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. 2002 Mar;57(3):222–225. doi: 10.1136/thorax.57.3.222

Laser acupuncture in children and adolescents with exercise induced asthma

W Gruber 1, E Eber 1, D Malle-Scheid 1, A Pfleger 1, E Weinhandl 1, L Dorfer 1, M Zach 1
PMCID: PMC1746279  PMID: 11867825

Abstract

Background: Laser acupuncture, a painless technique, is a widely used alternative treatment method for childhood asthma, although its efficacy has not been proved in controlled clinical studies.

Methods: A double blind, placebo controlled, crossover study was performed to investigate the possible protective effect of a single laser acupuncture treatment on cold dry air hyperventilation induced bronchoconstriction in 44 children and adolescents of mean age 11.9 years (range 7.5–16.7) with exercise induced asthma. Laser acupuncture was performed on real and placebo points in random order on two consecutive days. Lung function was measured before laser acupuncture, immediately after laser acupuncture (just before cold dry air challenge (CACh)), and 3 and 15 minutes after CACh. CACh consisted of a 4 minute isocapnic hyperventilation of –10°C absolute dry air.

Results: Comparison of real acupuncture with placebo acupuncture showed no significant differences in the mean maximum CACh induced decrease in forced expiratory volume in 1 second (27.2 (18.2)% v 23.8 (16.2)%) and maximal expiratory flow at 25% remaining vital capacity (51.6 (20.8)% v 44.4 (22.3)%).

Conclusions: A single laser acupuncture treatment offers no protection against exercise induced bronchoconstriction in paediatric and adolescent patients.

