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Impact of holistic, patient-centric yoga & naturopathy-based lifestyle modification program in patients with musculoskeletal disorders: A quasi-experimental study. 以病人为中心的整体瑜伽的影响肌肉骨骼疾病患者基于自然疗法的生活方式改变计划:一项准实验研究。
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.aimed.2023.10.007
Pradeep Mk Nair, Karishma Silwal, Prakash Babu Kodali, Kavita Fogawat, Sunita Binna, Hemanshu Sharma, Gulab Rai Tewani
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.
肌肉骨骼疾病(MSD)是全球致残和幸福感下降的主要原因之一。本研究调查了为期10天的以人为本的整体瑜伽和自然疗法生活方式干预模型(HOPE-YN)在改善MSD患者的肌肉骨骼健康、活力、力量、柔韧性、疼痛和治疗满意度方面的作用。这项准实验研究包括57名年龄在29至65岁之间的不同MSD参与者,他们接受了为期10天的HOPE-YN项目,包括饮食、瑜伽、按摩等干预措施。此外,每位患者都接受了以健康和康复的整体层面为重点的整体咨询。除STS和TUG在基线和第10天测量外,肌肉骨骼相关健康质量(MSK-HQ)、健康、活力和疼痛视觉模拟量表、体重、坐立(STS)和时间-起身-走(TUG)测试以及就诊特定患者满意度问卷(VSQ-9)分别在基线、第10天和干预后1个月进行测量。该研究由50名参与者(76%为女性)完成,大多数参与者报告患有骨关节炎和类风湿关节炎。干预后10天和1个月,MSK-HQ、健康、活力、疼痛、STS和TUG评分均有显著改善(P<0.001)。女性患者的治疗满意度高于男性患者(P=0.008)。治疗满意度与活力(P=0.02)、TUG (P=0.03)和STS评分(P=0.04)的改善相关。HOPE-YN计划被发现对管理MSD有益,并可能提高对生活方式计划的依从性。这些发现需要通过强有力的临床试验来验证。
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引用次数: 0
A Protocol of Development, Content Validation And Feasibility of A Tele-Yoga Module For Post-Traumatic Stress Disorder 创伤后应激障碍远程瑜伽模块的开发、内容验证及可行性研究
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.aimed.2023.10.005
Naresh Katla, Judu Ilavarasu, Balaram Pradhan, Hemant Bhargav, Bharath Holla, Atmika Ramsahaye, Arun Thulasi, Zaeem Zaidi
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.
在全球范围内,创伤后应激性抑郁症(PTSD)的发病率为6.1%。不同的治疗方法被采用的创伤后应激障碍,其中瑜伽有可能管理创伤后应激障碍的症状。然而,目前还没有一套针对PTSD的模块。本研究旨在开发、验证和测试远程瑜伽(TY)模块对PTSD患者的可行性。拟议的研究计划分三个阶段进行。第一阶段:回顾与瑜伽、创伤后应激障碍和瑜伽相关的文献,包括已发表的研究以及古今书籍,重点是在了解瑜伽练习对创伤后应激障碍患者的概念基础后设计瑜伽模块。第二阶段:将开发的模块发送给专家进行定量和定性验证。第三阶段:该模块的可行性测试将在60名被诊断为创伤后应激障碍的参与者中进行。参与者将根据选择分配分为两组(TY组和等候名单对照组)。采用Lawshe内容效度比(CVR)对专家的回答进行分析,并采用迭代的德尔菲技术。将对可行性数据进行正态性测试,并使用适当的测试来评估两组之间的差异。本研究的结果是在专家的支持下建立一个有效的创伤后应激障碍模块。该模块对创伤后应激障碍患者的可行性将进一步提供。最后,研究人员将确定该模块是否对焦虑、抑郁、恢复力、社会心理功能和吠陀人格有影响。
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引用次数: 0
Animal assisted therapy in neurorehabilitation inpatient units following acquired brain injury – a UK-based national survey of staff experiences and opinions 动物辅助治疗在神经康复住院病人单位后获得性脑损伤-基于英国的全国调查工作人员的经验和意见
Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.aimed.2023.10.004
Laura Edwards, Fiona Marshall
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引用次数: 0
Safety and efficacy of complementary medicines for eosinophilic gastrointestinal disorders in adults: a systematic review and exploration of candidate interventions. 补充药物治疗成人嗜酸性胃肠道疾病的安全性和有效性:候选干预措施的系统回顾和探索。
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.aimed.2023.09.002
Nicole Hannan, Janet Schloss, Matthew J Leach
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.
