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Journal of Chiropractic Medicine logoLink to Journal of Chiropractic Medicine
. 2002;1(1):16–22. doi: 10.1016/S0899-3467(07)60023-8

Role of chiropractic and sacro-occipital technique in asthma treatment

Charles L Blum *
PMCID: PMC2646914  PMID: 19674555

Abstract

Asthma is a multifactorial dysfunction of the respiratory system. Nutritional, environmental, genetic, and emotional factors all play animportant part in the etiology of this condition. One form of chiropractic, Sacro Occipital Technique (SOT), offers some conservative alternatives to the treatment of asthma. SOT expands the chiropractic armamentarium of techniques available, allowing methods putatively affecting the viscera, vertebra, post and preganglionic reflexes, as well as cranial and sacral influences on the primary respiratory mechanism. Though more research is needed to evaluate the efficacy of chiropractic care of asthma, the conservative nature of chiropractic care with its minimal side effects, warrants patient and a health practitioner's consideration prior to embarking on any course of treatment that might have serious side effects.

Key Words: Asthma, Chiropractic, Respiration, Cranium

References

  • 1.Sly RM, O'Donnell R. Stabilization of asthma mortality. Annals Allergy Asthma Immunology. 1997;78:347–354. doi: 10.1016/S1081-1206(10)63195-X. [DOI] [PubMed] [Google Scholar]
  • 2.McFadden ER, Warren EL. Observations on asthma mortality. Annals Internal Med. 1997;127:142–147. doi: 10.7326/0003-4819-127-2-199707150-00009. [DOI] [PubMed] [Google Scholar]
  • 3.Schmaling KB, Bell J. Asthma and panic disorder. Archives Family Med. 1997;6:20–23. doi: 10.1001/archfami.6.1.20. [DOI] [PubMed] [Google Scholar]
  • 4.Berkow R, Fletcher AJ. The Merck Manual of Diagnosis and Therapy. 15th edition. Merck Sharp & Dohme Research Laboratories; Rahway, New Jersey: 1987. pp. 314–422. 623–34,684. [Google Scholar]
  • 5.Wickens K, Pearce N, Crane J, Beasley R. Antibiotic use in early childhood and the development of asthma. J Clinical Experimental Allergy. 1999;29:766–771. doi: 10.1046/j.1365-2222.1999.00536.x. [DOI] [PubMed] [Google Scholar]
  • 6.Neder JA, Nery LE, Silva AC. Short term effects of aerobic training in the clinical management of moderate to severe asthma in children. Thorax. 1999;54:202–206. doi: 10.1136/thx.54.3.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Disabella V, Sherman C. Your guide to exercising with asthma. Physician Sportsmedicine. 1998;26:85. doi: 10.3810/psm.1998.06.1053. [DOI] [PubMed] [Google Scholar]
  • 8.Carier A. Investigation of occupational asthma. Canadian Resp J. 1998;5(Suppl A):71. A–6A. [PubMed] [Google Scholar]
  • 9.Balon J, Aker PD, Crowther ER, Danielson C, Cox PG. A comparison of active and simulated chiropractic manipulations as adjunctive treatment for childhood asthma. New Engl J Med. 1998;339:1013–1020. doi: 10.1056/NEJM199810083391501. [DOI] [PubMed] [Google Scholar]
  • 10.Nielsen NH, Bronfort G, Bendix T, Madsen F, Weeke B. Chronic asthma and chiropractic spinal manipulations: a randomized clinical trial. Clin Exp Allergy. 1995;25:80–88. doi: 10.1111/j.1365-2222.1995.tb01006.x. [DOI] [PubMed] [Google Scholar]
