looking to see the affect of chiropractic adjustment on salivary cortisol levels

30 men divided into three groups (active, sham, and control)

Salivary cortisol levels take prior to chiropractic adjustment

Salivary cortisol levels taken 5, 15, 30, and 60 minutes after adjustment

Results

A significant decrease in cortisol levels was seen from the baseline test to the post adjustment measurements

No significant differences between active and sham groups

Use of Low level lasers in clinical setting

Promotes cellular healing by acting on the mitochondrial level

Reduces inflammation and proceeds to prompt normal cellular metabolism

Aimbire et al (2006)

Trachea of dissected rats was removed and placed in tumor necrosis factor alpha (TNF-a) in order to induce inflammation

Trachea smooth muscle was placed on a sensor where force output from the muscle could be measured.

Experimental group was exposed laser treatment

Acetylcholine was added to force an entire muscle contraction

Isoproterenol was added to act as a muscle relaxant, in order to cause smooth muscle relaxation

Results

Laser therapy had a significant impact on the relaxation of the smooth muscle (p<0.05)

Overall Conclusions

Both chiropractic adjustments and higher technological techniques have been suggested to have an impact on the presence and severity of asthma

Through the measurements made in hypersensitivity after adjustments, effects of cortisol on asthma, and the effects of lasers, there is still evidence to support this claim

Thank you

Mentor Dr. Davis

Advisor Dr. Shealer

Biology Faculty

Chiropractors

Dr. Thomas Jensen

Dr. James Sullivan

Dr. Dan Johnson

Dr. Joel Maloof

Bibliography Aimbire, F., J. Bjordal, V. Iversen, R. Albertini, L. Frigo, M. Pacheco, H. Castro-Faria-Neto, M. Chavantes, R. Labat, R. Lopes-

Martins. (2006). Low level laser therapy partially restores trachea muscle relaxation response in rats with tumor necrosis factor a-mediated smooth airway muscle disfuction. Lasers in surgery and medicine. 38. Pgs. 173-178.

Asthma and Children Fact Sheet. (2014). American Lung Association. Retrieved 10/26/14, from http://www.lung.org/lung-disease/asthma/resources/facts-and-figures/asthma-children-fact-sheet.html

Balon, J., P Aker, E Crowther, C Danielson, P Cox, D O’Shaughnessy, C Walker, C Goldsmith, E Duku, M Sears. (1998). A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma. The New England Journal of Medicine. 339(15). Pgs. 1013-1020.

Bronfort, G., R. Evans, P. Kubic, P. Filkin. (2001). Chronic pediatric asthma and chiropractic spinal manipulation: A perspective clinical series and randomized clinical pilot study. Journal of manipulative physiological therapeutics. 24(6). Pgs. 369-377.

Ebrecht, M., J Hextall, L Kirtley, A Taylor, M Dyson, J Weinman. (2004). Percieved stress and cortisol levels predict speed of wound healing in healthy male adults. Psychoneuroendocrinology. 29(6). Pgs. 798-809.

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Hawk, C., R Khorsan, A Lisi, R Ferrance, M Evans. (2007). Chiropactic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research. Journal of alternative and complementary medicine. 13(5). Pgs 491-512.

Nielsen, N.H., G. Bronfort, T. Bendix, F. Madsen, B. Weeke. (1995). Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Clinical and Experimental Allergy. 25(1). Pgs. 80-88.

Sandberg, S., J Paton, S Ahola, D McCann, D McGuinness, C Hillary, H Oja. (2000). The role of acute and chronic stress in asthma attacks in children. The Lancet. 356. Pgs 982-987.

Whelan, T., J. Dishman, J. Burke, S. Levine, V. Sciotti. (2002). The effect of chiropractic manipulation on salivary cortisol levels. Journal of manipulative and physiological therapeutics. 25(3). Pgs. 149-153.

Woolcock, A., J Peat. (1997). Evidence for the increase in asthma worldwide. Ciba Foundation symposium. 206. Pgs. 122-134.

Questions?