Integrative medicine international最新文献

{"title":"The Effect of Riding as an Alternative Treatment for Children with Cerebral Palsy: A Systematic Review and Meta-Analysis","authors":"Guoqing Wang, Ruiqin Ma, Guangwei Qiao, K. Wada, Y. Aizawa, T. Satoh","doi":"10.1159/000368408","DOIUrl":"https://doi.org/10.1159/000368408","url":null,"abstract":"Background and Objectives: There is a substantial body of evidence assessing the effects of equine-assisted therapy on physiological and psychological aspects of individuals with disabilities. This study aimed to evaluate the physiological benefits of this alternative therapy for children with cerebral palsy (CP) by means of a systematic review and meta-analysis. Methods: This systematic review included all randomized and nonrandomized clinical trials of hippotherapy (HT), therapeutic horse riding (THR), and artificial saddle (AS) for the treatment of children with CP by a systematic search in Medline, Embase, Cochrane Library, and other databases up to November 2012. Articles were assessed for inclusion eligibility and quality by two independent reviewers. Any discordant case was re-reviewed and consensus was obtained after sufficient discussion. A random effects model of meta-analysis was applied to provide summary statistics for each outcome. Results: Seven randomized controlled trials (RCTs), 4 non-RCTs, and 7 self-controlled studies were included for quality assessment. Ten studies assessed the effect of HT, 5 evaluated THR, and 3 evaluated AS. The sample size differed from 3 to 72, and the quality ranged from low to moderate. Six studies were included in the meta-analysis, and there was a significant improvement in the 66-item Gross Motor Function Measure (GMFM-66), the GMFM-66/88 total score, and the dimension E of the GMFM. Although the asymmetry score tended to be reduced, it failed to reach statistical significance. Conclusions: HT, THR, and AS seem to improve the total score of the gross motor function via improvement of the walking, running, and jumping dimension. However, they are not likely to be of benefit to the symmetry of postural muscle activity. Studies included in this review lack high-quality RCTs with a sufficient number of subjects, which thus warrants further evaluations of these modalities using large-scale well-designed RCTs.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"211 - 222"},"PeriodicalIF":0.0,"publicationDate":"2015-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000368408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64746847","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":"Front & Back Matter","authors":"Tao Yang, Xiyuan Zheng, Hua Zhuo, F. Xing, K. Ohashi, Yoshiharu Yamamoto, Martin H. Teicher, Min Li, K. Chua, Jing-jing Li, L. Drucaroff, Agustín J. Ramírez, Ramiro A. Sánchez, D. Cardinali, S. Pérez-Lloret, Cheng-hai Liu, Hua Zhou, Wenfei Jiang, Weidong Pan, M. Avijgan, M. Avijgan, M. Najafi, Najmeh Salek, Azin Momeni, S. Shabani, Fahimeh Salehi, Jingui Xue, F. Zhao, Yuqi Wang, Jialin Gu, Xiaolong Wang, Junjie Gao, Druckerei Stückle","doi":"10.1159/000382037","DOIUrl":"https://doi.org/10.1159/000382037","url":null,"abstract":"","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64787562","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":"Locomotor micro-activities associated with therapeutic responses in patients with seasonal affective disorders.","authors":"Kyoko Ohashi,&nbsp;Yoshiharu Yamamoto,&nbsp;Martin H Teicher","doi":"10.1159/000371352","DOIUrl":"https://doi.org/10.1159/000371352","url":null,"abstract":"<p><strong>Background: </strong>Psychomotor retardation, leaden paralysis and fatigue are often used to describe patients with depressive disorders. However, there is limited understanding of their meaning and how they are objectively manifested in the physical world. Patients with seasonal affective disorder (SAD) are characteristically hypoactive, and experience restoration in energy during effective treatment with bright light. In this study, we attempt to identify quantitative metrics of psychomotor activity that correspond to the clinical perceptions of hypoactivity and to the early activating effects of treatment.</p><p><strong>Methods: </strong>Novel means of assessing the microstructure of activity was employed using wavelets and Hurst exponents to indicate the proclivity of subjects to persist at higher and lower levels of activity. This was assesed using actigraphs in 16 unmedicated patients with SAD before and following two weeks of bright light therapy.</p><p><strong>Results: </strong>Two weeks of phototherapy had no significant effect on mean levels of diurnal activity, but altered the microstructure of the activity. Specifically, phototherapy produced a significant reduction in inertial resistance in patients who had a 50% or greater reduction in Hamilton Depression scores (n=8), as reflected in reduced tendency to persist at low levels of activity. There was also a strong correlation between ratings of fatigue and measures of persistence at high versus low activity in initial responders, but not in initial non-responders.</p><p><strong>Conclusion: </strong>These findings suggest that light therapy alters the nature of diurnal activity troughs in early responsive patients, reducing their tendency to persist at low levels, possibly reflecting an alleviation of psychomotor retardation.