  • 11.Rosner AL. A walk on the wild side of allopathic medicine: Going ballistic instead of holistic. FCER Forum Dynamic Chiropractic. April 19, 1999:10. [Google Scholar]
  • 12.Balon J, Aker PD, Crowther ER, Danielson C, Cox PG, et al., A randomized controlled trial of chiropractic spinal manipulation in children with chronic asthma. 1997.
  • 13.Rosner AL. Response to Balon/Aker study in NEJM personal communication (written). October 9, 1998.
  • 14.Jamison JR, McEwen AP, Thomas SJ. Chiropractic adjustment in the management of visceral conditions: a critical appraisal. J Manipulative Physiol Ther. 1992;15:171–180. [PubMed] [Google Scholar]
  • 15.Vallone S, Fallon JM. Treatment protocols for the chiropractic care of common pediatric conditions: Otitis Media and Asthma. J Clinical Chiropr Pediatrics. 1997;2:113–115. [Google Scholar]
  • 16.Andrews L, Lokuge S, Sawyer M, Lillywhite L, Kennedy D, Martin J. The use of alternative therapies by children with asthma: a brief report. J Pediatrics Child Health. 1998;34:131–134. doi: 10.1046/j.1440-1754.1998.00179.x. [DOI] [PubMed] [Google Scholar]
  • 17.Lewith G. Asthma: A complementary medical perspective. Complementary Therapies Med. 1996;4:106–111. [Google Scholar]
  • 18.Donnelly WJ, Spykerboer JE, Thong YH. Are patients who use alternative medicine dissatisfied with orthodox medicine? Med J Australia. 1985;142:539–541. doi: 10.5694/j.1326-5377.1985.tb113486.x. [DOI] [PubMed] [Google Scholar]
  • 19.Vange B. Contact between preschool children with chronic diseases and the authorized health services and forms of alternative therapy. [Article in Danish] Ugeskr Laeger. 1989;151:1815–1818. [PubMed] [Google Scholar]
  • 20.Gillespie BR, Barnes JF. Diagnosis and treatment of TMJ, head and asthmatic symptoms in children. Cranio. 1990;8:342–349. doi: 10.1080/08869634.1990.11678336. [DOI] [PubMed] [Google Scholar]
  • 21.Paul FA, Buser BR. Osteopathic manipulative treatment applications for the emergency department patient. J Am Osteopathic Assoc. 1996;96:403–409. [PubMed] [Google Scholar]
  • 22.Bronfort G. Asthma and chiropractic. Europ J Chiropr. 1996;44:1–7. [Google Scholar]
  • 23.Gioia A. Chiropractic treatment of childhood asthma. J Am Chiropr Assoc. 1996;33:35–36. [Google Scholar]
  • 24.Killinger L. Chiropractic care in the treatment of asthma. Palmer J Research. 1995;2:74–77. [Google Scholar]
  • 25.Lines D. A wholistic approach to the treatment of bronchial asthma in chiropractic practice. Chiropr J Austr. 1993;3:4–8. [Google Scholar]
  • 26.Nilsson N, Christiansen B. Prognostic factors in bronchial asthma in chiropractic practice. J Australian Chiropr Assoc. 1988;18:85–87. [Google Scholar]
  • 27.Lines D, McMillan A, Spehr G. Effects of soft tissue technique and Chapman's neurolymphatic reflex stimulation on respiratory function. J Australian Chiropr Assoc. 1990;20:17–22. [Google Scholar]
  • 28.Purse FM. Manipulation therapy of upper respiratory infections in children. J Am Osteopathic Assoc. 1966;5(9):964–972. [PubMed] [Google Scholar]
  • 29.Janse J. Malcoordination of sensory-motor synchrony and the reciprocal development of cranio-facial-cervical involvements. J Manipulative Physiol Ther. 1978;1:18–26. [Google Scholar]
