Evaluating the role of Kinesiology, as an adjunct therapy, in the management of patients with Crohn's disease

Bibliography: leaves 132-154.This randomized controlled experimental study was designed to determine whether Kinesiology, as an adjunct to medical therapy, would improve the management of patients with Crohn's disease. One hundred and fifty consecutive Crohn's disease patients, attending the Gastrointestinal Clinic at Groote Schuur Hospital, were randomly assigned to a Kinesiology (n=50) and a Control Group (n=50). In order to assess the effect of physical contact, a third group who received Massage (n=50), was also included. All participants attended their monthly hospital visits and continued taking their prescribed medication

Comparison of Analgesic Effect of Specific Acupuncture and Moxibustion in Rheumatoid Arthritis

OBJECTIVE: To evaluate the analgesic effect of specific acupuncture and moxibustion in Rheumatoid arthritis. BACKGROUND: Rheumatoid arthritis is a systemic auto immune connective tissue disease with unknown etiology.RA is characterized by nonspecific, chronic progressive inflammation of joints that leads to progressive destruction of the joints and periarticular tissues. and is the most common persistent inflammatory arthritis.RA causes inflammation in the affected joints which leads to intense pain and decreased range of movement leads to disability and affects day today life. This study was planned to evaluate the analgesic effect of specific acupuncture and moxibustion in Rheumatoid Arthritis. DESIGN AND METHOD: A comparative study performed among 80 patients with Rheumatoid arthritis age ranging between 30-55years from IP and OP dept of Govt.yoga and naturopathy medical college ,Arumbakkam. They were randomly assigned into two groups. Experimental group (n=40) and control group after satisfying the inclusion and exclusion criteria and ACR/EULAR 2010 criteria.Experimental group was given moxibustion at selected acupuncture points and ah-shi points of the affected joint. Control group received acupuncture on the same acupuncture points.Both groups were assessed at baseline and immediately after treatment by using visual analogue scale(VAS). RESULTS: The result when seen with in the group there is significance,but when compared between the groups the datas are not significant. INTERPRETATION AND CONCLUSION: Experimental group and control group showed significant improvements in pain reduction in onetime exposure to the treatment. Hence, immediate effect moxa and acupuncture in RA patients has shown a positive influence on pain reduction of the human body.when it compared between the groups it shows that both are equal in reducing pain in RA

Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations

Appendix. Threshold of signs and symptoms. Post-hoc power analysis on measures of effectiveness. Two-way ANOVA statistical analysis for pain intensity. Rules for progressing and ending splint therapy. Rules for progressing and ending physiotherapy. A stepped-care model including two possible therapies. (PDF 86 kb

A class of scaled Bessel sampling theorems

Sampling theorems for a class of scaled Bessel unitary transforms are presented. The derivations are based on the properties of the generalized Laguerre functions. This class of scaled Bessel unitary transforms includes the classical sine and cosine transforms, but also novel chirp sine and modified Hankel transforms. The results for the sine and cosine transform can also be utilized to yield a sampling theorem, different from Shannon's, for the Fourier transform

UWOMJ Volume 28, Number 2, March 1958

Schulich School of Medicine & Dentistryhttps://ir.lib.uwo.ca/uwomj/1171/thumbnail.jp

Acupuncture & moxibustion for osteoarthritis of the knee: a component analysis approach

This project investigates the use of acupuncture and moxibustion for osteoarthritis of the knee. The project includes a pilot study which tests a protocol for a randomised controlled trial. Two pieces of primary research that develop new knowledge regarding acupuncture in practice: expert interviews and practitioner survey. A systematic review of clinical trials investigating warm needle acupuncture for osteoarthritis of the knee. A narrative review of the theoretical approaches to treating knee pain with acupuncture. The first phase of the project reviews the literature on the methodological challenges of research into acupuncture. A new framework for acupuncture research is developed. Key issues identified are: a placebo acupuncture technique is inherently impossible; there is no ‘theory of traditional East Asian medicine’ that can be falsified. Component analysis is proposed as a potential solution to these challenges. Moreover, clinical research can only be well designed and properly interpreted if triangulated with knowledge of theory and practice. The knowledge of acupuncture in practice, developed in this project, is used to re-evaluate the evidence-base. The external validity of acupuncture protocols and the risk of bias from the sham procedures are both shown to be problematic. This suggests that previous interpretations underestimate the efficacy of acupuncture. The research also indicates that acupuncture styles, e.g. TCM, cannot be clearly delineated, which has implications for evaluating and reporting clinical trials. In phase 3 of the project, the relationship between physical and psychological components is found to be highly complex. Subsequently, the research framework is further refined to account for this complexity. The pilot study identified problems with the protocol and solutions are proposed The phases of the project are guided by the framework. Therefore, the project not only develops new knowledge regarding osteoarthritis of the knee, but also serves as a demonstration of the component analysis approach which could be utilised to investigate other conditions