</p>","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 3","pages":"151-161"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000371352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34509682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Method in Auricular Medicine for the Investigation of the Nogier Reflex","authors":"G. Litscher, F. Bahr, D. Litscher, Lequan Min, P. Rong","doi":"10.1159/000381147","DOIUrl":"https://doi.org/10.1159/000381147","url":null,"abstract":"Background: Although there is as yet no scientific consensus on this topic, the Nogier reflex or reflex auriculo-cardiac (RAC; also vascular autonomic signal) is an important method in auricular medicine. This article introduces a new methodological approach for the detection and quantification of the RAC. Methods: A new high-resolution imaging technique for the registration of pulsatory surface changes might allow the RAC to be quantified reproducibly for the first time. The method combines an innovative microscope system (available at the Medical University of Graz), video analysis software, and special image processing software (from the Beijing University of Science and Technology). Results: Even small, pulse-dependent alterations of the skin surface could be clearly visualized. Conclusion: The pilot measurement confirmed the validity of the new methodological approach. Further investigations are necessary and in progress.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"95 1","pages":"205 - 210"},"PeriodicalIF":0.0,"publicationDate":"2015-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000381147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64779101","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":"Clinical Value of Brainstem Auditory Evoked Potential in the Diagnosis of Vertebrobasilar Ischemia","authors":"Xiao-jing Zhang, Lijun Zhang, Jing Zhu, Minyi He, Ze Wang, Jun Wang, Minjun Zhang, Fanghua Li, J. Shen, Yu Bai, Ji-Wei Cheng","doi":"10.1159/000380909","DOIUrl":"https://doi.org/10.1159/000380909","url":null,"abstract":"Objective: The objective of this study was to explore the clinical value of brainstem auditory evoked potential (BAEP) in the diagnosis of vertebrobasilar ischemia (VBI). Methods: The subjects were divided into the 2 following groups: an observation group of 300 VBI patients and a control group of 100 normal healthy volunteers. BAEP examination was carried out in both groups, and then the results were analyzed and compared. Results: BAEP abnormalities were observed in 59% (177 out of 300) of the patients in the observation group: brainstem type 64.4% (114 cases), inner-ear type 7.4% (13 cases), and mixed type 28.2% (50 cases). In the control group, abnormalities were observed in only 9% (9 cases): inner-ear type 66.7% (6 cases) and mixed type 33.3% (3 cases). There was a statistically significant difference between the 2 groups in their total abnormality rates (p < 0.05). After the neck twisting test, the BAEP abnormality rate of the observation group rose to 85% (255 cases) and was significantly different from that of normal BAEP (p < 0.05). Conclusion: BAEP is an easy but effective auxiliary means for the noninvasive examination of VBI with a high positive rate, thus providing objective evidence for the diagnosis of VBI that may be useful in future clinical application.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"199 - 204"},"PeriodicalIF":0.0,"publicationDate":"2015-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000380909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64777869","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":"Identification of Visceral Patterns in Patients with Stress-Related Disorders","authors":"T. Kondo, S. Tokunaga, H. Sugahara, K. Yoshimasu, Y. Kanemitsu, C. Kubo","doi":"10.1159/000375532","DOIUrl":"https://doi.org/10.1159/000375532","url":null,"abstract":"Background: There is no report on traditional Chinese patterns associated with stress-related disorders such as eating disorder, pain disorder, primary insomnia, functional dyspepsia, irritable bowel syndrome, hyperventilation syndrome, bronchial asthma, and dystonia. Therefore, a large-size case-control study was conducted. Methods: A total of 914 new cases were assessed at a psychosomatic clinic of a tertiary medical care center. The severity of visceral patterns was analyzed according to the main symptoms described and a comprehensive questionnaire. Three patterns of the liver, four of the heart, and one of the kidney as well as dual deficiency of the heart and spleen were assessed. Results: Multiple logistic regression analysis revealed that liver qi depression, liver fire flaming upward, phlegm clouding the pericardium, and dual deficiency of the heart and spleen were associated with bulimia nervosa in females. Liver fire flaming upward and phlegm turbidity were associated with primary insomnia and pain disorder, respectively, in males. An excess pattern was associated with irritable bowel syndrome, while dual deficiency of the heart and spleen was associated with functional dyspepsia in females. On the other hand, the deficiency-excess pattern was reverse in males. Phlegm fire harassing the heart was associated with hyperventilation syndrome in females. Phlegm clouding the pericardium and two kinds of yin deficiency were associated with dystonia in females. Conclusion: Primary insomnia, pain disorder in males, gastrointestinal disorders, and hyperventilation syndrome are each attributed to a single individual pattern. The pattern is different between both sexes. Bulimia nervosa and dystonia are attributed to a few patterns respectively.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"185 - 198"},"PeriodicalIF":0.0,"publicationDate":"2015-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000375532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64772860","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":"Integrative Medicine and Drug-Induced Vestibulopathy following Brucellosis Treatment: Clinical Practice","authors":"M. Avijgan, M. Avijgan, M. Najafi, Najmeh Salek, Azin Momeni, S. Shabani, Fahimeh Salehi","doi":"10.1159/000371800","DOIUrl":"https://doi.org/10.1159/000371800","url":null,"abstract":"Brucellosis is still one of the most common causes of fever of unknown origin (FUO) in endemic areas and is associated with several complications. Here, we report a patient with a diagnosis of brucellosis and FUO who developed a rare complication of vestibulopathy in the course of treatment and follow-up. We treated the vestibulopathy with acupuncture, and during 10 days of treatment, the irreversible complication of vestibulopathy disappeared. To the best of our knowledge, this is the first case report of brucellosis with vestibulopathy treated with traditional medicine that achieved complete improvement within 10 days.