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Selected References

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  1. Brockhaus A., Elger C. E. Hypalgesic efficacy of acupuncture on experimental pain in man. Comparison of laser acupuncture and needle acupuncture. Pain. 1990 Nov;43(2):181–185. doi: 10.1016/0304-3959(90)91071-P. [DOI] [PubMed] [Google Scholar]
  2. Chow O. K., So S. Y., Lam W. K., Yu D. Y., Yeung C. Y. Effect of acupuncture on exercise-induced asthma. Lung. 1983;161(6):321–326. doi: 10.1007/BF02713881. [DOI] [PubMed] [Google Scholar]
  3. Christensen P. A., Laursen L. C., Taudorf E., Sørensen S. C., Weeke B. Acupuncture and bronchial asthma. Allergy. 1984 Jul;39(5):379–385. doi: 10.1111/j.1398-9995.1984.tb01956.x. [DOI] [PubMed] [Google Scholar]
  4. Custovic A., Arifhodzic N., Robinson A., Woodcock A. Exercise testing revisited. The response to exercise in normal and atopic children. Chest. 1994 Apr;105(4):1127–1132. doi: 10.1378/chest.105.4.1127. [DOI] [PubMed] [Google Scholar]
  5. Deal E. C., Jr, McFadden E. R., Jr, Ingram R. H., Jr, Breslin F. J., Jaeger J. J. Airway responsiveness to cold air and hyperpnea in normal subjects and in those with hay fever and asthma. Am Rev Respir Dis. 1980 Apr;121(4):621–628. doi: 10.1164/arrd.1980.121.4.621. [DOI] [PubMed] [Google Scholar]
  6. Dias P. L., Subramaniam S., Lionel N. D. Effects of acupuncture in bronchial asthma: preliminary communication. J R Soc Med. 1982 Apr;75(4):245–248. [PMC free article] [PubMed] [Google Scholar]
  7. Fisher P., Ward A. Complementary medicine in Europe. BMJ. 1994 Jul 9;309(6947):107–111. doi: 10.1136/bmj.309.6947.107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Fung K. P., Chow O. K., So S. Y. Attenuation of exercise-induced asthma by acupuncture. Lancet. 1986 Dec 20;2(8521-22):1419–1422. [PubMed] [Google Scholar]
  9. Godfrey S., Springer C., Noviski N., Maayan C., Avital A. Exercise but not methacholine differentiates asthma from chronic lung disease in children. Thorax. 1991 Jul;46(7):488–492. doi: 10.1136/thx.46.7.488. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Henriksen J. M., Dahl R. Effects of inhaled budesonide alone and in combination with low-dose terbutaline in children with exercise-induced asthma. Am Rev Respir Dis. 1983 Dec;128(6):993–997. doi: 10.1164/arrd.1983.128.6.993. [DOI] [PubMed] [Google Scholar]
  11. Hibbert M. E., Lannigan A., Landau L. I., Phelan P. D. Lung function values from a longitudinal study of healthy children and adolescents. Pediatr Pulmonol. 1989;7(2):101–109. doi: 10.1002/ppul.1950070209. [DOI] [PubMed] [Google Scholar]
  12. Jobst K., Chen J. H., McPherson K., Arrowsmith J., Brown V., Efthimiou J., Fletcher H. J., Maciocia G., Mole P., Shifrin K. Controlled trial of acupuncture for disabling breathlessness. Lancet. 1986 Dec 20;2(8521-22):1416–1419. doi: 10.1016/s0140-6736(86)92732-7. [DOI] [PubMed] [Google Scholar]
  13. Kleijnen J., ter Riet G., Knipschild P. Acupuncture and asthma: a review of controlled trials. Thorax. 1991 Nov;46(11):799–802. doi: 10.1136/thx.46.11.799. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Liao Y. Y., Seto K., Saito H., Fujita M., Kawakami M. Effect of acupuncture on adrenocortical hormone production: I. Variation in the ability for adrenocortical hormone production in relation to the duration of acupuncture stimulation. Am J Chin Med. 1979 Winter;7(4):362–371. doi: 10.1142/s0192415x79000349. [DOI] [PubMed] [Google Scholar]
  15. Linde K., Jobst K., Panton J. Acupuncture for chronic asthma. Cochrane Database Syst Rev. 2000;(2):CD000008–CD000008. doi: 10.1002/14651858.CD000008. [DOI] [PubMed] [Google Scholar]
  16. Lux G., Hagel J., Bäcker P., Bäcker G., Vogl R., Ruppin H., Domschke S., Domschke W. Acupuncture inhibits vagal gastric acid secretion stimulated by sham feeding in healthy subjects. Gut. 1994 Aug;35(8):1026–1029. doi: 10.1136/gut.35.8.1026. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Morton A. R., Fazio S. M., Miller D. Efficacy of laser-acupuncture in the prevention of exercise-induced asthma. Ann Allergy. 1993 Apr;70(4):295–298. [PubMed] [Google Scholar]
  18. Nicolai T., Mutius E. V., Reitmeir P., Wjst M. Reactivity to cold-air hyperventilation in normal and in asthmatic children in a survey of 5,697 schoolchildren in southern Bavaria. Am Rev Respir Dis. 1993 Mar;147(3):565–572. doi: 10.1164/ajrccm/147.3.565. [DOI] [PubMed] [Google Scholar]
  19. Quanjer P. H., Tammeling G. J., Cotes J. E., Pedersen O. F., Peslin R., Yernault J. C. Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J Suppl. 1993 Mar;16:5–40. [PubMed] [Google Scholar]
  20. Strauss R. H., McFadden E. R., Jr, Ingram R. H., Jr, Deal E. C., Jr, Jaeger J. J. Influence of heat and humidity on the airway obstruction induced by exercise in asthma. J Clin Invest. 1978 Feb;61(2):433–440. doi: 10.1172/JCI108954. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Strauss R. H., McFadden E. R., Jr, Ingram R. H., Jr, Jaeger J. J. Enhancement of exercise-induced asthma by cold air. N Engl J Med. 1977 Oct 6;297(14):743–747. doi: 10.1056/NEJM197710062971402. [DOI] [PubMed] [Google Scholar]
  22. Tashkin D. P., Kroening R. J., Bresler D. E., Simmons M., Coulson A. H., Kerschnar H. A controlled trial of real and simulated acupuncture in the management of chronic asthma. J Allergy Clin Immunol. 1985 Dec;76(6):855–864. doi: 10.1016/0091-6749(85)90760-2. [DOI] [PubMed] [Google Scholar]
  23. Zach M. S., Polgar G. Cold air challenge of airway hyperreactivity in children: dose-response interrelation with a reaction plateau. J Allergy Clin Immunol. 1987 Jul;80(1):9–17. doi: 10.1016/s0091-6749(87)80184-7. [DOI] [PubMed] [Google Scholar]
  24. Zach M., Polgar G., Kump H., Kroisel P. Cold air challenge of airway hyperreactivity in children: practical application and theoretical aspects. Pediatr Res. 1984 May;18(5):469–478. doi: 10.1203/00006450-198405000-00016. [DOI] [PubMed] [Google Scholar]

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