The Use of Complementary and Alternative Medicine Among Pediatric Cystic Fibrosis Patients

Tanase, Ana-Maria; Zanni, Robert

doi:10.1089/acm.2008.0185

Cited by 18 publications

(23 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For each patient, we calculated the mean value of the two following variables: (1) chest and back pain over the previous month (VAS from 0 to 10) [15] and (2) [the number of days with chest and back pain in the previous month/number of days in the previous month] ×10 (thus a score from 0 to 10).…”

Section: Methodsmentioning

confidence: 99%

“…Although pain in adults with CF is associated with lower QOL [5]–[6], [11], increased risk of exacerbation [6] and decreased survival [6], [12], it is often neglected by the treating physicians [5], [8]. In addition to drug treatment, many patients with CF use non-drug treatments and complementary and alternative medicine (CAM) [5]–[6], [8], [13]–[15] including osteopathic manipulative treatment (OMT). However, this type of treatment has never been evaluated in CF.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Osteopathic Treatment on Pain in Adult Patients with Cystic Fibrosis – A Pilot Randomized Controlled Study

et al. 2014

View full text Add to dashboard Cite

BackgroundPain is a common complication in patients with cystic fibrosis (CF) and is associated with shorter survival. We evaluated the impact of osteopathic manipulative treatment (OMT) on pain in adults with CF.MethodsA pilot multicenter randomized controlled trial was conducted with three parallel arms: OMT (group A, 16 patients), sham OMT (sham treatment, group B, 8 patients) and no treatment (group C, 8 patients). Medical investigators and patients were double-blind to treatment for groups A and B, who received OMT or sham OMT monthly for 6 months. Pain was rated as a composite of its intensity and duration over the previous month. The evolution of chest/back pain after 6 months was compared between group A and groups B+C combined (control group). The evolution of cervical pain, headache and quality of life (QOL) were similarly evaluated.ResultsThere was no statistically significant difference between the treatment and control groups in the decrease of chest/back pain (difference = −2.20 IC95% [−4.81; 0.42], p = 0.098); also, group A did not differ from group B. However, chest/back pain decreased more in groups A (p = 0.002) and B (p = 0.006) than in group C. Cervical pain, headache and QOL scores did not differ between the treatment and control groups.ConclusionThis pilot study demonstrated the feasibility of evaluating the efficacy of OMT to treat the pain of patients with CF. The lack of difference between the group treated with OMT and the control group may be due to the small number of patients included in this trial, which also precludes any definitive conclusion about the greater decrease of pain in patients receiving OMT or sham OMT than in those with no intervention.Trial RegistrationClinicalTrials.gov NCT01293019

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Osteopathic Treatment on Pain in Adult Patients with Cystic Fibrosis – A Pilot Randomized Controlled Study

et al. 2014

View full text Add to dashboard Cite

show abstract

“…In a study of CAM use in 97 children and adults with cystic fibrosis (of which 81% of the respondents were parents of children), it was found that 75% of the patients used some form of CAM [9]. The majority (53%) used dietary supplements followed by mind-body medicine (MBM) (49%) and manipulative therapies (14.5%).…”

Section: Introductionmentioning

confidence: 99%

Complementary and alternative medicine in pulmonology

Mark

Chung

2015

Current Opinion in Pediatrics

View full text Add to dashboard Cite

show abstract

“…14 In the United States, research indicates that 65% of children with CF use complementary and alternative medicine (including prayer), 49% being mind-body approaches. 15 Complementary and alternative medicine has been used for CF symptoms such as mucus clearance, anxiety, and general health, with 77% finding it useful. 15 The practice of meditative movement is popular in both China and the West.…”

Section: Introductionmentioning

confidence: 99%

“…15 Complementary and alternative medicine has been used for CF symptoms such as mucus clearance, anxiety, and general health, with 77% finding it useful. 15 The practice of meditative movement is popular in both China and the West. [16][17][18][19] Meditative movement, most commonly tai chi, yoga, and qi gong, incorporates: focus of the mind; movements, usually slow, relaxed, flowing and choreographed; a focus on breathing to rest the mind, which also "energizes" the body; and a deep state of physical and mental relaxation.…”

Section: Introductionmentioning

confidence: 99%

Meditative Movement for Respiratory Function: A Systematic Review

et al. 2013

View full text Add to dashboard Cite

BACKGROUND:Meditative movement, such as tai chi, yoga, and qi gong, may benefit people with cystic fibrosis (CF), as a form of gentle exercise incorporating meditation, breathing, and relaxation. Respiratory function is the most common issue in CF. In this systematic review we synthesized the evidence on the effect of meditative movement on respiratory function in patients with CF. METHODS: We searched Chinese and English language databases with terms relating to tai chi/yoga/qi gong, and respiratory function/cough/dyspnea. Articles were screened and selected by 2 researchers. We included controlled studies published in English or Chinese after 1980, and extracted data using a specially designed spreadsheet. Two researchers independently evaluated study quality and reporting, using 3 standardized checklists. Meta-analysis was not possible due to heterogeneous methods. RESULTS: We found 1,649 papers, included 43 (30 in English, 13 in Chinese), 23 of which were randomized controlled trials, and 20 were non-randomized trials. No studies were concerned with CF. Eleven studies included patients with respiratory disorders, and 27 included healthy people. Very few studies were high quality. The main problems with the randomized controlled trials was the randomization and non-random and/or poorly reported sampling. The main problems with the non-randomized studies were poor reporting of samples and non-equivalent groups. Although no clinically important changes were found, meditative movement may improve FEV 1 in healthy people, compared to no treatment/exercise (the intervention groups showed effect-size changes from 0.07 to 0.83), but meditative movement did not appear to affect FEV 1 /FVC in subjects with COPD. Key study limitations were: poor reporting of sampling or methods; inadequate sample size; non-randomized design; inadequate description of randomization; randomization by center; no blinding; lack of reporting of important aspects of meditative movement; and short-term follow-up.

show abstract

The Use of Complementary and Alternative Medicine Among Pediatric Cystic Fibrosis Patients

Cited by 18 publications

References 7 publications

Impact of Osteopathic Treatment on Pain in Adult Patients with Cystic Fibrosis – A Pilot Randomized Controlled Study

Impact of Osteopathic Treatment on Pain in Adult Patients with Cystic Fibrosis – A Pilot Randomized Controlled Study

Complementary and alternative medicine in pulmonology

Meditative Movement for Respiratory Function: A Systematic Review

Contact Info

Product

Resources

About