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COMPLEMENTARY ALTERNATIVE MEDICINE IN NEUROLOGICAL DISORDERS
 

COMPLEMENTARY ALTERNATIVE MEDICINE IN NEUROLOGICAL DISORDERS

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    COMPLEMENTARY ALTERNATIVE MEDICINE IN NEUROLOGICAL DISORDERS COMPLEMENTARY ALTERNATIVE MEDICINE IN NEUROLOGICAL DISORDERS Presentation Transcript

    • INTEGRATIVE NEUROLOGY YOGA AND MEDIATION’S ROLE IN HEALTH SHRI KANT MISHRA, ABMS, MD, MS (ADMIN. MEDICINE) PROFESSOR OF NEUROLOGY /COORDINATOR INTEGRATIVE MEDICINE KECK USC SCHOOL OF MEDICINE, LOS ANGELES, CALIF DIRECTOR NEUROMUSCULAR PROGRAM VA GLA AND OLIVE VIEW UCLA MEDICAL CENTER
    • HISTORICAL BACKGROUND
      • VARIOUS NATURAL MEDICINE REMEDIES IN EXISTENCE SINCE THE BEGINNING OF THE CIVILIZATION
      • VARIOUS ETHNIC MEDICINE HAS BEEN PRACTICED FOR AT LEAST 2,000-5,000 YRS
      • LIKE CHINESE, KOREAN, AYURVEDA (INDIAN SYSTEM OF MEDICINE) AMERICAN INDIAN MEDICINE
    • HISTORICAL BACKGROUND
      • MANY OF THESE SYSTEMS OF MEDICINE ARE WELL ORGANIZED WITH RELATIVELY GOOD PHARMACOPEA BASIC PRINCIPLES AND TRETMENT MODALITIES.
      • MANY MODERN MEDICINES HAVE ORIGINATED FROM PLANT SOURCES AND FROM ETHENIC MEDS
      • EXAMPLE - RESERPINE, EPHEDRINE, ETC.
    • FACTS AND FIGURES
        • CAM VISITS
          • 1993 425 MILLION VISITS (NEJM)
          • THIS WILL DOUBLE BY 2010.
          • 1997 625 MILLION VISITS (JAMA)
        • EXPENDIETURE
          • 1997 $27 BILLION
          • 2004 $35 BILLION
          • 2010 $ DOUBLE “ David Isenberg, M.D.”
        • EDUCATIONAL PROGRAMS
          • 90% MEDICAL SCHOOLS OFFER INTRODUCTORY COURSES. HARVARD,UCSF, UCLA , UCI , ETC.
        • RESEARCH
          • NCCAM STARTED IN 1994 - $5 MILLION BUDGET
          • BUDGET FY 2006 $200 MILLION
    • NCCAM /CLASSIFICATION
      • SYSTEMS OF MEDICINE
      • MIND BODY MEDICINE
      • HERBAL MEDICINE
      • ELECTRO MAGNETIC MEDICINE
      • MANIPULATION
      • MASSAGE THERAPY
      • AROMATHERAPY
      • HOMEOPATHY
      • BIOLOGICAL BASED MEDICINE
      • DIET NUTRITION
      • LIFE STYLE CHANGES
      • MIND/BODY MEDICINE
      • TECHNIQUES INVOLVE EXPLORING THE MIND’S ABILITY TO AFFECT THE BODY.
      • BASED ON TRADITIONAL PRINCIPLES ON HOW THE MIND AND BODY ARE INTERLINKED.