嗜酸性胃肠道疾病(EGIDs)是一组由th2介导的抗原驱动的疾病。传统治疗方案的局限性(即侵入性监测、药物治疗的不良影响和维持饮食限制的挑战)可能导致egid患者寻求其他治疗方案,如补充药物(CM)。虽然有越来越多的证据支持一些补充药物(CMs)用于胃肠道疾病管理的安全性和有效性,但CMs对EGIDs有效性的证据尚未得到系统的审查。对对照临床试验和随机对照试验(包括交叉试验)进行系统回顾,检查任何CM与任何比较物的安全性和/或有效性,以确定成年EGIDs患者CM的安全性和有效性,并探索潜在的候选干预措施。搜索确定了4304个参考文献。经过标题和摘要筛选,4297项研究被排除在外。7项被确定的研究被检索为全文并评估其合格性。7项研究均因错误的研究设计而被排除(n = 1;回顾性研究)和错误的患者群体(n = 6;如功能性消化不良或胃灼热患者)。没有研究符合纳入本综述的资格标准。虽然缺乏临床研究检查CM对EGID的有效性,但观察和实验研究的结果突出了未来研究的可能方向。这些研究指出,一些营养补充剂(即营养补充剂和草药)有望成为治疗EGID的方法;因此,这些干预措施的临床安全性和有效性值得进一步研究。为EGID患者确定安全、有效和可接受的治疗方案,可能有助于减轻这一人群的疾病和治疗负担,进而改善生活质量。
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引用次数: 0
Effect of reflexology at pancreatic area of palms on blood glucose levels in patients with type 2 diabetes mellitus: a randomized controlled study 手掌胰区反射疗法对2型糖尿病患者血糖水平的影响:一项随机对照研究
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.aimed.2023.09.005
S. Shobanadevi, Mooventhan Aruchunan, N. Mangaiarkarasi, K. Kahlilsubramanian, N. Manavalan
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.
糖尿病是最常见的代谢性疾病之一。反射疗法是一种治疗形式,包括对脚和手的特定点进行按摩或压力。本研究旨在探讨掌胰区反射疗法(RPP)对2型糖尿病(T2DM)患者随机血糖水平的影响。这项研究是在印度金奈的政府瑜伽和自然疗法医学院完成的。将100例T2DM患者随机分为足底按摩组(RG)和对照组(CG)。RG只进行了一次持续20分钟的RPP(10分钟到右手掌,然后10分钟到左手掌),而CG则以坐姿休息20分钟。在干预前后评估随机血糖水平(RBG)。组间分析显示,RG中RBG水平显著降低(z=4.606;p < 0.001;效应量:d=0.243),不像CG (t=0.668;p = 0.507;效应量:d=0.023)。然而,组间分析未显示两组间RBG水平有显著差异(z=1.406, p=0.160;效应量:d=0.307)。在研究期间或之后,没有参与者报告任何不良事件。与CG相比,RG降低RBG水平的效果较小。因此,20分钟的RPP可能对降低T2DM患者的血糖水平有一定的作用。然而,需要进一步的研究来证实本研究的结果。
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引用次数: 0
The Importance of Constructing an Osteopathic Profession Around Modern Common Academic Values and Avoiding Pseudoscience; the Spanish Experience 围绕现代共同学术价值观建设骨科专业,避免伪科学西班牙经历
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.aimed.2023.09.003
Antonio Ciardo, Mar García Sánchez, Moisés Cobo Fernández
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.
全球健康和保健产业估计价值4万亿美元,其中传统和补充医学(包括整骨疗法)占3597亿美元(近9%)。虽然一些欧洲国家逐渐认识到整骨疗法是一种独立的健康职业,并及时对其进行监管,但在西班牙,整骨疗法的特点是在专业社区内部缺乏共识,缺乏监管。2019年2月,西班牙政府发起了一项运动(#coNprueba),这是“打击假疗法和伪科学计划”的一部分。在西班牙,它很有可能被禁止,或者整骨疗法将被归类为其他卫生专业的一个分支(尽管这违反了现有的国家法律)。这可能会为那些正在承认整骨疗法的国家树立一个危险的先例,因为它可能会使这种疗法的实施陷入瘫痪。目的是了解如何可能改变这一趋势,以促进新骨科医生的教育,培养研究文化,并获得监管地位。基于文献的叙述性报告解决了当前的问题,包括辩论和争议的来源。在西班牙,整骨疗法的手被伸出来定义一种合作策略,以捍卫自由获取、多元、安全和规范的职业。西班牙自己的努力可以帮助国际整骨疗法界确定其定位和身份,并确定结合传统与现代的最灵活的方式。
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引用次数: 0
Impacts of Touch massage on the experience of patients with chronic pain: a non-randomized cluster clinical trial 触摸按摩对慢性疼痛患者体验的影响:一项非随机聚类临床试验
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.aimed.2023.09.004
Gora DA ROCHA RODRIGUES, Catherine BOLLONDI PAULY, Monique BOEGLI, François CURTIN, Adrien ANEX, Sezen CEKIC, Christophe LUTHY, Jules DESMEULES, Christine CEDRASCHI
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.
