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Join us in documenting the effects of spinal manipulative therapy on Asthma
I AM WRITING TO YOU to ask for your support for a multicenter clinical trial by a highly qualified research team that will document the effects of spinal manipulative therapy in the management of asthma that we would like to fund. This particular study, at a cost of approximately a quarter of a million dollars, is taking place in Australia, known as the asthma capital of the world because of the high rate of asthma in that country.
This project, conducted by researchers at Macquarie University in Sydney with 420 subjects, follows on the heels of preliminary observations which suggest that chiropractic management of spinal dysfunction in asthmatic subjects reduces symptoms, anxiety and cortisol levels. It is important to note:
In other words, the most comprehensive spectrum to date of indicators of asthma function will be tracked.Top
Building on Previous Study
This project far exceeds what was observed in an earlier, more restricted clinical trial that received extremely limited funding from our Foundation.1 This previous trial focused primarily on lung function tests and use of a bronchodilator in children for up to 4 months following treatment. Although symptom improvement was observed in both treatment and control groups, the differences between the two did not appear to be statistically significant. What is important to realize in this instance is that the "control" group received soft-tissue massage, distraction, and palpation to multiple regions of the body. Soft tissue massage has itself been demonstrated to produce profound improvements in asthma symptoms and lung function in children.2
As in any research endeavor, our sophistication grows with experience and data obtainedand the entire clinical research world now has come to the realization that so-called sham or mimic procedures involving physical methods of healthcare intervention need to be approached with extreme caution. From the results that we have only just recently seen, sham procedures involving contact may be prone to misinterpretation, and as such, may inappropriately dismiss as "placebo effects" much of what actually occurs in a practitioners office. Consequently, the perceived "negative result" of this earlier study (that had a disproportionately large public exposure from its publication in The New England Journal of Medicine) is in critical need of updatingwhich is possible with our new proposed study.
We have a particularly good opportunity to accomplish this objective with the planned Australian clinical trial, in which preliminary results already seem to suggest a positive effect of chiropractic management.
There is no question that asthma has to be regarded as a serious health concern in the United States:
Here are 5 reasons why your contribution to FCER for the asthma study is of paramount importance now:
Wont you help us fund this indispensable trial? Any amount will help! Please join us at this extremely critical time as we direct our healthcare system in the direction that will most efficiently, safely, and economically affect us all.
Please make your tax-deductible donation today to help fund this important Asthma research trial. When you do, we will provide you with exclusive Asthma Progress Reports. Become a partner with us in funding this vitally important project today. Here are three ways to donate:
1Balon J, Aker PD, Crowther ER, Danielson C, Cox PG, O'Shaugnessy D, Walker C, Goldsmith CH, Duku E, Sears MR. A comparison of active and simulated chiropractic manipulation as adjunctive treatment for childhood asthma. New England Journal of Medicine 1998; 339(15): 1013-1020.
2Field T, Henteleff T, Hernandez-Reif M, Martinez E, Mavunda K, Kuhn C, Schanberg S. Children with asthma have improved pulmonary functions after massage therapy. Journal of Pediatrics 1998; 132(5): 854-858.
3The Integrative Medicine Consult 1999; 1(1): 120, 122.
4Wickens K, Pearce N, Crane J, Beasley R. Antibiotic use in early childhood and the development of asthma. Clinical and Experimental Allergy 1999; 29: 766-771.
5Goldstein M [ed]: Monograph No. 15. The research status of spinal manipulation, U.S. Department of Health, Education, and Welfare, Washington, DC, February 3-4, 1975.
6Koes BW, Assendelft WJJ, van der Heijden GJMG, Bouter LM. Spinal manipulation for low-back pain: A updated systematic review of randomized clinical trials. Spine 21(24): 2860-2871.
7van Tulder M, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain: A systematic review of randomized controlled trials of the most common interventions. Spine 1997;22(18): 2128-2156.
8Anderson R, Meeker WC, Wirick BE, Mootz RD, Kirk DH, Adams A. A meta-analysis of clinical trials of spinal manipulation. Journal of Manipulative and Physiological Therapeutics 1992; 15(3): 181-194.
9Shekelle PG, Adams AH, Chassin MR, Hurwitz EL, Brook RH. Spinal manipulation for low-back pain. Annals of Internal Medicine 1992; 117(9): 590-598.
10Bigos S, Bowyer O, Braen G, et al. Acute low back pain in adults. Clinical practice guideline No. 14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services. December 1994.
11Manga P, Angus D, Papadopoulos C, Swan W. The effectiveness and cost-effectiveness of chiropractic management of low-back pain. Ottawa, Ontario, CANADA: Pran Manga & Associates, Inc., University of Ottawa, 1993, pp 65-70.
12Rosen M. Back pain. Report of a Clinical Standards Advisory Group Committee on back pain. May1994, London: HMSO.
13Commission on Alternative Medicine, Social Departementete, Legitimization for Vissa Kiropraktorer, Stockholm, SOU [English Summary] 1987; 12: 13-16.
14Danish Institute for Health Technology Assessment: Low-back pain, frequency, management, and prevention from an HTA perspective. Danish Health Technology Assessment 1999; 1(1).
15Thompson CJ. Second Report, Medicare Benefits Review Committee, Canberra, AUSTRALIA: Common wealth Government Printer, June 1986, Chapter 10 [Chiropractic].
16Hasselberg PD. Chiropractic in New Zealand, Report of A Commission of Inquiry. Wellington, NEW ZEALAND: Government Printer, 1979.
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