  • 30.Monk R. Sacro-occipital technique: level two. SOTOUSA; Winston-Salem, NC: 2000. pp. 3–24. [Google Scholar]
  • 31.Blum CL, Monk R. Bloodless surgery: chiropractic manipulative reflex technique. SOTO-USA; Winston-Salem, NC: 2000. [Google Scholar]
  • 32.DuBolay GH. Pulsatile movements in the CSF Pathways. Br J Radiol. 1966;39:255–262. doi: 10.1259/0007-1285-39-460-255. [DOI] [PubMed] [Google Scholar]
  • 33.DuBolay GH, O'Connell J, Currie J, Bostick T, Verity P. Further investigations on pulsatile movements in the cerebrospinal fluid pathways. Acta Radiologica Diagnostica. 1972;13:496–523. doi: 10.1177/02841851720130p205. [DOI] [PubMed] [Google Scholar]
  • 34.Adolf RJ, Fukusumi H, Fowler NO. Origin of cerebrospinal fluid pulsations? Am J Physiology. 1967;212:840–846. doi: 10.1152/ajplegacy.1967.212.4.840. [DOI] [PubMed] [Google Scholar]
  • 35.Dereymaeker A, Stevens A, Rombouts JJ, Lacheron JM, Pierquin A. Study on the influence of the arterial pressure upon the morphology of cisternal CSF pulsations. European Neurology. 1971;5:107–114. doi: 10.1159/000114064. [DOI] [PubMed] [Google Scholar]
  • 36.Dott NM, Gillingham FJ. Mechanical aspects of the cerebrospinal fluid circulation. Physiological, pathological, surgical. Ciba Foundation Symposium on CSF. 1958:246–263. [Google Scholar]
  • 37.Dunbar H, Guthrie TC, Karpell B. A study of the cerebrospinal fluid pulse wave. Archives of Neurology. 1966;14:624–630. doi: 10.1001/archneur.1966.00470120056009. [DOI] [PubMed] [Google Scholar]
  • 38.Giulioni M, Ursino M, Alvisi C. Correlations among intracranial pulsatility. Intracranial Hemodynamics, and Transcranial Doppler Wave Form: Literature Review and Hypothesis for Future Studies. Neurosurgery. 1988;22:807–812. doi: 10.1227/00006123-198805000-00001. [DOI] [PubMed] [Google Scholar]
  • 39.Kjallquist AN, Lundberg N, Ponten U. Respiratory and cardiovascular changes during spontaneous variations of ventricular fluid pressure in patients with intracranial hypertension. Acta Neurology Scandinavia. 1964;10:291–417. doi: 10.1111/j.1600-0404.1964.tb01154.x. [DOI] [PubMed] [Google Scholar]
  • 40.Lockey P, Poots G, Williams B. Theoretical aspects of the attenuation of pressure pulses within cerebrospinal fluid pathways. Med Biological Engineering. 1975:861–869. doi: 10.1007/BF02478090. [DOI] [PubMed] [Google Scholar]
  • 41.Paltsev EI, Sirovsky E. Intracranial physiology and biomechanics. J Neurosurg. 1982;57:500–510. doi: 10.3171/jns.1982.57.4.0500. [DOI] [PubMed] [Google Scholar]
  • 42.Portnoy HD, Chopp M, Branch C, Shannon MB. Cerebrospinal fluid pulse waveform as an indicator of cerebral autoregulation. J Neurosurg. 1982;56:666–678. doi: 10.3171/jns.1982.56.5.0666. [DOI] [PubMed] [Google Scholar]
  • 43.Allen KL. Telemetry in the study of the intracranial pressure dynamics in man. South African Med J. 1972;46:776. [Google Scholar]
  • 44.Hill DG, Allen KL. Improved instrument for the measurement of CSF pressures by passive telemetry. Med Biological Engineering Comput. 1977;15:666–672. doi: 10.1007/BF02457925. [DOI] [PubMed] [Google Scholar]
  • 45.Allen KL, Bunt EA, Podlas H. Slow rhythmic ventricular oscillations and parenchymal density variations shown by sequential CT scanning. University of the Witwatersrand - Johannesburg, School of Mechanical Engineering, Research Report. 1983;83:1–36. [Google Scholar]
