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Canada:
Cowie RL et al. A Randomised Controlled Trial of the Buteyko technique as an adjunct to conventional management of asthma Respir.Med. (2008) doi:10,1016/j.med 2007 12.012
This study, which we believe to be the largest randomised controlled trial and the first to use a global assessment of asthma control as a primary outcome in a non-pharmacological intervention in asthma, failed to show a difference between the intervention (Buteyko) and control (physiotherapy) groups. These data suggest that both interventions can be considered to have been active with a remarkably high
level of disease control in both groups 6 months after completion of the intervention. The level of disease control achieved is equivalent to that noted in trials of optimal asthma medication.2 The Buteyko group differed from the control group only in their reduction of their daily dose of inhaled corticosteroid and in the number who stopped using long-acting b2 agonists. Fourteen of the Buteyko and only four of the control group had managed to completely withdraw their inhaled corticosteroid and of these 12 and four, respectively, enjoyed asthma control.
Conclusion
This randomised clinical trial showed that both the Buteyko and control (physiotherapy) interventions produced a favourable outcome in that over 70% of the participants enjoyed asthma control 6 months after completing the intervention. In addition, the subjects in the Buteyko group were able to significantly reduce their daily doses of inhaled corticosteroid.
pdf.file
Russia: Visit:
<http://www.buteyko.ru/eng/method.shtml>
The two official approvals (1968: in the USSR Ministry of Health
NSRI of Pulmonology, 1981: in the 1st Mosccow Medical Institute
named after I. M. Sechenov), minutes of the USSR Ministry of Health
Academic Council 18-12\38-24 of July 15,1982, minutes of the USSR
Government Committee for Innovators and Discoveries 12\30-680\28
of July 27,1983, reports of experts, such as Academicians N. M.
Amossov, M. F. Guly, S. Ye. Severin, and the long practical use
of the Buteyko Method that has revealed the diseases to be cured
by the above method, presented good bases for granting the Certificates
of Authorship (patents) for the Method. In 1985 the USSR Minister
of Health Order 591 of April, 30 1985 initiates use of the Buteyko
Method in medicine. Statistics handling of the Buteyko Method therapy
for various diseases and observation of results have revealed high
efficiency of the Method (up to 96%).
Australia:
Buteyko breathing techniques in asthma: a blinded randomised
trial In conclusion, we found that those practising BBT
reduced hyperventilation and their use of beta 2-agonists. A trend
toward reduced inhaled steroid use and better quality of life was
observed in these patients without changes in objective measures
of airway calibre.
Source: Simon D Bowler, Amanda Green and Charles A Mitchell
Medical Journal of Australia 1998; 169:575-578 Buteyko breathing
techniques in asthma: a blinded randomised trial
Visit <http://www.mja.com.au/public/issues/xmas98/bowler/bowler.html>
New Zealand
Buteyko Breathing Technique for asthma: an effective intervention
The BBT group exhibited a reduction in inhaled steroid
use of 50% and ß2-agonist use of 85% at six months from baseline.
In the control group inhaled steroid use was unchanged and ß2-agonist
use was reduced by 37% from baseline. Investigator contact between
the two groups was equal. There were no adverse events recorded
in either group.
Conclusions BBT is a safe and efficacious asthma management technique.
BBT has clinical and potential pharmaco-economic benefits that merit
further study.
Source: Patrick McHugh, Fergus Aitcheson, Bruce Duncan, Frank
Houghton Journal of the New Zealand Medical Association, 12-December-2003,
Vol 116 No 1187
Visit<http://www.nzma.org.nz/journal/116-1187/710/>
United Kingdom:
Health Education in Asthma Management
- Does the Buteyko Institute Method Make a Difference?
Asthma Symptoms: Buteyko Group - decreased by 98%, 6 months
and remained same at 12 months - Placebo and Control Groups - no
significant change
Reliever Medication: Buteyko Group - decreased by 98%, 6 months,
and remained same at 12 months - Placebo and Control Groups - no
significant change
Preventer Medication: Buteyko Group - decreased by 92%, 6 months
and remained same 12 months - Placebo and Control Groups - no significant
change
Reliever Oral Preparations: Buteyko Group - decreased by 100%, 6
months and remained same at 12 months - Placebo and Control Groups
- no significant change
Preventer Oral Preparations: Buteyko Group - decreased by 96%, 6
months and remained same at 12 months - Placebo and Control Groups
- no significant change
Instance of cold or viral infection: Buteyko Group - decreased by
20%, 6 months and remained same at 12 months - Placebo and Control
Groups - no significant change
The participants involved in this study all experienced significant
improvement in asthma with a reduction in symptom, medication and
improvement in quality of life. This was maintained over the duration
of the study and is similar to the results of Brisbane Study (Bowler
S 1998 BMU) and unpublished study by Dr G Spence G.P. in Shettleston
Health Centre (Spence. G.).
J. McGowan, Education and Training Consultant, Acorn Nursing
Agency, Glasgow
Thorax Vol 58, suppl III, page 28, December 2003.
Visit<http://www.buteyko.info/sr-ct-thorax.html>
The
science PDF.File
Canada 2006:
R.L. Cowie, D.P. Conley, M.F. Underwood, P.G. Reader, "A Randomized Controlled Trial of the Buteyko Technique for Asthma Management", American Thoracic Society Abstracts online. http://www.abstracts2view.com/ats06/view.php?nu=ATS06L_1512 The Buteyko technique (BT) was developed to address the hypothesis that asthma is caused by hyperventilation. BT is designed to train people with asthma to breathe less and thus reset their arterial CO2 at a higher level. The study was designed to compare the Buteyko technique with a similarly structured program in which subjects with asthma were trained by a physical therapist (PT) to perform relaxation and other breathing techniques considered routine by PT for asthma.129 subjects with asthma on inhaled corticosteroids were enrolled: 64 were randomized to BT and 65 to the control group. The primary outcome variable was the proportion of subjects whose asthma was controlled 6 months after completion of the program. Secondary outcomes included quality of life (QOL), reduction of the dose of inhaled corticosteroid (ICS) expressed as beclomethasone equivalent and spirometry. No differences in any of the relevant variables were apparent between the two groups on entry. At 6 months, 9 BT and 1 control subject were lost to follow up. The average proportion with disease control had increased from 41% to 75% with no difference between the two groups. Juniper Mini QOL had improved in both groups (+0.95, sd 1.1, p < 0.00001) with no difference between BT and control. The average daily dose of ICS after 6 months was lower in the Buteyko group (548 mcg versus 762 mcg, p = 0.02). 12 BT and 4 control had stopped ICS (p = 0.02). Of the subjects who achieved asthma control, 10 BT and 4 control were no longer using ICS (p = 0.02) No differences were apparent in spirometry between the groups or compared with entry. Conclusion: Both groups displayed substantial improvement in asthma control 6 months after the interventions. The Buteyko group achieved improvement of their asthma status and reduction in ICS.
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