Use of Alternative Treatments by People with Multiple Sclerosis

Berkman, Cathy S.; Pignotti, Monica; Cavallo, Pamela F.; Holland, Nancy J.

doi:10.1177/154596839901300406

Cited by 45 publications

(49 citation statements)

References 43 publications

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“…19 Esmonde and Andrew, Nayak et al, and Berkman et al also reported an improvement of sleep quality in patients with MS who did PMRT in their studies. [33][34][35] When the relationship between the patients' sleep quality and their mean scores from fatigue scales were evaluated after PMRT, a positively significant relationship was observed between the mean scores of fatigue severity scale and the mean scores of subjective sleep quality, sleep disorder, daytime dysfunction, and global sleep quality after PMRT. Patients' fatigue level increased as their sleep quality deteriorated.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Patients with Multiple Sclerosis

Dayapoğlu

Tan²

2012

The Journal of Alternative and Complementary Medicine

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Background and objectives: Fatigue and sleep problems are very commonly observed in patients with multiple sclerosis (MS). The Progressive Muscle Relaxation Technique (PMRT), used as one of the alternative methods in recent years, is reported to have benefits such as facilitating sleep and reducing sensitivity against fatigue. This research was conducted to investigate the effect of PMRT on fatigue and sleep quality in patients with MS. Setting and design: This research was performed as a single-group pretest/post-test pretrial model. The research was conducted between March 2008 and December 2009 in the neurology polyclinic. Materials and methods: The study was conducted with 32 patients who met the research criteria and agreed to participate in the study. A Personal Information Form was used as a data collection tool, Fatigue Severity Scale was used for measuring fatigue, and the Pittsburgh Sleep Quality Index was used for evaluating the sleep quality. PMRT was applied to the sample group once a day for 6 weeks. Statistical analysis: Percentage, paired t-test, and Pearson's correlation analysis were used in the assessment of data. Results: It was determined that PMRT decreased patients' fatigue level and improved their sleep quality, and this difference was observed to be statistically significant. Moreover, patients' fatigue level increased as their sleep quality decreased. Conclusions: This study supports the effect of PMRT on fatigue and sleep quality in patients with MS, and it is recommended that further studies be conducted on this subject in the future.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Patients with Multiple Sclerosis

Dayapoğlu

Tan²

2012

The Journal of Alternative and Complementary Medicine

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“…CAM may augment typical healthcare that does not provide complete relief from suffering [10] or adequately address symptoms [9]. Research has suggested that CAM is generally sought in addition to, as opposed to in place of, traditional approaches [9][10][12][13]. While CAM users might not experience total relief with traditional treatment modalities, they do not appear to have abandoned them.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, depending on the sample, estimates regarding the prevalence of CAM use in people with MS range from approximately 33 [13] to 66 percent [12,20]. People with MS have credited CAM with improving their quality of life and reducing their MS-related symptoms [12,[20][21].…”

Section: Introductionmentioning

confidence: 99%

Complementary and alternative medicine use in veterans with multiple sclerosis: Prevalence and demographic associations

Campbell

Turner

Williams

et al. 2006

JRRD

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Abstract-The present study explored complementary and alternative medicine (CAM) use in veterans with multiple sclerosis (MS). We administered self-report questionnaires to 451 veterans who received healthcare from Veterans Health Administration facilities. CAM use among veterans with MS was widespread; 37% of respondents reported current or past use. Roughly 33% of CAM users reported using multiple interventions, and 40% of respondents desired interventions that they were not already using. Logistic regression suggested that CAM use was more likely among participants with graduate-level education, poor self-reported health over the past year, and a progressive relapsing MS subtype. Participants who used traditional medical services were also more likely to use CAM, which suggests that CAM services are used in addition to, as opposed to in place of, traditional services. As others have proposed, these results suggest that care providers who work with persons with MS would be well served to understand, routinely screen for, and make use of CAM when appropriate.

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“…2,3 However, there are limitations to the MS-relevant CAM information that is currently available. In addition, addressing issues raised by patients interested in CAM may be particularly challenging for mainstream health care professionals.…”

Section: The Use Of Complementary and Alternative Medicine (Cam) Or mentioning

confidence: 99%

“…A recent survey conducted in California and Massachusetts found that nearly 60% of people with MS had used CAM; on average, individuals used two or three different forms of CAM. 2 A preliminary report from a study in British Columbia indicated that 67% of MS patients used CAM. 20 A study conducted in Colorado evaluated visits to CAM practitioners (as opposed to CAM use overall).…”

Section: Demographics Of Cam Usementioning

confidence: 99%

Alternative Medicine and Multiple Sclerosis: An Objective Review from an American Perspective

Bowling

Ibrahim

Stewart

2000

International Journal of MS Care

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The use of complementary and alternative medicine (CAM), or unconventional medicine, may be challenging for health care providers in the United States. There are several definitions of CAM, and therapies that are considered alternative in one country may be conventional in other countries. Unconventional medical practices may be used instead of, or in addition to, conventional medical therapy. It may be difficult for people with multiple sclerosis (MS) to obtain reliable MS-relevant CAM information, and there may be conflicts between the values of patients and those of health care providers. These issues may create problems in the clinical decision-making process. The relevance to MS of some commonly used CAM therapies is discussed: herbal medicine, vitamins and minerals, marijuana, and a histamine and caffeine transdermal gel patch. Current information about the efficacy and safety of CAM therapies is extremely variable. Some therapies appear promising, others are unsafe or ineffective, and nearly all need to be studied further.In the United States, complementary and alternative medicine (CAM) are increasing in popularity 1 and appears to be widely used by multiple sclerosis (MS) patients. 2,3 However, there are limitations to the MS-relevant CAM information that is currently available. In addition, addressing issues raised by patients interested in CAM may be particularly challenging for mainstream health care professionals.This review article discusses CAM issues that are important to health professionals who are specialized in MS care. CAM therapy is defined, and the demographics of CAM users are discussed. The clinical decision-making process is considered as it applies specifically to MS patients. Differing and potentially clashing value systems of MS patients and health care providers are highlighted. Information provided in this article is limited to CAM therapies and selected MS-relevant information. More detailed information may be found in the literature about CAM, [4][5][6][7]8 and dietary supplements. [9][10][11][12][13][14][15][16] Definition Controversy and confusion surround alternative medicine, and even the definition itself is controversial. Alternative medicine (also known as unconventional or unorthodox medicine) is often defined by what it is not: It generally refers to medical therapies that typically are not taught in medical schools or are not readily available in community hospitals. 1 According to this definition, the term means one thing in the United States, another in Germany, and something completely different in China. In the United States, the definition is a "moving target," since increasingly alternative medicine therapies are provided in hospitals and alternative medicine courses are offered in medical schools. 17 To define alternative medicine by what it is, the National Institutes of Health (NIH) has developed a classification system for alternative medicine (Table 1) Alternative use means that they are used instead of conventional medicine, while complementary use ...

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Use of Alternative Treatments by People with Multiple Sclerosis

Cited by 45 publications

References 43 publications

Evaluation of the Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Patients with Multiple Sclerosis

Evaluation of the Effect of Progressive Relaxation Exercises on Fatigue and Sleep Quality in Patients with Multiple Sclerosis

Complementary and alternative medicine use in veterans with multiple sclerosis: Prevalence and demographic associations

Alternative Medicine and Multiple Sclerosis: An Objective Review from an American Perspective

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