      • YOGA
      • MEDITATION
      • MUSIC THERAPY
      • PRAYER THERAPY
      • PSYCHOTHERAPY
      • COUNSELING
      • HYNOTHERAPY
      • SPIRITUALITY
      • ART THERAPY
      • BIOFEEDBACK
      • RELAXATION TECHNIQUES
      • DANCE THERAPY
      • GUIDED IMAGERY
      • HUMOR THERAPY
      • SUPPORT GROUPS
      CLASSIFICATION
    • CAM MODALITIES USED IN NEUROLOGICAL DISORDERS
      • AYURVEDA
      • YOGA
      • HOMEOPATHIC MEDICINE
      • TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS)
      • VAGAL /TRIGEMINAL NERVE STIMULATION
      • CHINESE MEDICINE
      • ACUPUNCTURE
      • ACCUPRESSURE
      • ELECTRO ACUPUNCTURE (EA)
      • CHIROPRACTIC
      • TRAGER THERAPY
      • MASSAGE THERAPY
      • AROMATHERAPY
      • HERBAL THERAPY
    • THE ROLE OF CAM IN NEUROLOGICAL DISORDERS
      • CNS
        • DEMENTIA, INCLUDING ALZHEIMERS DISEASE
        • PARKINSON’S DISEASE
        • EPILEPSY
        • STROKE
        • HEADACHE
        • MULTIPLE SCLEROSIS
      • PNS
        • PERIPHERAL NEUROPATHY, CARPAL TUNNEL SYNDROME CHRONIC PAIN
        • MUSCLE DISORDERS
        • FIBROMYALGIA
    • AYURVEDA
      • ANCIENT MEDICAL DISCIPLINE OF INDIA
      • LITERAL MEANING: “SCIENCE OF LIFE”
      • DATES BACK THOUSANDS OF YEARS COMPREHENSIVE APPROACH TO HEALING PRINCIPAL
      • GOAL:
      • PRESERVATION AND PROMOTION OF HEALTH
      • EMPHASIS ON ENHANCEMENT OF NATURAL IMMUNITY
      • BASED ON 4 ELEMENTS, 3 HUMORS AND TISSUES
      • INDIVIDUAL CONSTITUTIONAL PROFILE. SIMILARITIES WITH TCM
    • YOGA
      • PRACTICED IN INDIA FOR THOUSANDS OF YEARS
      • BY FAR THE BEST KNOWN AND MOST POPULAR EXERCISE REGIMEN.
      • 1.69 MILLION PRACTICE IT REGULARLY.
      • COMES FROM SANSKRIT ROOT “YUJ”
        • DEFINITION
          • TO YOKE, TO JOIN AND TO DIRECT AND CONCENTRATE ONE’S ATTENTION.
        • BASIC PRINCIPLES
          • FOCUSES ON THE BODY’S MUSCULATURE POSTURE,
      • BREATHING MECHANISMS(PRANAYAMA) AND
      • CONSCIOUSNESS .
        • EFFECTS ON NERVOUS SYSTEM
          • REDUCTION IN CHRONIC PAIN AND BACK PAIN
          • CARPAL TUNNEL SYNDROME
    • TYPES OF YOGA
      • KARMA Yoga
        • YOGA OF ACTION
      • BHAKTI YOGA
        • THE PATH OF DEVOTION
      • RAJ YOGA
        • THE MOST COMPREHENSIVE YOGA
        • IT HAS 8 PARTS INCLUDING
          • ASANAS
          • MORAL ETHICAL
          • PRANAYAMA
          • MEDITATION
    • PRANAYAMA
      • PRANAYAMAS ARE SPECIALLY DEVELOPED BREATHING TECHNIQUES.
      • ALSO IMPROVES BRAIN FUNCTION (INTELLIGENCE AND MEMORY) INCREASING THE ELIMINATION OF TOXINS FROM THE SYSTEM.
      • THE TOTAL EFFECT OF YOGA ASANAS AND BREATHING IS TO PRODUCE A STATE OF HIGH VITALITY AND REJUVENATION
      • STUDIES HAVE SHOWN THAT IT INCREASES THE SEROTONIN LEVEL IN THE BRAIN WITH REGULAR PRANAYAMA
    • MEDITATION
      • IT IS A SELF-DIRECTED PRACTICE FOR RELAXING THE BODY AND CALMING THE MIND.
