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Alexander technique for chronic asthma

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Abstract

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Background

'The Alexander technique' is a taught form of physical therapy involving a series of movements designed to correct posture and bring the body into natural alignment with the object of helping it to function efficiently, and is reported to aid relaxation. Some practitioners claim benefits for those who desire greater ease and efficiency of breathing, including asthmatics.

Objectives

The objective of this review was to evaluate the efficacy of the Alexander technique in people with chronic, stable asthma.

Search methods

We searched the Cochrane Airways Group Specialised Register, the Cochrane Complementary Medicine Field trials register and the bibliographies of relevant articles. The most recent search was run in August 2010.

Selection criteria

Randomised controlled trials of Alexander technique (AT) for the improvement of the symptoms of chronic, stable asthma, comparing the treatment with either another intervention or no intervention.

Data collection and analysis

No trials were found that met the selection criteria.

Main results

No meta‐analysis could be performed. An update search conducted in August 2010 did not yield any further studies.

Authors' conclusions

Robust, well‐designed randomised controlled trials are required in order to test claims by practitioners that AT can have a positive effect on the symptoms of chronic asthma and thereby help people with asthma to reduce medication.

PICOs

Population
Intervention
Comparison
Outcome

The PICO model is widely used and taught in evidence-based health care as a strategy for formulating questions and search strategies and for characterizing clinical studies or meta-analyses. PICO stands for four different potential components of a clinical question: Patient, Population or Problem; Intervention; Comparison; Outcome.

See more on using PICO in the Cochrane Handbook.

Plain language summary

Alexander technique for chronic asthma

During an asthma attack, the airways narrow, causing breathing problems, wheezing and coughing. Asthma can be caused by allergies, pollens, stress or air pollution and can be fatal. The Alexander Technique is a form of physical therapy involving a series of movements designed to correct posture and bring the body into natural alignment and aid relaxation. The Alexander technique has been used by people with asthma, to try and improve breathing. The review of trials found there was not enough evidence to show the effects of the Alexander Technique in reducing the need to use medication for asthma. More research is needed.