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Thorax 57:127-131 doi:10.1136/thorax.57.2.127
  • Original articles

Relaxation therapies for asthma: a systematic review

Table 4

RCTs of biofeedback for asthma symptoms

Design
a) Sample size calculated d) daily
N [age range] ATS criteria b) true randomised e) duration Dropouts (DO) and withdrawals (WD) Jadad score
Source c)blind f) follow up Treatment Control Primary measures Results
FEV1=forced expiratory volume in 1 second, FVC=forced vital capacity, PEFR=peak expiratory flow rate, Raw=airway resistance, NSD=no significant difference (between groups).
Kotses et al20 33 [7–16 years] Two parallel groups Biofeedback for facial relaxation (FD) (n=17) Biofeedback for maintaining face tension at a stable level (FS) (n=16) 2 DO from each group 2 i) Lung function tests incl. FEV1/FVC, PEFR i) NSD
Yes a) no d) unclear ii) Scores ii) NSD
b) yes e) 2 months a) Asthma severity
c) no f) 5.5 months b) Medicine
c) Frequency of attacks
Coen et al21 20 [12–22 years] Two parallel groups Relaxation techniques aided by biofeedback 15 mins twice daily (n=10) Telephone contact (n=10) Not stated although only sporadic data on PEFR because of compliance 1 i) Lung function tests i) NSD
No a) no d) daily ×2 ii) Symptom/medication score ii) NSD
b) yes e) 8 weeks
c) no f) 14 days

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