Chiropractic Manipulation for Childhood Asthma

To the Editor: The report by Balon et al. (Oct. 8 issue)¹ on a comparison of active and simulated chiropractic manipulation for childhood asthma revealed interesting findings, but the conclusions were confusing and not totally accurate, because of the terminology used. In both groups of children, symptoms of asthma and use of β-agonists decreased and the quality of life increased, but the authors concluded, “In children with mild or moderate asthma, the addition of chiropractic spinal manipulation to usual medical care provided no benefit.”The simulated chiropractic treatment (or adjustment) consisted of low-velocity, low-amplitude impulses that did not produce joint . . .