Airwaves
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As Bruton and Thomas point out in their editorial accompanying the paper by Slader and colleagues, treatments involving manipulation of breathing are commonly used although the evidence base for their effectiveness is weak. In a double blind study Slader and colleagues compared the effects of breathing exercises learned from instructional videos and focusing on nasal breathing (group A) with those of non-specific upper body exercises (group B). For 30 weeks the asthmatic patients performed these exercises twice daily and no differences were observed between the groups in quality of life scores, lung function, or airway responsiveness. However, across both groups there was a dramatic fall in reliever use from week 1 after randomisation amounting to a total decrease in reliever use of 86% and a 50% decrease in the dose of inhaled corticosteroid. The authors show that two different types of interventions lead to similar effects on asthma, especially relating
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