慢性疼痛是一个主要的公共卫生问题。非药物干预越来越多地被用作慢性疼痛治疗的补充,并被强烈推荐。本研究的目的是评估触摸按摩(TM)对康复病房慢性疼痛住院患者体验的影响。进行了一项非随机群集临床试验。本研究共纳入82名受试者,其中干预组39人,对照组43人。两组的参与者在两周的时间里都接受了4次按摩(TM或通过机器)。对于两组,在基线和干预后测量了患者在疼痛感知和次要结局(疼痛强度,焦虑/抑郁,医患关系)方面的总体变化印象(PGIC)。干预类型对PGIC评分的影响较小(Cohen’s d = 0.42)。接受TM的患者比接受机器按摩的患者更容易感觉到变化。干预类型对其他关键变量(疼痛强度、焦虑/抑郁或医患关系)没有影响。本研究以严谨务实的方法显示,TM对慢性疼痛患者的疼痛缓解感有积极的影响。对于这些难以治疗的患者,TM似乎是一种有用且易于管理的治疗方法,并且比机器提供的足部按摩更好。
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引用次数: 0
Effect of Hatha Yoga and Meditation on academic stress in medical students- Clinical Trial 哈他瑜伽和冥想对医学生学业压力的影响-临床试验
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1016/j.aimed.2023.09.001
Sandra Moreno, Lina Becerra, Guillermo Ortega, Milton Fabian Suarez-Ortegón, Freddy Moreno
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.
医学生通常都要应对高水平的学业压力。人们发现,哈他瑜伽和冥想可以减少与压力相关的变量。目的:评价和比较哈达瑜伽和冥想对哥伦比亚卡利一所私立大学医学生学业压力的影响。共有27名志愿者被随机分为两组:哈他瑜伽(n=13)和冥想(n=14)。每个小组每周进行两次一小时的会议,持续14周。研究结果是唾液皮质醇和感知学业压力。人体测量学和临床变量作为研究样本的特征被额外测量。感知学业压力通过结构化问卷进行评估。还进行了组内分析,以比较组内基线和干预后的结果。在基线时,干预组之间的人口学、临床和人体测量变量相似。干预后,冥想组和哈达瑜伽组在唾液皮质醇测量(时间0、15、30、45分钟,以及4项测量的平均值)和感知的学业压力方面没有发现差异。然而,组内分析显示,只有在哈他瑜伽中,皮质醇测量值显著增加,感知学业压力的规模有所改善。基于组内而非组间基线和干预后结果的比较,尽管伴随皮质醇水平显著增加,但哈他瑜伽减少了感知的学业压力。应该对更多的医学生样本进行进一步的试验,以对比我们的发现。
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引用次数: 0
A polyherbal formulation containing Justicia pectoralis Jacq., Achyrocline satureioides (Lam.) DC., and Eclipta prostrata (L.) L. helped reducing symptom intensity during and after Covid-19 infection: a retrospective, uncontrolled observational study 一种含有胸凤仙花的复方制剂。、类饱和甲环素(Lam.)直流。和赤月食(L.)L.帮助减轻Covid-19感染期间和之后的症状强度:一项回顾性、不受控制的观察性研究
IF 1.7 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.aimed.2023.07.004
Fábio Carmona, Lucas Chaves, Fabiana Cardoso Tardelli do Nascimento, Débora Simone Sales, B. Bertoni, Gustavo Henrique Teixeira Pinto, Pedro de Pádua Amatto Goulart, A. Pereira
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引用次数: 0
Use of Complementary and Alternative Medicine among clients with diabetes at Mzuzu Central Hospital in Malawi: A cross-sectional study 马拉维Mzuzu中心医院糖尿病患者补充和替代医学的使用:一项横断面研究
IF 1.7 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.aimed.2023.07.002
LusekeroMboma Munthali, Enalla Thombozi, B. Mbakaya
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引用次数: 1
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