Biofeedback Has Therapeutic Effects on Asthma, Although Additional Research Is Needed to Document Specificity

IF 3.4 Q1 EDUCATION & EDUCATIONAL RESEARCH Policy Insights from the Behavioral and Brain Sciences Pub Date : 2023-03-01 DOI:10.1177/23727322221145306
P. Lehrer, Gali Moritz
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Abstract

Asthma is a common disorder leading to significant disability and healthcare cost throughout the world. Although medical treatment is usually highly effective in controlling it, asthma medicines often have high costs and attendant side effects. Biofeedback is an inexpensive noninvasive alternative with minimal side effects. This paper reviews evidence for two validated biofeedback treatments for treating asthma, heart rate variability biofeedback (HRVB), and muscle relaxation with surface electromyographic biofeedback. In multiple studies, although most of them are of modest size, both methods have clinically meaningful results, often allowing decreases in the use of steroid medication. Further research is needed to prove which specific components of HRVB are responsible for clinical effects, and to determine asthma populations that can best benefit from these methods. Despite demonstrated effectiveness, few insurance schemes reimburse for biofeedback, and national guidelines consider it only as worthy of further investigation. Funding for the requisite large-scale clinical trials remains lacking, creating a limbo-like status quo for these useful methods.
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生物反馈对哮喘有治疗作用,尽管还需要更多的研究来证明其特异性
哮喘是一种常见的疾病,在世界范围内导致严重的残疾和医疗保健费用。虽然医学治疗通常在控制哮喘方面非常有效,但哮喘药物往往价格高昂,并伴有副作用。生物反馈是一种廉价、无创、副作用小的替代方法。本文综述了两种有效的生物反馈治疗哮喘的证据,心率变异性生物反馈(HRVB)和表面肌电生物反馈肌肉放松。在多项研究中,尽管大多数研究的规模不大,但这两种方法都有临床意义的结果,通常可以减少类固醇药物的使用。需要进一步的研究来证明HRVB的哪些特定成分对临床效果负责,并确定最能从这些方法中受益的哮喘人群。尽管证明了生物反馈的有效性,但很少有保险计划报销生物反馈,国家指南只认为它值得进一步调查。必要的大规模临床试验的资金仍然缺乏,这使得这些有用的方法处于不稳定的状态。
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来源期刊
Policy Insights from the Behavioral and Brain Sciences
Policy Insights from the Behavioral and Brain Sciences Social Sciences-Public Administration
CiteScore
5.30
自引率
0.00%
发文量
24
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