Advances in integrative medicine最新文献

{"title":"The clinical efficacy and safety of Ginkgo biloba in vertigo patients: A meta-analysis","authors":"Xiang Gao, Yan Cheng, Fangyuan Liu, Xiaozhen Han, Chuanliang Liu","doi":"10.1016/j.aimed.2023.10.001","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.10.001","url":null,"abstract":"","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Barriers to the Utilization of Complementary and Alternative Medicine (CAM) in the United States: An Exploratory Study","authors":"Anwesa Chatterjee","doi":"10.1016/j.aimed.2023.10.002","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.10.002","url":null,"abstract":"The utilization of certain forms of complementary and alternative medicine (CAM) is prevalent among adults in the United States. While researchers have extensively studied the factors influencing CAM use in Western countries, significant barriers to its adoption remain. This paper draws attention to the obstacles faced by individuals in their journey to using CAM. Qualitative interviews were conducted with 21 patients who had turned to CAM for managing a chronic illness/condition. These in-depth, face-to-face interviews occurred in Miami, USA, during 2014-15. The sampling, data collection, and analysis processes of this study adhered to the principles outlined in Charmaz’s constructivist grounded theory approach. From the data, three central barriers to CAM utilization in the US emerged: 1) Financial barriers: A significant portion of CAM treatments is not covered by insurance, making them cost-prohibitive for many. 2) Skepticism and discouragement: Both conventional medical practitioners and a segment of the public exhibited a noticeable trend towards discouraging CAM use. 3) Evaluation challenges: Patients expressed difficulty in assessing the efficacy and benefits of various CAM treatments compared to their costs. Despite the widespread interest in and use of CAM in the US, numerous barriers hinder its broader integration into mainstream healthcare. These obstacles not only restrict healthcare choices for the general public but also appear to favor a select demographic, potentially based on income and availability of information.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136093688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of holistic, patient-centric yoga &amp; naturopathy-based lifestyle modification program in patients with musculoskeletal disorders: A quasi-experimental study.","authors":"Pradeep Mk Nair, Karishma Silwal, Prakash Babu Kodali, Kavita Fogawat, Sunita Binna, Hemanshu Sharma, Gulab Rai Tewani","doi":"10.1016/j.aimed.2023.10.007","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.10.007","url":null,"abstract":"Musculoskeletal disorders (MSD) are one of the leading causes of disability and decreased well-being globally. This study investigates the role of a 10-day holistic, person-centric yoga & naturopathy based lifestyle intervention model (HOPE-YN) in improving musculoskeletal health, vitality, strength, flexibility, pain, and treatment satisfaction among MSD patients. This quasi-experimental study included 57 participants with varying MSD, aged between 29 and 65, who underwent a 10-day HOPE-YN program that included interventions like diet, yoga, massage, etc. Additionally, each patient received a holistic consultation focused on holistic dimensions of health and healing. Except for STS and TUG, which were measured at the baseline and 10th day, the Musculoskeletal-related Health Quality (MSK-HQ), the Visual Analog Scale for Health, Vitality, and Pain, weight, sit-to-stand (STS) and time-up-and-go (TUG) tests, and the visit-specific patient satisfaction questionnaire (VSQ-9) were measured at the baseline, 10th day, and 1 month post intervention. The study was completed by 50 participants (76% females), with the majority of the participants reporting having osteoarthritis and rheumatoid arthritis. Statistically significant improvement (P<0.001) was observed in MSK-HQ, health, vitality, pain, STS, and TUG scores at the end of 10 days and one month after the intervention(P<0.001). Females were found to have higher treatment satisfaction compared to males (P=0.008). Treatment satisfaction was associated with improvements in vitality (P=0.02), TUG (P=0.03) and STS scores (P=0.04). HOPE-YN program was found to be beneficial in managing MSD and may improve adherence to lifestyle programs. The findings need to be validated through robust clinical trials.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136129120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Protocol of Development, Content Validation And Feasibility of A Tele-Yoga Module For Post-Traumatic Stress Disorder","authors":"Naresh Katla, Judu Ilavarasu, Balaram Pradhan, Hemant Bhargav, Bharath Holla, Atmika Ramsahaye, Arun Thulasi, Zaeem Zaidi","doi":"10.1016/j.aimed.2023.10.005","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.10.005","url":null,"abstract":"Globally, the incidence of Post-Traumatic Stress Depression (PTSD) is 6.1%. Different therapeutic approaches are adopted for PTSD amongst which Yoga has the potential to manage symptoms of PTSD. However, a set module for PTSD is not available. The present study aims at developing, validating, and testing the feasibility of the Tele-Yoga (TY) module for patients diagnosed with PTSD. The proposed study is planned to be conducted in three phases. Phase-1: a review of literature involving published studies along with ancient and contemporary books related to yoga, PTSD and TY. The focus will be on designing the TY module after understanding the conceptual basis of yoga practices for patients with PTSD. Phase 2: the developed module will be sent to the experts for quantitative and qualitative validation. Phase 3: the feasibility testing of the module will be done with sixty participants diagnosed with PTSD. The participants will be divided into two groups (TY group and waitlist control group) based on choice based allocation. Experts’ responses will be analysed using Lawshe’s Content Validity Ratio (CVR) and the Delphi technique of iteration will be adopted. The feasibility data will be tested for normality and appropriate tests will be used to assess the difference between both groups. The outcome of this study is to have a validated module for PTSD with the support of experts. The module’s doability for patients suffering from PTSD will further be provided. Lastly, the researchers will identify if the module has an effect on anxiety, depression, resilience, psychosocial functioning and vedic personality.