      • MEDITATION IS A SAFE AND SIMPLE WAY TO BALANCE A PERSON'S PHYSICAL, EMOTIONAL, AND MENTAL STATES.
      • IT IS SIMPLE, BUT CAN BENEFIT EV ERY ONE
    • PROVEN SCIENTIFIC/SOCIAL STUDIES EFFECTS CAN BE DIVIDED INTO THREE PARTS
      • HEALTH PROMOTION AND DISEASE PREVENTION
      • PHYSICAL ILLNESS
      • MENTAL ILLNESS
    • HEALTH PROMOTION AND DISEASE PREVENTION EFFECTS OF YOGA
      • IMPROVES RESPIRATORY ENDURANCE, MUSCLE STRENGTH, AND OVERALL PHYSICAL FITNESS.
        • GENERAL EFFECT
          • MEDITATION AND BREATHING EXERCISES INCREASE PHYSICAL AND MENTAL WELL BEING.
        • ENDOCRINE FUNCTION
          • BLOOD CORTISOL LEVELS LOWER AFTER MEDITATION.
        • CARDIOVASCULAR
        • STRESS MANAGEMENT
        • EFFECTS ON NERVOUS SYSTEM
        • MUSCLE TENSION
    • PHYSICAL ILLNESS EFFECTS OF YOGA
      • NERVOUS SYSTEM
        • REDUCTION IN CHRONIC PAIN AND BACK PAIN.
        • QUALITY OF LIFE IMPROVED.
        • SEIZURE DISORDERS IMPROVE QUALITY OF LIFE AND BETTER SEIZURE CONTROL
      • CARDIOVASCULAR DISEASE
        • IMPROVES HYPERTENSION .
        • IMPROVES HYPERCHOLESTEROLEMIA.
      • CANCER
      • RHEUMATOLOGICAL DISORDERS
      • RESPIRATORY DISORDERS (INCLUDING ASTHMA)
    • MENTAL ILLNESS/ PSYCHIATRIC DISORDERS EFFECTS OF YOGA
      • HELPS COGNITIVE FUNCTION IN MENTALLY RETARDED CHILDREN.
      • REDUCE ANXIETY LEVELS.
      • BIPOLAR SYNDROME IS IMPROVED.
      • FOUND TO BE HELPFUL IN HEROIN AND OTHER DRUG ADDICTIONS.
    • BENEFITS OF MEDITATION
      • REDUCE HEALTH CARE USE
      • INCREASES LONGEVITY AND QUALITY OF LIFE
      • REDUCES CHRONIC PAIN
      • REDUCES ANXIETY
      • REDUCES HIGH BLOOD PRESSURE
      • REDUCES POST-TRAUMATIC STRESS S YNDROME IN VIETNAM VETERANS
      • LOWERS BLOOD CORTISOL LEVELS INITIALLY BROUGHT ON BY STRESS .
    • STATISTICS
      • PHYSICIANS, PSYCHOTHERAPISTS, AND OTHER PROFESSIONALS ARE INCREASINGLY ADDING MEDITATIVE TECHNIQUES TO THEIR PRACTICE.
      • OVER SIX THOUSAND PHYSICIANS HAVE BEGUN THE PRACTICE OF TRANSCENDENTAL MEDITATION AND REGULARLY RECOMMEND THE TM TECHNIQUE TO THEIR PATIENTS.
      • MANY PHYSICIANS CONSIDER MEDITATION A KEY ELEMENT OF AN INTEGRATED HEALTH PROGRAM.
    • CHINESE MEDICINE
      • 3,-4000 YEARS OLD HEALTH CARE SYSTEM
      • REQUIRES
        • BALANCE OF BODY’S DIFFERENT ENERGIES (YIN AND YANG)
        • PROPER FLOW OF ENERGY
          • CAN BE CORRECTED BY STIMULATING RELATED CHANNELS BY HERBAL REMEDIES, ACUPUNCTURE, ACUPRESSURE
    • HOMEOPATHIC MEDICINE
      • SPECIALIZED, SCIENTIFIC FIELD OF ALTERNATIVE MEDICINE
      • STARTED IN LATE 18 TH CENTURY BY PHYSICIAN SAMUEL HAHNEMANN.
