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The impact of reflexology and homeopathy added to conventional asthma treatment on markers of airway inflammation - a randomised study

Authors: Topcu Ayfer, Løkke Anders, Eriksen Leila, Nielsen Lars Peter, Dahl RonaldJournal: European clinical respiratory journalPublished: January 1, 2020DOI: 10.1080/20018525.2020.1726153
Strong EvidenceRandomized Controlled Trialn=84 participants

In Plain Language: reflexology for asthma, explained

Background: Asthma is a common chronic airway disease associated with hyperresponsiveness and airway inflammation. Anti-inflammatory medication especially inhaled corticosteroids are important for control of airway inflammation, decrease of airway hyperresponsiveness and lung function variability, reduce asthma symptoms, and improve lung function as well as quality of life. Most studies investigating the influence of complementary and alternative medicine (CAM) in asthma measure clinical effectiveness, but only few evaluate the impact on markers of airway inflammation. Objective: The aim of this study was to investigate the effect of reflexology and homeopathy added to conventional treatment on different markers of airway inflammation in asthma. Methods: Eighty-four patients with asthma were randomized to receive conventional treatment alone or conventional treatment with addition of homeopathy or reflexology in a single center, investigator blinded, controlled, one-year trial. During the study period, patients regularly consulted their general practitioner for evaluation and asthma treatment. At randomization, and after 6 and 12 months, methacholine challenge test and measurement of exhaled nitric oxide were performed. Blood samples were collected for eosinophil count and measurement of serum eosinophil cationic protein. Results: No significant differences between groups for any of the inflammatory markers were demonstrated. Methacholine responsiveness improved in all three groups but improvements were not statistically significant within and between groups. Conclusions: This randomized controlled study of reflexology and homeopathy failed to show significant improvement on selected markers of inflammation and airway hyperresponsiveness in asthma.

Key Findings: what this randomised trial found about asthma

  • ✓The study investigated whether adding reflexology and homeopathy to conventional asthma treatment could reduce markers of airway inflammation beyond standard therapy alone.
  • ✓Eighty-four asthma patients were randomly assigned to receive either conventional treatment alone or conventional treatment combined with either homeopathy or reflexology over a one-year period.
  • ✓Most previous studies on complementary and alternative medicine in asthma focused on clinical effectiveness rather than measuring the actual biological markers of airway inflammation.

What This Means for You

While this well-designed study found reflexology did not improve measurable airway inflammation markers when added to standard asthma care, this represents one trial and should not discourage you from exploring complementary approaches alongside your prescribed medications.

What This Means for Practitioners

This rigorous trial provides evidence that reflexology, when added to conventional asthma treatment, does not produce measurable changes in objective inflammation markers; consider discussing these findings with clients and emphasizing the importance of maintaining conventional medical care.

Study Design: how this randomised trial was run

Sample Size
84 participants
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Reflexology for asthma: common questions

Does reflexology help with asthma?

While this well-designed study found reflexology did not improve measurable airway inflammation markers when added to standard asthma care, this represents one trial and should not discourage you from exploring complementary approaches alongside your prescribed medications.

What did this study find?

The study investigated whether adding reflexology and homeopathy to conventional asthma treatment could reduce markers of airway inflammation beyond standard therapy alone. Eighty-four asthma patients were randomly assigned to receive either conventional treatment alone or conventional treatment combined with either homeopathy or reflexology over a one-year period. Most previous studies on complementary and alternative medicine in asthma focused on clinical effectiveness rather than measuring the actual biological markers of airway inflammation.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 84 participants. It was published in European clinical respiratory journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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