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Animal assisted therapy in neurorehabilitation inpatient units following acquired brain injury – a UK-based national survey of staff experiences and opinions","authors":"Laura Edwards, Fiona Marshall","doi":"10.1016/j.aimed.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.10.004","url":null,"abstract":"","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and efficacy of complementary medicines for eosinophilic gastrointestinal disorders in adults: a systematic review and exploration of candidate interventions.","authors":"Nicole Hannan, Janet Schloss, Matthew J Leach","doi":"10.1016/j.aimed.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.09.002","url":null,"abstract":"Eosinophilic gastrointestinal disorders (EGIDs) are a group of Th2-mediated antigen-driven conditions. The limitations of conventional management options (i.e. invasive monitoring, adverse effects of pharmacological treatments and challenges with maintaining dietary restrictions) may lead people with EGIDs to seek other treatment options, such as complementary medicine (CM). Although there is mounting evidence supporting the safety and efficacy of some complementary medicines (CMs) for the management of gastrointestinal diseases, the evidence of effectiveness of CMs for EGIDs has not yet been systematically reviewed. A systematic review of controlled clinical trials and randomised controlled trials, including cross-over trials, examining the safety and / or efficacy of any CM, against any comparator, was conducted to determine the safety and efficacy of CMs in adults with EGIDs and to explore potential candidate interventions. The search identified 4,304 references. After title and abstract screening, 4,297 studies were excluded. The 7 identified studies were retrieved as full-text and assessed for eligibility. All 7 studies were excluded due to wrong study design (n = 1; retrospective study), and wrong patient population (n = 6; e.g. patients with functional dyspepsia or heartburn). No studies met the eligibility criteria for inclusion in this review. While there is a paucity of clinical studies examining the effectiveness of CM for EGID, findings from observational and experimental studies highlight possible directions for future research. These studies point to a number of CMs (i.e. nutritional supplements and herbal medicines) that show promise as a treatment for EGID; the clinical safety and efficacy of these interventions therefore warrants further investigation. Identifying safe, effective and acceptable treatment options for people living with an EGID may help to reduce disease and treatment burden in this population, and in turn, improve quality of life.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of reflexology at pancreatic area of palms on blood glucose levels in patients with type 2 diabetes mellitus: a randomized controlled study","authors":"S. Shobanadevi, Mooventhan Aruchunan, N. Mangaiarkarasi, K. Kahlilsubramanian, N. Manavalan","doi":"10.1016/j.aimed.2023.09.005","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.09.005","url":null,"abstract":"Diabetes mellitus is one of the most prevalent metabolic diseases. Reflexology is a form of treatment which involves giving massage or pressure to the particular points of the feet and hands. This study was performed to find the effect of reflexology at pancreatic area of palms (RPP) on random blood glucose levels in patients with type 2 diabetes mellitus (T2DM). This study was done at Government Yoga and Naturopathy Medical College, Chennai, India. A total of 100 participants with T2DM were randomly allocated to reflexology group (RG) (n=50) and control group (CG) (n=50). RG underwent only one session of RPP for the duration of 20-minutes (10-minutes to right palm followed by 10-minutes to left palm), while the CG was on rest in sitting posture for the duration of 20-minutes. Random blood glucose levels (RBG) were assessed before and after the intervention. Inter group analysis showed a significant reduction in RBG levels in the RG (z=4.606; p <0.001; Effect size: d=0.243), unlike CG (t=0.668; p=0.507; Effect size: d=0.023). However, between-groups analyses did not show a significant difference in RBG levels between the groups (z=1.406, p=0.160; Effect size: d=0.307). None of the participants reported any adverse events during or after the study. RG reduces RBG levels with a small effect size compared to CG. Thus, twenty minutes of RPP might have some effect in reducing blood glucose levels in patients with T2DM. However, further studies are required to warrant the results of this study.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Constructing an Osteopathic Profession Around Modern Common Academic Values and Avoiding Pseudoscience; the Spanish Experience","authors":"Antonio Ciardo, Mar García Sánchez, Moisés Cobo Fernández","doi":"10.1016/j.aimed.