      • BASED ON PRINCIPAL OF SIMILARS
        • HIGHLY DILUTED PREPARATIONS OF SUBSTANCES
        • STIMULATES HEALING IN PTS WHO HAVE SIMILAR SX’S WHEN ILL
        • USED IN HEADACHE,DEMENTIA,CHRONIC PAIN
    • AROMA THERAPY
      • ORIGINS
        • TRACED BACK TO ANCIENT EGYPT AND INDIA
        • 3,000 YEARS AGO, ESSENTIAL OILS WERE UTILIZED FOR HEALING, COSMETICS, PERFUMERY, AND RELIGIOUS RITES.
      • BENEFITS
        • REDUCES STRESS, ENHANCES RELAXATION, RELIEVE ANXIETY AND OTHER EMOTIONAL DISORDERS.
    • ACUPUNCTURE
      • ACUPUNCTURE (THE USE OF NEEDLES)
        • ELECTRO ACUPUNCTURE (EA)
        • TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS)
      • ACUPRESSURE
        • THE USE OF PRESSURE ON SPECIFIC POINTS
      • FIFTY-FIVE PERCENT OF CAREGIVERS REPORTED THAT THEY HAD TRIED AT LEAST ONE ALTERNATIVE THERAPY TO IMPROVE THE PATIENT'S MEMORY.
      • TWENTY PERCENT OF CAREGIVERS TRIED THREE OR MORE UNPROVEN THERAPIES
      • VITAMINS WERE USED MOST FREQUENTLY (84%)
      • HEALTH FOODS (27%) HERBAL MEDICINES (11%) "SMART PILLS" (9%) AND HOME REMEDIES (7%)
      DEMENTIA COLEMAN LM, FOWLER LL, WILLIAMS ME. AM GERIATR SOC. 1995 JUL;43(7):747-50
    • DEMENTIA
      • AYURVEDIC HERBAL TREATMENTS
        • MEDHYA(MEMORY ENHANCER)
        • BRAHMI (BACOPA )
        • SANKHPUSPI CONVOLULUS PLURICALIS
        • GOTUKOLA
        • CURCUMIN
        • WITHANIA SEMNIFORA ETC
    • DEMENTIA
      • GINKGO CONTROVERSIAL
        • STUDIES SHOW:
        • SLOWS DEVELOPMENT OF 20% OF DEMENTIA BY 6-12 MONTHS
        • META ANALYSIS BARRY OKEN 1998, ARCHIVES OF NEUROLOGY
        • OVERALL THERE WAS A SIGNIFICANT EFFECT SIZE OF 0.40 (P<.0001). THIS MODEST EFFECT SIZE TRANSLATED INTO A 3% DIFFERENCE IN THE ALZHEIMER DISEASE ASSESSMENT SCALE-COGNITIVE SUBTEST .
        • SOLOMON JAMA 2002 NEGATIVE STUDY: TOTAL 26 TRIAL MAJORITY OF STUDIES NEGATIVE?
    • MIGRAINE HEADACHE
      • HOMEOPATHIC TREATMENT
        • IN A DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL ON 60 PTS SHOWED THAT 93% OF PATIENTS GIVEN AN INDIVIDUALIZED HOMEOPATHIC MEDICINE EXPERIENCED GOOD RESULTS.