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"176 - 184"},"PeriodicalIF":0.0,"publicationDate":"2015-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000371800","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64769809","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":"Constitutional Study of Parkinson's Disease Patients Based on Traditional Chinese Medicine Pattern Differentiation","authors":"Jing-jing Li, K. Chua, Min Li","doi":"10.1159/000369530","DOIUrl":"https://doi.org/10.1159/000369530","url":null,"abstract":"Objectives: It was the aim of this study to determine whether (1) Parkinson's disease (PD) patients can be divided into different traditional Chinese medicine (TCM) constitutions based on the 44-item Traditional Chinese Medical Constitutional Scale and Classification (TCM-CSC, Chinese version, 中醫體質及分型量表), (2) whether levodopa usage correlates with the TCM classification type, and (3) whether there is a difference in the mean daily intake of levodopa between males and females in any of the constitutional types. Methods: PD patients who had visited the TCM clinic of the Hong Kong Baptist University (HKBU) or who had attended the PD public talks organized by HKBU and the Association of Parkinson's Disease in Hong Kong were invited for interviews with TCM assessors. The TCM-CSC (Chinese version) was used in the assessment to divide patients into four different constitutions: the balanced constitution (type A), the yang-deficiency constitution (type B), the yin-deficiency constitution (type C) and the stasis constitution (type D). Results: Sixty-three patients (29 males, 34 females; mean age 63.65 ± 8.116 years; mean PD duration 5.49 ± 4.544 years) participated in the study. Sixteen PD patients (26%) had only one type of TCM constitution, while 47 PD patients (74%) had more than one type of TCM constitution. Type D patients showed the lowest intake of daily levodopa. There was no significant difference in the mean daily intake of levodopa between males and females in any of the constitutional types. Conclusions: (1) PD patients cannot be divided into different constitutional types based on the TCM-CSC effectively. (2) In general, levodopa usage does not correlate with the constitutional type; however, patients with the stasis constitution (type D) showed the lowest levodopa intake compared to the other constitutions. (3) There was no significant difference in the mean daily intake of levodopa between males and females. Further research on the treatment pattern of different TCM constitutions, using large samples, is warranted.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"170 - 175"},"PeriodicalIF":0.0,"publicationDate":"2015-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000369530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64753946","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":"Integrative Cardiac Reserve","authors":"Jingui Xue, F. Zhao, Yuqi Wang, Jialin Gu, Junjie Gao, Xiaolong Wang, Hua Zhou","doi":"10.1159/000369808","DOIUrl":"https://doi.org/10.1159/000369808","url":null,"abstract":"Recent progress suggests that integrative cardiac reserve is important in coronary artery disease, chronic heart failure, cardiomyopathy, and other cardiovascular diseases. Integrative cardiac reserve includes coronary flow reserve, myocardial reserve, energy reserve, and heart rate reserve. In the case of stress reaction, coronary flow reserve can provide excessive blood and energy supply and increase the heart rate. Thus, the dysfunctional myocardium can recover its contractile characteristics. In this study, we review the current knowledge on integrative cardiac reserve in order to provide an additional cure and strategy for the treatment of heart diseases.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"1 1","pages":"162 - 169"},"PeriodicalIF":0.0,"publicationDate":"2015-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000369808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64757144","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":"Integrative Cognitive Reserve","authors":"Wenfei Jiang, Weidong Pan","doi":"10.1159/000371467","DOIUrl":"https://doi.org/10.1159/000371467","url":null,"abstract":"The cognitive reserve (CR) against cognitive damage stems from a series of observations. The purpose of this study is to perform a systematic review to summarize the concept of CR. A variety of factors such as age, education level, reading ability, and vocabulary have an impact on the reserve according to a large amount of research and may influence CR. Furthermore, due to measurement difficulties, efforts to explore CR have been hindered. This is why different methods have been used to quantify reserve, such as multiple indicators multiple causes, residual variance in episodic memory performance, the Sole-Padulles Childhood Enrichment measure, the Mini-Mental State Examination, the Peabody Picture Vocabulary Test, the Hollingshead Two-Factor Index of Social Position, the Cattell Culture Fair Intelligence Test, and the Digit Span Subtests of the Wechsler Memory Scale. In addition, numerous studies explored the role of CR in various diseases, such as multiple sclerosis, hepatitis C, obesity, and sleep onset/maintenance difficulties. CR plays a significant role in the morbidity of these diseases, and since integrative medicine may be able to modify CR, it might be an effective tool to prevent these serious diseases.","PeriodicalId":91502,"journal":{"name":"Integrative medicine international","volume":"94 1","pages":"144 - 150"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000371467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64765418","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}