> Another is that > there is a sub-population of patients with asthma who really do improve after > chiropractic therapy. > A big problem with the second explanation is difficulty envisioning who the > patients in this sub-population would be. Is there any clinical evidence or > any physiologic rationale for the existence of such a sub-population? > Roy M. Poses MD Dr. Poses, I would say that the only physiological rationale I can come up with is that increased motion segment stiffness in the thoracic spine (1) and associated rib articulations may impair normal respiration thus giving the illusion of a patient with asthma. 1. Kawchuk G, Herzog W. Preliminary evidence of changes in tissue stiffness following spinal manipulation. In: International Conference on Spinal Manipulation; 1996: FCER; 1996. p. 18. _____________________________________________ Stephen M. Perle, D.C. Associate Professor of Clinical Sciences University of Bridgeport College of Chiropractic Bridgeport, CT 06601 www.bridgeport.edu/~perle ______________________________________________ "Be ashamed to die until you have achieved some victory for humanity." Horace Mann