        • ISOMETRIC NECK EXERCISE / BIOFEEDBACK A COMBINATION PRODUCT CONTAINING MAGNESIUM, RIBOFLAVIN, AND FEVERFEW; MELETONIN, GINGER AND GINKO
        • TRAGER THERAPY
    • TREATMENT OF PATIENTS WITH CHRONIC HEADACHES IN A HOSPITAL FOR TRADITIONAL CHINESE MEDICINE IN GERMANY
      • A RANDOMISED, WAITING LIST CONTROLLED TRIAL SHOWED PATIENTS WITH MIGRAINE AND A COMBINATION OF MIGRAINE AND EPISODIC TENSION-TYPE HEADACHES HAD LASTING IMPROVEMENTS MORE THAN PATIENTS WITH OTHER HEADACHES, WITH TREATMENT OF TRADITIONAL CHINESE MEDICINE IN KOTZTING
      MELCHART D, HAGER S, MUNICH, GERMANY .
    • ACUPUNCTURE FOR PATIENTS WITH MIGRAINE
      • ACUPUNCTURE IS WIDELY USED TO PREVENT MIGRAINE ATTACKS.
      • THE PROPORTION OF RESPONDERS (REDUCTION IN HEADACHE DAYS BY AT LEAST 50%) WAS 51% IN THE ACUPUNCTURE GROUP, 53% IN THE SHAM ACUPUNCTURE GROUP, AND 15% IN THE WAITING LIST GROUP.
      • ACUPUNCTURE AND SHAM ACUPUNCTURE IN REDUCING MIGRAINE HEADACHES ALTHOUGH BOTH INTERVENTIONS WERE MORE EFFECTIVE IN REDUCING MIGRAINE HEADACHES THAN A WAITING LIST CONTROL.
      LINDE K, STRENG A, MUNICH, GERMANY
    • MULTIPLE SCLEROSIS
      • ACUPUNCTURE
        • MAIL SURVEY INCLUDED 217 PATIENTS
      • RESULT
        • 37 HAD REDUCED PAIN
        • 34 DECREASED SPASTICITY
        • 14 IMPROVED BLADDER AND BOWEL DYSFUNCTION
        • 34 IMPROVED WALKING AND MOBILITY
        • 48 EXPERIENCED ELEVATED ENERGY LEVEL AND REDUCED FATIGUE
        • YOGA AND MS >MEDITATION
    • AYURVEDIC HERBS IN NEURODEGENERATIVE DISEASES
      • AYURVEDIC PLANTS USED FOR THE MANAGEMENT OF N EURODEGENERATIVE DISEASES SUCH AS:
        • PARKINSON'S, ALZHEIMER'S, LOSS OF MEMORY
        • DEGENERATION OF NERVES AND OTHER NEURONAL DISORDERS
      • GENERALLY POSSESSES STRONG ANTIOXIDANT ACTIVITY.
    • AYURVEDA IN PARKINSON'S DISEASE .
      • CLINICAL PROSPECTIVE STUDY, OF AYURVEDA TREATMENT (A CONCOCTION IN COW'S MILK OF POWDERED MUCUNA PRURIENS AND HYOSCYAMUS RETICULATUS SEEDS WITHANIA SOMNIFERA AND SIDA CORDIFOLIA ROOTS)
      • IN 18 CLINICALLY DIAGNOSED (WITH A MEAN HOEN AND YAHR VALUE OF 2.22) PARKINSONIAN PATIENTS SHOWED:
    • PARKINSON’S DISEASE
      • HP - 200
        • DERIVED FROM MUCUNA PRURIENT(AYURVEDIC HERB)
        • A CLINICAL TRIAL OF 60 PATIENTS SHOWED THAT HP-200 MAY HAVE SOME BENEFITS. (BALA MANYAM PI)
    • AYURVEDA IN PARKINSON'S DISEASE .
      • RESULTS
        • SIGNIFICANT IMPROVEMENT IN ACTIVITIES OF DAILY LIVING (ADL) AND ON MOTOR EXAMINATION AS PER UPDRS RATING. SYMPTOMATICALLY, THEY EXHIBITED GOOD RESPONSE IN TREMOR, BRADYKINESIA, STIFFNESS AND CRAMPS.
    • CURCUMIN AND ALZHEIMER DISEASE
      • CURCUMIN, IN VITRO, INCUBATED WITH ABETA 40 AND A BETA42, SIGNIFICANTLY DECREASES AMYLOID AGGREGATION ( GREG COLE ET AL ).
