Microsoft word - asthma and enuresis case report 2.doc

Asthma and Enuresis.
Title:
“Management of paediatric asthma and enuresis with probable
traumatic aetiology”.
This is the case study of a three year old infant who was suffering with asthma
and enuresis. This child had not responded to medical care and had
experienced more than twenty emergency hospital visits for the asthma
attacks over a period of twelve months.
Results:
The child received three chiropractic adjustments over a period of eleven
days. Following this the asthma symptoms and enuresis ceased for more than
eight weeks.
Following a minor fall from a ladder, the asthma and enuresis reoccurred but
resolved again following further chiropractic adjustments.
At a follow up two years later, the mother reported no reoccurrence of the
asthma or the enuresis.
Bachman TR, Lantz CA Proceedings of the National Conference on
Chiropractic and Paediatrics (ICA), 1991: 14-22.

This case study clearly demonstrates that
chiropractic may make a dramatic difference to children
with asthma and enuresis (bedwetting).
Title:
“Asthma and Enuresis”.

The child in this study was born by caesarian section and had a vaccination
history which included one Polio shot at age two and only one
Diphtheria/Tetanus shot, (due to a reaction to this injection).
The child developed asthma at age three together with a chronic recurrence
of colds and flu symptoms. As the child got older her resistance to infections
improved, however the asthma worsened.
The asthma was triggered by either a virus, bacteria or allergies. Due to the
severity of the asthma attacks the child was hospitalised once for three days,
and also had a number of trips to the local hospital emergency room.
The child was on ‘Intal’ medication twice per day, as well as ‘Proventil’ which
she took at the onset of each asthmatic episode. In addition to this she carried
her nebulizer daily for times when her breathing became laboured or if a crisis
developed.
The mother reported her daughter would cough up a ball of phlegm following
each acute episode. She also reported that her daughter also suffered with
frequent blood noses.

Results:
The patient improved following the first adjustment and after the fifth
adjustment, the asthma had ceased altogether. (In addition to this the child’s
bed wetting had also stopped).
The authors make a special note about how ‘guarded’ the mother was with
the chiropractic care. The mother insisted the child carry all medication with
her at all times. It took almost one year for the mother to feel comfortable that
her child had actually made a lasting recovery and that her daughter did not
require the medication anymore.

Zell, Paul, International Chiropractic Paediatric Newsletter, May-June 1998

This case study clearly demonstrates that
chiropractic may make a difference to children with
asthma. In addition to this the study also addresses the
resolving of the child’s bedwetting as a result of the
chiropractic care.

Title:
“Chiropractic care in the treatment of asthma”.

This is the case report of an eighteen year old patient with a two year history
of asthma. The patient received chiropractic care and was monitored over a
five year period.
Results:
The result was a marked subjective improvement in the patient’s health
status. The greatest improvements were reported by the patient to be in the
weeks following the chiropractic adjustments.
Killinger LZ. Palmer Research Journal 1995; 2(3):74-7.
This case study addresses the subjective
improvement in this patients asthma symptoms as a
result of chiropractic care.


Title:
“Case study: Eight year old female with chronic asthma”.
In this study the patient had been diagnosed with asthma three years prior to
presentation. The medications Beclovent™ and Albyterol ™ were being used
up to three times per day to help alleviate the symptoms.
Results:
Following eight chiropractic adjustments over a period of two and a half
weeks, the mother stated that the child had not needed to use her inhaler for
two days. In addition to this her wheezing had ceased and she ‘could run
without gasping for air’.
Follow up assessment four months later revealed that the child had been free
of asthmatic attacks and had not required her medication since her last visit.
Peet JB. Chiropractic Paediatrics,1997; 3(2) 9-12.

Another case study clearly demonstrates that
chiropractic may make a difference to children with
asthma.

Title:
“Asthma in the Paediatric Patient”.
This is a case history of a three year old infant who had suffered from
bronchial asthma from infancy. He was on increasing doses of medication,
with asthmatic attacks occurring several times per week.
Results:
Following one month of chiropractic care the child’s asthma resolved.
Fysh, P. Dynamic Chiropractic Sept. 25, 1995. P. 16.

Yet another example of the positive difference that
chiropractic may make to children with asthma.