  • 46.Feinberg DA, Mark AS. Human brain motion and cerebrospinal fluid circulation demonstrated with MR velocity imaging. Radiology. 1987;163:793–799. doi: 10.1148/radiology.163.3.3575734. [DOI] [PubMed] [Google Scholar]
  • 47.Enzmann DR, Pelc NJ. Cerebrospinal fluid flow measured by phase-contrast cine MR. AJNR. 1993;14:1301–1307. [PMC free article] [PubMed] [Google Scholar]
  • 48.Greitz D, Wirestam R, Franck A, Nordell B, Thomsen C, Stahberg F. Pulsatile brain movement and associated hydrodynamics studies by magnetic resonance phase imaging. Neuroradiol. 1992;34:370–380. doi: 10.1007/BF00596493. [DOI] [PubMed] [Google Scholar]
  • 49.Podlas H, Lewer-Allen K, Bunt EA. Computed tomography studies of human brain movements. South African J Surg. 1984;22:57–63. [PubMed] [Google Scholar]
  • 50.Poncelet BP, Wedeen VJ, Weisskoff RM, Cohen MS. Brain parenchyma motion: Measurement with cine echo-planar MR imaging. Radiology. 1992;185:645–651. doi: 10.1148/radiology.185.3.1438740. [DOI] [PubMed] [Google Scholar]
  • 51.Frymann VF. A study of the rhythmic motions of the living cranium. JAOA. 1971;70:928–945. [PubMed] [Google Scholar]
  • 52.DeJarnette MB. Cranial technique. Privately Published; Nebraska City, NE: 1979–80. pp. 79–80. 112. [Google Scholar]
  • 53.Breig A. Adverse mechanical tension in the central nervous system. John Wiley & Sons; New York, NY: 1978. [Google Scholar]
  • 54.Levy LM, DiChiro G, McCullough DC. Fixed spinal cord: Diagnosis with MR imaging. Radiology. 1988;169:773–778. doi: 10.1148/radiology.169.3.3186999. [DOI] [PubMed] [Google Scholar]
  • 55.Urayama K. Origin of lumbar cerebrospinal fluid pulse wave. Spine. 1994;19:441–445. doi: 10.1097/00007632-199402001-00010. [DOI] [PubMed] [Google Scholar]
  • 56.Nakamura K, Urayama K, Hoshino Y. Lumbar cerebrospinal fluid pulse wave rising from pulsations of both the spinal cord and the brain in humans. Spinal Cord. 1997;35:735–739. doi: 10.1038/sj.sc.3100548. [DOI] [PubMed] [Google Scholar]
  • 57.Blum CL, Curl DD. The relationship between sacro-occipital technique and sphenobasilar balance. Part Two: Sphenobasilar strain stacking. Chiropr Technique. 1998;10:101–109. [Google Scholar]
  • 58.Frymann V. The core-link and the three diaphragms. Academy Applied Osteopathy; 1968. pp. 13–19. 45a. [Google Scholar]
  • 59.Sears TA. Investigations on respiratory motoneuronses of the thoracic spinal cord. Progress Brain Research. 1964;12:259–273. doi: 10.1016/s0079-6123(08)60627-5. [DOI] [PubMed] [Google Scholar]
  • 60.Mitchell FL. Voluntary and involuntary respiration and the craniosacral mechanism. Osteopathic Annals. 1977;5:52–59. [Google Scholar]
  • 61.Kottke FJ. Measurement of lumbar, pelvic, and hip flexion and extensionby x-ray film. Arch Physical Med. 1962 [Google Scholar]
  • 62.Pruzzo NA. Lateral double–exposure technique and associated principles in examination of the lumbar spine. J Am Radiography Tech. 1964;9:3–5. [Google Scholar]
  • 63.Blum CL, Curl DD. The relationship between sacro-occipital technique and sphenobasilar balance. Part One: The key continuities. Chiropr Technique. 1998;10:95–100. [Google Scholar]

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