      • CAPABLE OF INDUCING THE DISAGGREGATION OF PRE-AGGREGATED AMYLOID.
      • SIGNIFICANTLY REDUCES ABETA OLIGOMERS FORMATION.
      • INHIBITED THE CELL TOXICITY OF AMYLOID OLIGOMERS.
      • POSSESSES POTENT ANTI-AMYLOIDOGENIC ACTIVITY, IN ALZHEIMER AGED APP TRANSGENIC MICE TG2576.
      • RATIONALE FOR CURCUMIN USE IN CLINICAL TRIALS PREVENTING OR TREATING IN AD ,WHICH IS UNDERWAY AT UCLA
      • EPIDEMEOLOGICAL STUDY IN INDIA GANGULI ETAL
    • CURCUMIN AND ALZHEIMER DISEASE
      • THE INHIBITION OF EGR-1 DNA-BINDING ACTIVITY BY CURCUMIN WAS DEMONSTRATED, IN VITRO, IN HUMAN THP-1 MONOCYTES AND HUMAN PERIPHERAL BLOOD MONOCYTES.
      • INHIBITION RESULTED IN A DECREASE IN MRNA EXPRESSION OF CYTOKINES (TNFALPHA AND IL-1BETA) AND CHEMOKINES (MCP-1, IL-8 AND MIP-1BETA).
      • CURCUMIN COULD THUS AMELIORATE INFLAMMATION.
      • CURCUMIN DID NOT AFFECT THE VIABILITY OF CELLS.
    • MEDITATION IN NEUROLOGICAL DISORDERS
      • ACCORDING TO STUDIES CONDUCTED BY HERBERT BENSON, M.D., [HARVARD MEDICAL SCHOOL]
      • MEDITATION PROCESS COUNTERACTED THE EFFECTS OF THE SYMPATHETIC NERVOUS SYSTEM.
      • WHEREAS THE SYMPATHETIC SYSTEM DILATES THE PUPILS AND GETS THE HEART RATE, RESPIRATION, AND BLOOD PRESSURE UP, THE PARASYMPATHETIC SYSTEM, ACTIVATED WHEN WE MEDITATE, DOES JUST THE OPPOSITE.
    • ALS AND CURCUMIN
      • FAMILIAL FORMS OF ALS DEMONSTRATE UP-REGULATION OF TUMOR NECROSIS FACTOR ALPHA (TNFALPHA).
      • CURCUMIN ANTAGONIZED TNF ALPHA, IN VITRO, IN THE MICROGLIAL CELL LINE, DERIVED FROM MOUSE WALKER EOC-20 CELLS.
      • ANTAGONISM WAS POSSIBLY DUE TO THE INHIBITION OF 5LOX.
      • CURCUMIN COULD THUS BE USED FOR CLINICAL BENEFIT IN ALS. ( WEST ET AL )
    • EPILEPSY ALTERNATIVE TREATMENTS
      • VAGUS NERVE STIMULATION
      • DEEP BRAIN STIMULATION
      • CORTICAL STIMULATION
      • TRIGEMINAL NERVE STIMULATION
      • FISH OIL
    • BACKGROUND
      • THE TRIGEMINAL NERVE PROJECTS TO THE NUCLEUS TRACTUS SOLITARIUS (NTS), THE LOCUS CERULEUS, AND THE VAGUS NERVE.
        • Stimulation of NTS reduces seizures induced by amygdala stimulation.
      • STIMULATION OF LC SUPPRESSES COBALT AND PENICILLIN INDUCED EPILEPTIC DISCHARGES.
        • Lesioning the LC blocks the effect of vagus nerve stimulation.