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.09.003","url":null,"abstract":"The global health and wellness industry has an estimated value of $4 trillion USD, of which traditional and complementary medicine (osteopathy included) represent $359.7 billion USD (almost 9%). While some European countries are gradually recognizing osteopathy as an independent health profession and regulating it in a timely manner, in Spain, osteopathy characterized by a lack of consensus within the professional community itself and the lack of regulation. In February 2019, the Government of Spain launched a campaign (#coNprueba) that was part of the \"Plan against pseudotherapies and pseudosciences\". In Spain, there is a serious possibility that it will be banned or that osteopathy will be classified as a subspecialization of other health professions (despite this contravening existing national laws). This could set a dangerous precedent for those countries where osteopathy is in the process of being recognized, as it could paralyze such implementation. The aim is to understand how it might be possible to change this trend to promote the education of new osteopaths, foster a culture of research, and obtain regulated status. A narrative report based on the literature addresses current issues, including sources of debate and controversy. The hand of osteopathy is outstretched to define a collaborative strategy in defence of a freely accessed, plural, safe, and regulated profession in Spain. Spain's own efforts could help the international osteopathy community define its niche and identity and determine the most flexible way to combine tradition and modernity.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of Touch massage on the experience of patients with chronic pain: a non-randomized cluster clinical trial","authors":"Gora DA ROCHA RODRIGUES, Catherine BOLLONDI PAULY, Monique BOEGLI, François CURTIN, Adrien ANEX, Sezen CEKIC, Christophe LUTHY, Jules DESMEULES, Christine CEDRASCHI","doi":"10.1016/j.aimed.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.09.004","url":null,"abstract":"Chronic pain is a major public health problem. Non-pharmacological interventions are increasingly being used as a complement to chronic pain treatment and are strongly recommended. The aim of this study was to evaluate the impact of Touch massage (TM) on the experience of patients with chronic pain hospitalized in a rehabilitation ward. A non-randomized cluster clinical trial was conducted. Eighty-two participants were included in this study, 39 in the intervention group and 43 in the control group. Participants in both groups received 4 sessions of massage (TM or via a machine) over the course of 2 weeks. For both groups, Patients’ Global Impression of Change (PGIC) in the perception of pain and secondary outcomes (pain intensity, anxiety/depression, patient- provider relationship) were measured at baseline and after the intervention. There was a small effect (Cohen’s d = 0.42) of the intervention type on the score of the PGIC. Patients who received TM tended to perceive more change than participants who received machine massage. The type of intervention had no effect on the other key variables (pain intensity, anxiety/depression, or patient- provider relationship). This study shows with a rigorous and pragmatic methodology that TM has a positive impact on the perception of pain relief in patients suffering from chronic pain. TM appears as a useful and well manageable therapy for these difficult to treat patients and somewhat better than machine delivered foot massage.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Hatha Yoga and Meditation on academic stress in medical students- Clinical Trial","authors":"Sandra Moreno, Lina Becerra, Guillermo Ortega, Milton Fabian Suarez-Ortegón, Freddy Moreno","doi":"10.1016/j.aimed.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.aimed.2023.09.001","url":null,"abstract":"Medical students use to deal with high levels of academic stress. Hatha yoga and meditation have been found to reduce variables associated with stress. Objective: To evaluate and compare the effect of Hatha yoga and meditation on academic stress in medical students at a private university in Cali, Colombia. A total of 27 volunteers were randomly divided into two groups: Hatha Yoga(n=13) and Meditation (n=14). Each group undertook two weekly one-hour sessions for 14 weeks. Study outcomes were salivary cortisol and perceived academic stress. Anthropometric and clinical variables were additionally measured as characteristics of the study sample. Perceived academic stress was estimated via a structured questionnaire. An intra-group analysis was also conducted to compare the outcomes at baseline and post-intervention within the groups. At baseline demographic, clinical, and anthropometric variables were similar between the intervention groups. After the intervention, no differences were found between meditation and hatha yoga groups in salivary cortisol measures (time 0, 15, 30, 45 min, and mean of the 4 measures) and perceived academic stress. However, the intra-group analysis showed that only in Hatha yoga there was a significant increase in cortisol measures and improvement in the scale of perceived academic stress. Based on the intra-group but not between-group comparisons of outcomes at baseline and post-intervention, Hatha yoga reduced perceived academic stress despite a concomitant significant increase in cortisol levels. Further trials with larger samples of medical students should be conducted to contrast our findings.","PeriodicalId":7343,"journal":{"name":"Advances in integrative medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}