1. Antroposophic therapy for asthma: A two-year prospective cohort study in routine outpatient settings.

Hamre HJ, Witt CM, Kienle GS, Schnürer C, Glockmann A, Ziegler R, Willich SN, Kiene H.




Institute for Applied Epistemology and Medical Methodology, Freiburg, Germany;



Anthroposophic treatment for asthma includes special artistic and physical therapies and special medications.


We studied consecutive outpatients starting anthroposophic treatment for asthma under routine conditions in Germany. Main outcomes were average asthma severity (0-10, primary outcome); symptoms (1-4); and asthma-related quality of life at 12-month follow-up (Asthma Quality of Life Questionnaire [AQLQ] overall score, 1-7, for adults; KINDL Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents, asthma module, 0-100, for children) at 12-month follow-up.


Ninety patients (54 adults, 36 children) were included. Anthroposophic treatment modalities used were medications (88% of patients, n = 79/90); eurythmy therapy (22%); art therapy (10%); and rhythmical massage therapy (1%). Median number of eurythmy/art/massage sessions was 12 (interquartile range 10-20), median therapy duration was 120 days (84-184). From baseline to 12-month follow-up, all outcomes improved significantly (P < 0.001 for all comparisons). Average improvements were: average asthma severity 2.61 points (95% confidence interval CI: 1.90-3.32); cough 0.93 (95% CI: 0.60-1.25); dyspnea 0.92 (95% CI: 0.56-1.28); exertion-induced symptoms 0.95 (95% CI: 0.64-1.25); frequency of asthma attacks 0.78 (95% CI: 0.41-1.14); awakening from asthma 0.90 (95% CI: 0.58-1.21); AQLQ overall score 1.44 (95% CI: 0.97-1.92); and KINDL asthma module 14.74 (95% CI: 9.70-19.78). All improvements were maintained until last follow-up after 24 months.


Patients with asthma under anthroposophic treatment had long-term improvements of symptoms and quality of life.

PMID: 21437149

[PubMed - in process]

PMCID: PMC3048604

Free PMC Article


2. Case study in pediatric asthma: the corrective aspect of craniosacral fascial therapy.

Gillespie BR.




The Family Hope Center, Blue Bell, PA, USA. drbarryrg@mac.com

PMID: 18194792

[PubMed - indexed for MEDLINE]


3. The characteristics of complementary and alternative medicine use by parents of asthmatic children in Southern Israel.

Singer L, Karakis I, Ivri L, Gross M, Bolotin A, Gazala E.




Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.



The aim of this study was to estimate the rate and describe the characteristics of complementary and alternative medicine (CAM) use by children with asthma in a paediatric primary care clinic in southern Israel.


A cross-sectional study including 252 asthmatic children aged 2-12-years was conducted. Socio-demographic data and asthma history were collected using a telephone questionnaire. Computerized medical records were used to complete the data.


Sixteen percent (95% CI 11.5-20.5) of the asthmatic children participating in this study used CAM; most popular were homeopathy (36.6%) and reflexology (14.6%). According to multivariate model, CAM use was more prevalent in families in which fathers had professional training (OR = 4.9, 95% CI 1.82-13.02, p = 0.002), mothers were employed (OR = 4.1, 95% CI 1.018-16.1, p = 0.047), and origin of maternal grandfathers was European (OR = 4.7, 95% CI 1.86-11.8, p = 0.001). Families who used CAM, also more frequently sought rabbinical advice (OR = 11.9, 95% CI 2.94-47.7, p = 0.001).


The prevalence of CAM use found in this study is lower than seen in other Western countries. The 'average family' using CAM to treat its asthmatic child includes an educated father, an employed mother and maternal grandfather from Europe, and would more often seek rabbi's advice.

PMID: 17888047

[PubMed - indexed for MEDLINE]


4. Use of complementary medicine amongst asthmatic patients in primary care.

Mokhtar N, Chan SC.




Department of Primary Care & Public Health, Royal College of Medicine Perak, 3 Jalan Greentown, 30450 Ipoh, Perak.


Complementary Medicine (CM) usage amongst asthmatic patients was studied. Eighty-eight patients, selected by systematic random sampling in two public polyclinics in April/May 2004, were interviewed. They completed a structured pre-tested questionnaire. Forty-one percent were using CM, majority (64%) together with conventional therapy. Eighty-one percent did not inform their physicians of their CM usage. More Malays were using CM which included nutritional supplements, herbs, yoga, homoeopathy, reflexology and massage.

PMID: 16708752

[PubMed - indexed for MEDLINE]


5. An integrative approach to asthma.

Hassed C.