      • TRIGEMINAL NERVE STIMULATION BLOCKS PTZ INDUCED SPIKES AND SEIZURES IN RATS
        • Fanselow, Nicolelis, et al 2000
    • SUDDEN DEATH IS A MAJOR PROBLEM IN EPILEPSY
      • SUDDEN DEATH RATES ARE SIGNIFICANTLY HIGHER IN EPILEPSY THAN AGE MATCHED POPULATION
        • SPERLING
        • ANNEGERS
    • STROKE
      • AYURVEDIC SPICE : TURMERIC
        • INHIBITS PLATELET AGGREGATION AND MODULATES EICOSANOID BIOSYNTHESIS
        • AYURVEDIC OIL MASSAGE
      • ACUPUNCTURE
        • A CLINICAL TRIAL ON 118 PTS: SHORTER DURATIONS OF HOSPITAL STAY FOR REHAB
      • YOGA
      • MASSAGE THERAPY
    • SUB ACUTE LOW-BACK PAIN
      • PROTOCOL
        • RANDOMIZED CONTROLLED TRIAL COMPARED COMPREHENSIVE MASSAGE THERAPY(CMT) TO SOFT-TISSUE MANIPULATION (STM), REMEDIAL EXERCISE, AND PLACEBO.
      • RESULTS (1 MONTH FOLLOW-UP)
        • % OF PATIENTS WHO REPORTED NO PAIN
          • CMT: 63%
          • STM: 27%
          • PLACEBO: 0%
      • CHIROPRACTIC MANUPULATION AND ACUPUNCTURE USEFUL IN NIH CONCENSOUS PANEL REPORT
    • CHRONIC PAIN
      • TENS
      • STUDY OF 482 PATIENTS WITH CHRONIC PAIN OF VARIOUS ORIGINS. GOOD RESPONSE
      • PROBLEMS WITH STUDY
        • INDIVIDUAL DIFFERENCES IN PTS RESPONSE
        • HIGH DROP OUT RATE IN LONG-TERM TREATMENT
    • PERIPHERAL NEUROPATHY
      • YOGA / CARPAL TUNNEL SYNDROME
        • RANDOMIZED SINGLE-BLIND CONTROLLED TRIAL 42 PTS WITH CTS
        • RESULT: YOGA-BASED REGIMEN MORE EFFECTIVE THAN WRIST SPLINTING OR NO TX IN RELIEVING SOME S/SXS OF CTS
        • PHALEN SIGN IMPROVEMENT IN 12 PTS WITH YOGA TX VS. 2 PTS IN CONTROL
    • YOGA
      • YOGA'S ROLE IN THE MANAGEMENT OF DEPRESSION HAS BEEN INVESTIGATED AND REPORTED TO BE BENEFICIAL FOR COLLEGE STUDENTS WHO EXHIBIT A HIGH LEVEL OF DEPRESSIVE SYMPTOMS.
      • CASE REPORT DESCRIBING AN APPLICATION OF YOGA THERAPEUTICS TO A PATIENT WITH PARKINSON DISEASE.
      • RELAXATION MAY PROMOTE POSITIVE EFFECTS ON CAROTID ATHEROSCLEROSIS, HYPERTENSION, DIABETES, AND CORONARY ARTERY DISEASE, WHICH ARE IDENTIFIED AS RISK FACTORS ASSOCIATED WITH STROKE OCCURRENCE OR REOCCURRENCE
    • YOGA AND MS
      • DR. OKEN HYPOTHESIS:
        • YOGA MIGHT BE BENEFICIAL IN TERMS OF COGNITIVE FUNCTION IN MULTIPLE SCLEROSIS, WHERE THERE ARE SIGNIFICANT COGNITIVE PROBLEMS, SUCH AS DIFFICULTY CONCENTRATING.
        • COGNITIVE FUNCTION WAS THE PRIMARY OUTCOME MEASURE IN THE STUDY, AND ALL THE QUALITY OF LIFE MEASURES SUCH AS FATIGUE AND MOOD WERE SECONDARY OUTCOME MEASURES
    • FUTURE INVESTIGATIVE POTENTIALS
      • YOGA CAN BE USED TO PREVENT AND CURE VARIOUS INDIVIDUAL, COMMUNITY, AND SOCIETAL ILLNESSES.
