Table 4

RCTs of biofeedback for asthma symptoms

Design
a) Sample size calculatedd) daily
N [age range] ATS criteriab) true randomisede) durationDropouts (DO) and withdrawals (WD)Jadad score
Sourcec)blindf) follow upTreatmentControlPrimary measuresResults
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 al2033 [7–16 years]Two parallel groupsBiofeedback for facial relaxation (FD) (n=17)Biofeedback for maintaining face tension at a stable level (FS) (n=16)2 DO from each group2i) Lung function tests incl. FEV1/FVC, PEFRi) NSD
Yesa) nod) unclearii) Scoresii) NSD
b) yese) 2 monthsa) Asthma severity
c) nof) 5.5 monthsb) Medicine
c) Frequency of attacks
Coen et al2120 [12–22 years]Two parallel groupsRelaxation techniques aided by biofeedback 15 mins twice daily (n=10)Telephone contact (n=10)Not stated although only sporadic data on PEFR because of compliance1i) Lung function testsi) NSD
Noa) nod) daily ×2ii) Symptom/medication scoreii) NSD
b) yese) 8 weeks
c) nof) 14 days