Effect of Integrated Medicine on Physical Performances of Orthopaedic and Stroke Patients: A Propensity Score-Matched Study

Bernardini, Simonetta; Gottard, Anna; Rinaldi, Massimo; Mattei, Alessandra; Virgili, Gianni; Franco, Cracolici; Rosaria, Ferreri; Roberto, Pulcri

doi:10.4172/2327-5162.1000255

Cited by 2 publications

(4 citation statements)

References 32 publications

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“…The protocol described herein was made possible by the opportunity offered by the Tuscany Regional Authority to open an IM center under the umbrella of the regional health service, now active since 2011. The setting at the Manciano center proved highly effective from the very beginning [7,8] as no conflicts between the CAM doctors, conventional doctors (neurologists and orthopaedists) and other medical staff (physiotherapists, speech therapists and nurses) have ever arisen. We believe that the small size of the facility, which has just 21 beds, was a great help in fostering effective and harmonious cooperation between the various health workers and the patients.…”

Section: Discussionmentioning

confidence: 99%

“…As already reported [7,8], an IM Hospital was opened in Tuscany in February 2011 which has now become the Tuscany Reference Centre for Integrated Medicine in Hospitals. The center forms part of the regional public health service and now has three active clinical settings involving IM: one in Pitigliano Hospital, one in the Manciano Rehabilitation Center and one in the largest hospital in its province, Grosseto.…”

Section: Introductionmentioning

confidence: 89%

“…Between 2013 and 2017, 212 patients were included in the study: 94 patients treated with conventional medicine plus IM were compared against 118 patients treated with conventional methods alone. The variables considered were the Barthel Index (BI) and the Trunk Control Test (TCT) [8].…”

Section: Patient Selection and Inclusion Criteriamentioning

confidence: 99%

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Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Bernardini¹,

Bechini²,

Braccesi³

et al. 2018

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Since 2011, the Tuscany Regional Authority has been funding the use of Integrated Medicine (IM) in a clinical setting in Pitigliano Hospital, with the aim of testing the true efficacy of complementary and alternative medicine (CAM) in a hospital setting. The clinical setting also comprises the Manciano rehabilitation facility whose services include post-stroke rehabilitation. This study aims to establish if IM helps to improve the rehabilitation performance of stroke patients. The study compared 212 patients divided into two groups: 94 treated with IM (conventional therapy plus homeopathy and acupuncture) and 118 treated with conventional therapy alone. All patients were evaluated with the rehabilitation scores in use

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 89%

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Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Bernardini¹,

Bechini²,

Braccesi³

et al. 2018

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“…At the Center of Lenitherapy in Tuscany's "Roberto Ciabatti" Misericordia Grosseto Hospital (South East Local Health Unit), real integration of acupuncture, phytotherapy and homeopathy disciplines into palliative medicine has beeit is the name dedicated to this departmentn achieved [29]. Since the inception of this integrative program in 2015, it has been guided by the Tuscan health model to create a public hospital ward where patients could receive conventional and complementary therapies either at the same time or with greater overall integration [30]. This program differs from other European or American patient treatment programs, whereby alternative therapies are mainly restricted to the clinic and conventional therapies to the hospital ward, with an absence of cooperation between clinic and hospital doctors.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture in Palliative Care

Bernardini¹,

Rosaria²

2018

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Background: Acupuncture is an innovative and scientifically supported treatment for oncologic patients, as well as an effective palliative care option. At the Palliative Care Department of "Misericordia" Grosseto Hospital in Tuscany, real integration of acupuncture in palliative medicine has been possible. The objective of this work is to retrospectively evaluate patient treatment outcomes obtained using an integrated medical care approach administered within a palliative care unit. Methods: Medical records of oncology patients admitted to the palliative care unit who voluntarily underwent integrated therapy with acupuncture were retrospectively analyzed. Treatment was innovative and personalized and included the use of-points based on Traditional Chinese Medicine (TCM),-points based on the Microsystems Acupuncture Technique,-points based on psychic action (Shen Ling). Codified evaluation indexes were used to rate patient status at the beginning of treatment and after 1-2 months. Treatment outcomes were evaluated for oncologic patients voluntarily participating as palliative care outpatients or inpatients receiving integrated acupuncture therapy. Results: 172 cancer patients treated over a two-year period received a total of approximately 600 treatments, with 92.4% of patients reporting improvement of symptoms. Examination of patient data obtained from the SF 12 questionnaire and of patient assessments based on the Edmonton Symptoms Assessment Scale (ESAS) revealed remarkable improvement in perceived health 2 months after initiation of integrated therapy (p<0.01). Specifically, marked post-treatment improvement in symptoms of pain, fatigue, nausea, sleep disturbance, anxiety, loss of appetite, shortness of breath, cough and wellbeing were observed, with no improvement observed for dry mouth or depression. No major side effects were reported. Conclusions: Acupuncture is a promising and safe adjunctive therapy for management of common symptoms that afflict oncological patients during all stages of disease, including symptoms of patients nearing the end of life in a home or hospice setting.

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Effect of Integrated Medicine on Physical Performances of Orthopaedic and Stroke Patients: A Propensity Score-Matched Study

Cited by 2 publications

References 32 publications

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Integrated Medicine Strongly Improves Post-Stroke Rehabilitative Performance in a Public Health Facility in Italy

Acupuncture in Palliative Care

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