      • INDIVIDUAL DEVELOPMENT TO UPLIFT ONESELF IS CRUCIAL AND NEEDS TO BE STUDIED.
      • YOGA WITH AYURVEDA AND MODERN MEDICINE CAN BE APPLIED TO AGING, DEMENTIA, STRESS ADAPTATION, G.I. DISORDERS, HIV/AIDS, AUTOIMMUNE DISORDERS, AND MANY OTHER AILMENTS.
    • W. SOMNIFERA IN MUSCLE SARCOPENIA
      • PRELIMINARY TRIAL ON 28 HEALTHY VOLUNTEERS (22 MALES) AND (6 FEMALES) BETWEEN 60 TO 75 YEARS WAS CONDUCTED.
      • THE HERB W. SOMNIFERA MAY HAVE THE POTENTIAL TO IMPROVE MUSCLE STRENGTH AND ENDURANCE FOR THE AGED SUBJECTS.
      • SHOWED POTENTIAL EFFECT IN IMPROVING MUSCLE FUNCTIONING AND MUSCLE STRENGTH TESTING
      • FUNCTIONAL MEASUREMENT UP AND GO TEST
      • NO SIDE EFFECT WAS OBSERVED FOR THE HERB AT 500 MG (BID) FOR THE AGED SUBJECTS FOR CONTINUOUS PERIOD OF 3 MONTHS.
      • MISHRA ETAL 2002
    • FIBROMYALGIA
      • CLINICAL SURVEY SHOWS 98% PERCENT OF THE PATIENTS USE SOME TYPE OF CAM THERAPY.
      • MOST FREQUENTLY USED CAM TREATMENTS:
        • EXERCISE FOR A SPECIFIC MEDICAL PROBLEM (48%),
        • SPIRITUAL HEALING (PRAYERS) (45%),
        • MASSAGE THERAPY (44%),
        • CHIROPRACTIC TREATMENTS (37%),
        • VITAMIN C (35%), VITAMIN E (31%), MAGNESIUM (29%), VITAMIN B COMPLEX (25%), GREEN TEA (24%), AND
        • WEIGHT-LOSS PROGRAMS (20%).
        • ACUPUNCTURE 20%
      • CONCLUSION: CAM USE IS COMMON IN PATIENTS REFERRED TO A FIBROMYALGIA TREATMENT PROGRAM. .
      WAHNER-ROEDLER DL, MAYO CLINIC COLLEGE OF MEDICINE, ROCHESTER, MINN 55905, USA
    • FUTURE OF CAM
      • TM/CAM WILL UNDER GO RIGOROUS SCRUTINY AND WILL BE MORE EVIDENCE BASED
      • EFFICACY, QUALITY--- WILL BE INCORPORATED IN TM
      • SCIENTIFIC INTEGRATION OF TM/MODERN ALLOPATHIC MEDICINE
      • A PARADIGM SHIFT in HEALTH CARE
      • COST EFFECTIVE, EASILY ACCESIBLE
      • QUALITY HEALTH CARE WILL EVOLVE
      • WHO IS HELPING CAM / TM ??
    • SUMMARY
      • CAM IS CONSIDERED AS ANCIENT, TRADITIONAL HEALTHCARE DISCIPLINE PRACTICED FOR THOUSANDS OF YEARS
      • IN RECENT DECADES INCREASING AMOUNT OF INTEREST IN CAM IN WESTERN COUNTRIES, ESPECIALLY IN FIELD OF NEUROLOGY.
      • PROPER EDUCATION FOR MODERN HEALTH CARE PRACTITIONERS
      • INCREASING AMOUNT OF EVIDENCE-BASED RESEARCH BEING PERFORMED.
      • THERE IS NEED FOR FURTHER RESEARCH IN NEUROLOGICAL DISORDERS