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From the Department of Family Practice at Peninsula Hospital Center in Far Rockaway, NY. Currently, Dr Vianna is in private practice in Massachusetts. Dr Lovenheim, who was a student at the time of the study, is currently a resident in pediatrics at Maimonides Medical Center in Brooklyn, NY.

Address correspondence to Peter A. Guiney, DO, Director, Family Practice Residency Program, Department of Family Practice, Peninsula Hospital Center, 51-15 Beach Channel Dr, Far Rockaway, NY 11691-1042.E-mail: pagdophc{at}netscape.net

Asthma is a common chronic condition that has long plagued the pediatric patient population. Asthma in children can cause excessive school absenteeism, hospitalizations, and even death. Osteopathic manipulative treatment (OMT) is an underutilized noninvasive treatment method for patients with asthma. The use of OMT may help decrease mortality and morbidity rates among this patient group. The authors conducted a randomized controlled trial attempting to demonstrate the therapeutic relevance of OMT in the pediatric asthma population. With a confidence level of 95%, results for the OMT group showed a statistically significant improvement of 7 L per minute to 9 L per minute for peak expiratory flow rates. These results suggest that OMT has a therapeutic effect among this patient population. The authors suggest that more clinical trials are required to better demonstrate the effectiveness of OMT in patients with asthma.