The Alexander technique: a systematic review of controlled clinical trials.

Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine Pub Date : 2003-12-01 DOI:10.1159/000075886

E Ernst, P H Canter

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Abstract

Aim: Alexander technique (AT), a process of psychophysical re-education, is being promoted for a range of medical conditions. This systematic review is aimed at critically evaluating the evidence for or against the effectiveness of AT.

Methods: Computerized literature searches were performed in five databases to locate all controlled clinical trials of AT in any human condition. Data were extracted independently by two reviewers according to pre-defined criteria. The information was summarized in tabular and narrative form. The methodological quality of the primary studies was assessed using the Jadad score.

Results: Four clinical trials met our inclusion/exclusion criteria. Only two of these trials were methodologically sound and clinically relevant. Their results are promising and imply that AT is effective in reducing the disability of patients suffering from Parkinson's disease and in improving pain behaviour and disability in patients with back pain.

Conclusion: The few controlled clinical trials of AT yield encouraging albeit not convincing evidence. AT deserves to be studied in more detail.

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亚历山大技术：对照临床试验的系统回顾。

目的：亚历山大技术（AT）是一种心理物理再教育过程，正在推广用于一系列医疗条件。本系统综述旨在批判性地评估支持或反对at有效性的证据。方法：在5个数据库中进行计算机文献检索，以定位所有AT在任何人类状况下的对照临床试验。数据由两位审稿人根据预先定义的标准独立提取。这些资料以表格和叙述的形式加以总结。使用Jadad评分评估初步研究的方法学质量。结果：4项临床试验符合我们的纳入/排除标准。这些试验中只有两个在方法学上是合理的和临床相关的。他们的结果是有希望的，这意味着AT在减少帕金森病患者的残疾和改善背痛患者的疼痛行为和残疾方面是有效的。结论：屈指可数的AT对照临床试验虽不能提供令人信服的证据，但仍令人鼓舞。AT值得更详细地研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Forschende Komplementarmedizin und klassische Naturheilkunde = Research in complementary and natural classical medicine

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