Title:
“Case history of asthmatic child”.
A four year old female infant presented to a chiropractic clinic. The following is
an excerpt from a case study of this child:
“Since birth she had problems with her respiratory system.and a clinical
diagnosis of asthma. She had … hard and laboured breathing, inability to run
from shortness of breath.she had become reliant on antibiotics for constant
respiratory infections.she had taken lots of steroidal drugs. This
‘conventional’ drug therapy had not prevented her from spending every
Christmas in the hospital on a breathing machine.”
Specific chiropractic adjustments were applied to correct the vertebral
subluxations present.
Results:
The patient showed an immediate improvement as a result of the chiropractic
care. She stopped the medication two weeks after care began.
By the end of a two month period she was symptom free and able to play with
her friends like a normal child.
Her fifth Christmas was spent at home, a first for the child and her family.
Matthews, NC. Et al. International Chiropractic Paediatric Association
Newsletter. July 1996.
Yet another example of the positive difference that
chiropractic may make to children with asthma.

Title:
Asthma and chiropractic
This is a case study of a six year old boy who had suffered with asthma from
the age of three. The child was on the medication Beclovert and Ventolin™.
The child would use the medication up to three times a day.
Results:
Chiropractic care resulted in a significant change.
The child could run during sport and to quote the mother that he “almost never
used his inhaler.”
The child’s sleeping improved.
Again to quote the parent: the child now “hardly ever had bouts with mucous
clogged nasal passages.”
The medication, (the nasal inhalant), was discontinued completely.
Garde R. Chiropractic Paediatrics. Vol 1 No.3 Dec, 1994.

And another example of the significant difference
that chiropractic may make to children with asthma.

Title:
“A holistic approach to the treatment of bronchial asthma in a
chiropractic practice”.
This study addresses the results of chiropractic care for two children (ages
two and five) and one adult (age thirty) who all suffered with asthma.
Results:
Following the commencement of chiropractic care the patients were asthma
free for six months to two years later. (As at the writing of the article).
The author, Dr Dean Lines, a chiropractor and lecturer at the RMIT University
School of Chiropractic comments:
“With mounting evidence that current medical bronchodilator and inhaled
steroid intervention may be contributing to rising mortality, the conservative,
holistic, chiropractic approach presented here may well provide .more
effective alternative intervention to present …. medical therapy.”
He continues:
“It appears that the currently accepted …. medical management regimes still
remain consensus based rather than having been founded on actual clinical
trials.”
Lines DA. Chiropractic J of Australia 1993;23(1):4-8.

This study suggests that chiropractic, with its safe
and natural drug free approach may be an effective
alternative to the current medical therapy for asthma.

Study One
Title:
“Contact between preschool children with chronic diseases and the
authorized health services and forms of alternative therapy.”
This study found that among parents of asthmatic children who had received
chiropractic treatment, 92% of them considered the chiropractic adjustments
beneficial.
Vange B; Ugeskr Laeger 1989; 151(28):1815-8

Study Two
Title:
“A Comparison Of The Effects Of Chiropractic Treatment On Respiratory
Function In Patients With Respiratory Distress Symptoms And Patients
Without.”
This study determined that 76.5% of the patients with bronchial asthma in this
study believed they benefited from their chiropractic treatment. Specifically the
peak flow rate and vital capacity increased.
Hviid C; Bull Eur Chiro Union 1978; 26: 17-34

Study Three
Title:
“Prognostic Factors in Bronchial Asthma in Chiropractic Practice.”

This study determined that patients with juvenile onset asthma are most likely
to obtain a perceived benefit from chiropractic spinal adjustments. This study
found that patients reported improvement after an average of only five
treatments over a period of one month.
Nilsson N, Christainson B; J Aust Chiropr Assoc. 1988; 18(3):85-7

Study Four
Title:
“Asthma In A Chiropractic Clinic: A Pilot Study.”

This study discusses a 46.67% decrease in the need for medication for those
patients in this study while under chiropractic care. This represents 6 of the 15
patient's under chiropractic care who participated in this study elected to
voluntarily reduce their daily dose of medication. In addition to this a patient
stopped using medication all together.
Jamison JR, Leskovic K, Lepore S, Hannon P; J Aust Chiropr Assoc. 1986;
16(4):137-43


Title:
“Chiropractic response in the paediatric patient with asthma: a pilot
study”.
The children in this study had no previous history of chiropractic care or any
other form of manipulative care prior to the commencement of the study.
Results:
Seven of the eight patients who completed the study were able to reduce or
discontinue medication.
In addition to this all participants showed measurable improvement on x-ray,
which correlated with an improvement in asthma symptoms in seven of the
eight cases.
Peet, JB. Marko SK, Piekarczyk W. Chiropractic Paediatrics Vol. 1, No. 4,
May 1995, pp. 9-13.

