Kaminskyj Adrienne, Frazier Michelle, Johnstone Kyle, Gleberzon Brian J
J Can Chiropr Assoc. 2010 Mar;54(1):24-32.
To provide a review of the literature and rate the quality of published studies regarding chiropractic care, including spinal manipulation, for asthmatic patients.
A multimodal search strategy was conducted, including multiple database searches, along with reference and journal hand-searching. Studies were limited to those published in English and in peer-reviewed journals or conference proceedings between January 1980 and March 2009. All study designs were considered except personal narratives or reviews. Retrieved articles that met the inclusion criteria were rated for quality by using the Downs and Black checklist. A brief summary was also written for each retrieved study.
Eight articles met the inclusion criteria of this review in the form of one case series, one case study, one survey, two randomized controlled trials (RCTs), one randomized patient and observer blinded cross-over trial, one single blind cross study design, and one self-reported impairment questionnaire. Their quality scores ranged from 5 to 22 out of 27.
Results of the eight retrieved studies indicated that chiropractic care showed improvements in subjective measures and, to a lesser degree objective measures, none of which were statistically significant. It is evident that some asthmatic patients may benefit from this treatment approach; however, at this time, the evidence suggests chiropractic care should be used as an adjunct, not a replacement, to traditional medical therapy.
对有关脊椎按摩疗法（包括脊柱推拿）治疗哮喘患者的文献进行综述并评估已发表研究的质量。
采用多模式检索策略，包括多个数据库检索以及参考文献和期刊手工检索。研究仅限于1980年1月至2009年3月期间以英文发表在同行评审期刊或会议论文集上的文献。除个人叙述或综述外，所有研究设计均在考虑范围内。使用唐斯和布莱克清单对符合纳入标准的检索文章进行质量评分。还为每篇检索到的研究撰写了简要总结。
八篇文章符合本综述的纳入标准，形式包括一个病例系列、一个病例研究、一项调查、两项随机对照试验（RCT）、一项患者和观察者双盲随机交叉试验、一项单盲交叉研究设计以及一份自我报告的损伤问卷。它们的质量得分在27分制中从5分到22分不等。
八项检索研究的结果表明，脊椎按摩疗法在主观指标上有所改善，客观指标上改善程度较小，但均无统计学意义。显然，一些哮喘患者可能会从这种治疗方法中受益；然而，目前证据表明脊椎按摩疗法应作为传统医学疗法的辅助手段，而非替代方法。