Acupuncture for the management of low back pain

Background: Low back pain is an extremely common health problem, and is associated with significant economic and social impact. Acupuncture is one of the most frequently sought complementary and alternative medicine modalities for treating low back pain. This thesis investigated the effectiveness of acupuncture in the management of low back pain, with a focus on one aspect of dosage, i.e. number of treatment sessions. Methods: This thesis took a systematic, step-wise, pragmatic approach to address the research question. The United Kingdom Medical Research Council guidelines for developing and evaluating complex interventions provided the framework for the thesis development. Emphasis was placed on the development and feasibility phases of the research process. In the development phase, an overview of systematic reviews was conducted to evaluate evidence for the effectiveness of acupuncture for low back pain; and a review of the Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines was performed to explore strategies to improve on the reporting quality of acupuncture research. In the feasibility phase, a randomized controlled feasibility trial was conducted to test the feasibility for conducting a fully powered randomized controlled trial investigating the optimal number of sessions of acupuncture (4, 7 or 10 sessions) used as an adjunct to usual care, for the management of chronic low back pain in adults. Results: Evidence from the overview of systematic reviews suggested that acupuncture is an effective treatment option for patients with chronic low back pain. When compared with no treatment, or used as an adjunct to conventional care, acupuncture provided significant clinical benefits including pain relief and functional improvement at short-term follow-up. In order to improve clinical effectiveness of acupuncture, future research may evaluate the dose response of acupuncture (e.g. number of treatment sessions) in this area. It was demonstrated that STRICTA is a valid reporting guideline based on robust methodology and scientific content. However specific implementation strategies are needed for improvement in the efficacy of the STRICTA, which may serve to promote the reporting quality and reliability of acupuncture research including: updating the STRICTA checklist; improving the STRICTA reporting efficiency; implementing the ‘Instructions to authors’ for journals consistently; establishing STRICTA research centres globally; and expanding the STRICTA website. Results from the feasibility study supported the feasibility of carrying out a definitive randomized controlled trial comparing outcomes from different session numbers of acupuncture for the management of chronic low back pain. 45 participants were recruited within 10 weeks (recruitment rate of 43.7%), and agreed to be randomized. Acupuncture was demonstrated to be acceptable among participants, and high retention rates (86.7%, 86.7%, 100% for the 4, 7, 10 sessions groups, respectively) were recorded. Over 80% of participants indicated that they were ‘very satisfied’ and/or ‘extremely satisfied’ with acupuncture. Participant follow-up rates were 88.9% at discharge (Q1) and at six weeks post randomization (Q2), and 84.4% at 12 weeks post randomization (Q3). Conclusions: The current thesis has provided evidence to add to the scientific basis underpinning the therapeutic value of acupuncture for LBP. From the overview of systematic reviews, acupuncture, either used in isolation or as an adjunct to conventional therapy, has been demonstrated as an effective clinical option for patients with chronic LBP. The need for improvements in the external validity of acupuncture research has been highlighted by the findings of the overview; potential options to improve on such reporting have been discussed surrounding the specific strategies for improving the efficacy of the STRICTA guidelines. There is currently limited evidence available regarding the dose dependence of acupuncture for chronic LBP based on the number of sessions. Collectively, results from the feasibility study supported the decision to proceed to a full-scale randomized controlled trial to definitively test the dose response effects of acupuncture, and investigate the optimal number of sessions of acupuncture for the management of chronic low back pain. Findings may assist with the development of future clinical guidelines regarding the dosage of acupuncture treatment in routine practice, a point of clinical relevance to clinicians, researchers, and policy makers