Another research study which addresses the
positive difference that chiropractic may make to children
with asthma.

Asthma
Title:
“Asthma in a chiropractic clinic: a pilot study.”
This study was undertaken by Dr Jenny Jamieson, a Medical Practitioner and
lecturer at the RMIT University School of Chiropractic, Melbourne, Australia.
Results:
In this study of 15 patients under chiropractic care, six patients reduced their
asthma medications and one stopped them entirely. This represents a 46.67%
decrease in the need for medication while under chiropractic care.
In addition to this all patients reported satisfaction with their chiropractic care.
Jamieson, Jenny MD et al Journal Australian Chiropractic Association.,
16(4):137-143, 1986.

Yet another research study which addresses the
positive changes for the asthmatic patient that may occur
as a result of chiropractic care.

Title:
“Chronic paediatric asthma and Chiropractic Spinal Manipulation: A
prospective clinical series and randomised clinical pilot study”.
This study discusses the case studies of thirty six children with mild, moderate
or chronic asthma. The children were aged between six and seventeen years.
The study was conducted over a period of three months. The patients
received either chiropractic adjustments or "sham" adjustments (placebo).
In addition to this all study participants underwent conventional medical
therapy.
Results:
The study noted no difference between the chiropractic patients and the
control patients when assessing for lung function or hyper-responsiveness.
However, those receiving chiropractic care rated their quality of life
substantially higher and their asthma severity substantially lower.
These improvements were maintained at the one year follow up
assessment.

Bronfort G, Evans RL, Kubic P, Filkin P. y. J Manipulative Physiol Ther
2001;24(6):369-77.

This research study addresses the subjective
changes to children with asthma that may result from
chiropractic care.
Asthma and Chiropractic
Foundation for Chiropractic Education and Research (FCER)

A study was presented at the 9th International Conference on Spinal
Manipulation in Toronto which indicated patients afflicted with asthma may
benefit from spinal manipulation in terms of symptoms, immunological
capacity, and endocrine effects.
The investigative team is currently headed by Ray Hayek, Ph.D. D.C. The
study involves 420 patients with an average age of 46. The trial has been
conducted at 16 treatment centres in Australia. The study is designed to find
out what effects spinal manipulation has on asthma symptoms, depression
and anxiety, general health status, and the levels of immunity, (as reflected by
the concentrations of both an immunoglobulin (IgA) and an
immunosuppressant (cortisol)).
Results:
Dr. Hayek and his team reported that only the patient group which underwent
spinal manipulation displayed significant improvement in asthma symptoms
and depression and anxiety scores.
They also reported that patients undergoing spinal manipulation displayed
dramatic increases of IgA and decreases of cortisol through the post
treatment period, suggesting that there were physiological consequences to
their manipulative treatments reflecting increased immunological capacities.

The gain in immunological capacity achieved with the simultaneous loss
of the immunosuppressant cortisol and the increase of the
immunoglobulin IgA following spinal manipulation would be expected to
reduce the incidence and severity of pathogenic invasion of the airways.
This would result in less risk under these circumstances of
compounding the symptoms of asthma.
R Hayek, S Ali, R Holland, S McKelvey, K Boyce, R Bierman & P Curson

This research study clearly indicates what
chiropractors have been saying for years…that the
chiropractic adjustment just may positively influence the
immune system.
Asthma Eighty one children who all underwent chiropractic care took part in this impairment rating analysis of asthmatic children. The children were assessed using an asthma impairment questionnaire before chiropractic care commenced. They were then reassessed using the same questionnaire two months after the chiropractic care had begun. Results: There was significantly lower impairment rating scores (i.e. an improvement) were reported for 90.1% of subjects 60 days after chiropractic care when compared to their pre-chiropractic scores. In addition, 30.9% of the children voluntarily decreased their dosage of medication by an average of 66.5% while under chiropractic care. Twenty four of the patients who reported asthma attacks thirty days prior to the study reported a significant decrease in the number of attacks, a decrease on average of 44.9%. Graham, RL and Pistolese RA. Journal of Vertebral Subluxation Research, Vol.1, No. 4, 1997. This research study addresses the positive
difference that chiropractic may make to children with
asthma.

Source: http://www.chiropraticabrianza.it/resources/downloads/evidence-based-research/asthma-enuresis.2.pdf