Department of General Practice, Monash University, Victoria, Australia. craig.hassed@med.monash.edu.au



Conventional asthma management has provided significant symptomatic relief for asthma sufferers, as well as having saved the lives of many asthma patients. However, many patients with asthma--and the parents of children with asthma--are increasingly seeking to improve asthma control and quality of life, and reduce medication dosage by using an integrative medicine (IM) approach to their asthma management. This approach incorporates lifestyle interventions, psychological approaches, and complementary therapies.


This article reviews some of the evidence for the IM approach to asthma including complementary medicine (CM), lifestyle and mind-body strategies; and discusses some of the practical and safety issues involved.


Many patients report significant benefits from broadening their approach to asthma, but there is also the potential risk of some patients to make unsafe treatment choices and possibly forego adequate supervision. Unfortunately, many patients do not inform their general practitioner about their use of CM. Medical education has not traditionally trained doctors to be aware of evidence based lifestyle and CM treatment options. The informed GP plays a vital role in supervision, educating patients about valid and safe treatment options, decision making, and supporting legitimate patient empowerment in their own management. An evidence based integrative approach offers the best potential outcomes for doctor, patient and family.

PMID: 15999168

[PubMed - indexed for MEDLINE]


6. Clinical efficacy, mechanisms of action, and adverse effects of complementary and alternative medicine therapies for asthma.

Bielory L, Russin J, Zuckerman GB.




Division of Allergy, Immunology and Rheumatology Departments of Medicine and Pediatrics, UMDNJ, New Jersey Medical School, 90 Bergen Street, DOC 4700, Newark, NJ 07081, USA.


Complementary and Alternative Medicine (CAM) therapies such as herbal therapy, acupuncture, yoga, homeopathy, chiropractic medicine, and massage therapy, continue to gain popularity as modalities for the treatment of asthma. In the Chinese, Japanese, Korean, Indian, and Western cultures, herbal therapies appear to be commonly used for allergies. Although well-controlled scientific studies have not been performed on many of the Asian herbal therapies and some basic studies have been performed on various herbal components (active ingredients), more needs to be done to assess the composite effects of many herbal remedies. An important part of the assessment of CAM modalities is the therapeutic-toxicologic safety profile (risk-benefit ratio), and further research evaluating the clinical efficacy and mechanism of action of various CAM interventions for asthma is greatly needed. This paper focuses on clinical and laboratory research regarding various CAM therapies that have been used in the treatment of asthma. The references cited are confined to literature originally published or translated into English.

PMID: 15603200

[PubMed - indexed for MEDLINE]


7. The use of complementary therapies in inner-city asthmatic children.

Braganza S, Ozuah PO, Sharif I.




Department of Pediatrics, Albert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, New York 10467, USA. sandrafb@juno.com


Use of complementary/alternative medicine (CAM) has been increasing, especially among patients with a chronic illness. Although asthma is the most common chronic illness affecting children in the United States, very little is known about the use of CAM in children with asthma. Our objective was to determine the prevalence and correlates of CAM use among inner-city children with asthma. A cross-sectional survey of parents of children with asthma attending an urban health center was performed. Parents were surveyed regarding CAM use over the past year, perceived efficacy of CAM, severity of child's asthma symptoms and demographic information. Differences in proportions were tested by chi-square or Fisher's exact test as appropriate. Three hundred ten parents participated, of whom 61% were Hispanic and 37% were African American. Parental mean age was 33 years and the mean age of the child was 7.2 years; 89% of parents had treated their child in the past year with some form of CAM. However, only 18% had informed a physician of doing so. The most common forms of CAM used were as follows: prayers (53%), rubs (53%), and massage (45%). Of those who used CAM, 59% perceived it to be at least as effective as pharmacotherapy, and 44% used CAM as first treatment of an asthma attack. Mild and moderate persistent asthmatics had significantly higher rates of CAM use than did mild intermittent and severe persistent asthmatics. We found a very high rate of CAM use among children with asthma in this inner-city population. Most importantly, a very high proportion of parents perceived the therapies to be effective, used them as first treatment of an acute exacerbation, and did not inform a physician of doing so. These findings have implications for the care of asthmatic children by pediatricians practicing in urban settings.

PMID: 14626339

[PubMed - indexed for MEDLINE]


8. Nonpharmacological therapy of bronchial asthma in children. State of the art.

Vopr Kurortol Fizioter Lech Fiz Kult. 2003 May-Jun;(3):54-5.

[Article in Russian]

Mokina NA.



PMID: 12852024


[PubMed - indexed for MEDLINE]