A Comprehensive Review of Tourette Syndrome and Complementary Alternative Medicine

Kumar, Ashutosh; Duda, Laura; Mainali, Gayatra; Asghar, Sheila; Byler, Debra

doi:10.1007/s40474-018-0137-2

Cited by 29 publications

(13 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Neither of the non-pharmacological and pharmacological treatments results in complete resolution of tic symptoms. Therefore, a variety of seemingly safer and easier complementary alternative medicine (CAM) have become available to the patients with TD and their caregivers (107). Traditional Chinese Medicine (TCM), which mainly includes TCM medication and acupuncture that have been developed for the prevention and treatment of various diseases and refined by the Chinese people over thousands of years, is widely available and commonly used all over China.…”

Section: Traditional Chinese Medicine Treatment Of Td In Chinamentioning

confidence: 99%

See 1 more Smart Citation

Current Status, Diagnosis, and Treatment Recommendation for Tic Disorders in China

Cui

Sun

et al. 2020

Front. Psychiatry

View full text Add to dashboard Cite

Tic disorders (TD) are a group neuropsychiatric disorders with childhood onset characterized by tics, i.e. repetitive, sudden, and involuntary movements or vocalizations; and Tourette syndrome (TS) is the most severe form of TD. Their clinical manifestations are diverse; and are often associated with various psychopathological and/ or behavioral comorbidities, including attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety, depression, and sleep disorders. Individual severity and response to treatment are highly variable, and there are some refractory cases, which are less responsive to conventional TD treatment. TD/TS are also common in the Chinese pediatric population. To help improve the understanding of TD for pediatricians and other health professionals, and to improve its diagnosis and treatment in China, the Chinese Child Neurology Society (CCNS) has developed an Expert Consensus on Diagnosis and Treatment of TD in China, which is based on our clinical experience and the availability therapeutic avenues. It is focused on clinical diagnosis and evaluation of TD and its comorbidities, psychological and educational intervention, nonpharmacological therapy, pharmacological treatment, including traditional Chinese medicine and acupuncture, as well as prognosis in children with TD in China. A summary of the current status of TD and up-to-date diagnosis and treatment recommendations for TD in China is presented here.

show abstract

Section: Traditional Chinese Medicine Treatment Of Td In Chinamentioning

confidence: 99%

Section: Therapeutic Approachesmentioning

confidence: 99%

Current Status, Diagnosis, and Treatment Recommendation for Tic Disorders in China

Cui

Sun

et al. 2020

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…8 Therefore, patients and their caregivers may turn to complementary and alternative medicine (CAM) in a search for available and effective options because they perceive them as natural and safe. 10 According to the National Center for Complementary and Alternative Medicine (NCCAM), CAM is essentially a group of diverse medical and healthcare practices and products that are considered as a part of "integrative" medicine, which places emphasis on a combined holistic, patient-centered approach to health care and wellness provided through mental, emotional, functional, spiritual, and social aspects. 11 CAM has been widely used for various chronic conditions such as depression, ADHD, anxiety, irritable bowel syndrome, diarrhea, asthma, upper respiratory infections, arthritis, migraines, and musculoskeletal problems.…”

mentioning

confidence: 99%

“…There are only 2 major descriptive studies identifying the frequency and type of CAM used in Tourette syndrome patients reported from USA. 10 In one study, 87.8% of Tourette syndrome patients used nutritional supplements, and a majority of them reported a significant improvement in motor and vocal tics over a 2-month period of using the supplements. 17 Another study reported that about 64% of patients or their caregivers reported using at least 1 CAM therapy and about 80% of CAM users did not ask or inform their doctor before initiating treatment.…”

mentioning

confidence: 99%

Use of Complementary and Alternative Medicine in Children With Tourette Syndrome

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction: Tourette syndrome is a neuropsychiatric condition defined by motor and phonic tics with onset in childhood. Many families have concerns regarding potential side effects of pharmacologic treatments, and often have difficulty accessing comprehensive behavioral intervention for tics. Patients and caregivers may turn to complementary and alternative medicine (CAM) as they perceive these as “natural” and therefore “safe.” Although there are anecdotal reports of an increased use of CAM in Tourette syndrome patients, the exact prevalence is unknown. Objective: The purpose of this study was to identify commonly used CAM therapies for children with Tourette syndrome at Penn State Hershey Medical Center. Methods: A questionnaire was administered to the caregivers of children (<18 years old) via telephone. The data pertaining to demographics, type of CAM use, duration of use, adverse effects, and caregiver’s perception of the effectiveness were collected. Results: A total of 110 patients participated in this survey. When inquired about the different CAM methods, 69.1% of the participants reported using 1 or more CAM therapies, and 58% of those who used CAM informed the doctor about their use. Ninety-three percent of those who used CAM therapy reported a decrease in tic frequency. The most commonly used CAM therapies were stress management (44.6%), herbal medicine (18.2%), homeopathy (12.7%), and meditation (9.1%). In total, 46% of the participants said that CAM helped more than medication. Conclusion: The majority of patients interviewed were using CAM therapies, and a significant portion reported benefit greater than medication. More than half of all participants discussed CAM therapies with their physicians, and 63% of participants felt that their physicians would support their use of CAM therapies.

show abstract

“…However, potential side effects and drug-drug interactions have been reported in various anecdotal reports and studies in regard to herbal and nutritional supplements. 3 Therefore, it is necessary for physicians to inquire about complementary and alternative medicine use and educate patient’s caregivers about the significant side effects of certain complementary and alternative medicine therapies and this certainty should be explored in the future studies. We appreciate the discussion and recommendations brought forth by our colleagues.…”

mentioning

confidence: 99%

Response to Correspondence “Complementary and Alternative…but Please Not Secret”

Patel¹,

Nguyen

Lehman

et al. 2020

J Child Neurol

Self Cite

View full text Add to dashboard Cite

A Comprehensive Review of Tourette Syndrome and Complementary Alternative Medicine

Cited by 29 publications

References 26 publications

Current Status, Diagnosis, and Treatment Recommendation for Tic Disorders in China

Current Status, Diagnosis, and Treatment Recommendation for Tic Disorders in China

Use of Complementary and Alternative Medicine in Children With Tourette Syndrome

Response to Correspondence “Complementary and Alternative…but Please Not Secret”

Contact Info

Product

Resources

About