This document provides information on Healing Touch, an energy therapy practice that uses gentle touch to balance physical, mental, emotional, and spiritual well-being. The document discusses what Healing Touch involves, its uses in treating conditions like stress, pain, and surgery recovery, and several research studies that have found Healing Touch can reduce anxiety, pain, and length of hospital stays. The document aims to educate about integrative medicine options and provides takeaways on the benefits Healing Touch can provide patients.
This document provides information on apraxia, including types of apraxia, how it affects daily living, assessment considerations, and evidence-based intervention strategies. It defines ideomotor and ideational apraxia and gives examples of how each might present. Common assessment tools and factors that can complicate apraxia are also discussed. The document outlines how apraxia impacts activities of daily living and rehabilitation outcomes. Finally, it reviews research on apraxia interventions and describes errorless learning, combined mental and physical practice, gesture training, and strategy training as evidence-based approaches.
Doping refers to the use of banned performance enhancing substances or methods in sports. The World Anti-Doping Agency (WADA) was established in 1999 to promote doping-free sport and oversees the anti-doping process. Doping violates anti-doping rules and endangers health. Common banned substances include steroids to build muscle, EPO to increase oxygen delivery, and stimulants to mask fatigue. While doping aims to enhance performance, it can have serious side effects and India has seen many doping violations over the years.
Recovery is important for athletes to gain maximum performance benefits from training. Appropriate recovery periods must be planned between training sessions to allow the body to recover from fatigue. Various recovery techniques can be used, including stretching, hydration, contrast baths, compression clothing, massage, and ensuring adequate sleep. The goal of recovery is to return the body and mind to a state of readiness to train at a high level again.
Geriatric Rehabiltation- A detailed go throughSusan Jose
Here we, Dr. Kiran (PT), and I, present a detailed overview of geriatric rehabilitation along with the dosage. Age related changes in posture its associated neurophysiology and compensations adapted by the elderly are also decribed in easy to learn way. The pathomechanics of fractures have been illustarted in easy to learn method too.
WHO defines Quality of Life as an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.
This document discusses sources of evidence for evidence-based practice. It outlines traditional sources such as textbooks and colleagues as well as evidence-based practice sources. Primary sources include original peer-reviewed papers that can be searched through databases like PubMed. Secondary sources provide synthesized research through systematic reviews and guidelines. Examples given are evidence-based journals, The Cochrane Library, and TRIP Database. A structured approach to database searching is also outlined, including developing a focused question and using keywords, subject headings, and Boolean operators to efficiently search literature.
This document discusses entrepreneurship education for physiotherapy students at Ghent University in Belgium. It emphasizes teaching entrepreneurial skills like creativity, innovation, passion, and seeing opportunities through experiential learning. Students learn over three levels - generating ideas, creating prototypes, and commercializing products. Teaching methods include scenario-based learning, multidisciplinary projects, and having students start their own companies. The goal is to stimulate an entrepreneurial mindset and transfer knowledge and skills to help students start and grow new companies.
The document discusses rehabilitation teams and their importance in healthcare. It defines rehabilitation as restoring ability to function according to the WHO. The goal of rehabilitation teams is to improve quality of care and help patients achieve maximum potential. Core team members typically include patients and families, physiatrists, nurses, physical therapists, and occupational therapists. There are three models of rehabilitation teams: multidisciplinary, interdisciplinary, and transdisciplinary. The document outlines the functions and roles of various team members such as nurses, physical therapists, and social workers in helping patients with rehabilitation needs.
This document provides information on apraxia, including types of apraxia, how it affects daily living, assessment considerations, and evidence-based intervention strategies. It defines ideomotor and ideational apraxia and gives examples of how each might present. Common assessment tools and factors that can complicate apraxia are also discussed. The document outlines how apraxia impacts activities of daily living and rehabilitation outcomes. Finally, it reviews research on apraxia interventions and describes errorless learning, combined mental and physical practice, gesture training, and strategy training as evidence-based approaches.
Doping refers to the use of banned performance enhancing substances or methods in sports. The World Anti-Doping Agency (WADA) was established in 1999 to promote doping-free sport and oversees the anti-doping process. Doping violates anti-doping rules and endangers health. Common banned substances include steroids to build muscle, EPO to increase oxygen delivery, and stimulants to mask fatigue. While doping aims to enhance performance, it can have serious side effects and India has seen many doping violations over the years.
Recovery is important for athletes to gain maximum performance benefits from training. Appropriate recovery periods must be planned between training sessions to allow the body to recover from fatigue. Various recovery techniques can be used, including stretching, hydration, contrast baths, compression clothing, massage, and ensuring adequate sleep. The goal of recovery is to return the body and mind to a state of readiness to train at a high level again.
Geriatric Rehabiltation- A detailed go throughSusan Jose
Here we, Dr. Kiran (PT), and I, present a detailed overview of geriatric rehabilitation along with the dosage. Age related changes in posture its associated neurophysiology and compensations adapted by the elderly are also decribed in easy to learn way. The pathomechanics of fractures have been illustarted in easy to learn method too.
WHO defines Quality of Life as an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.
This document discusses sources of evidence for evidence-based practice. It outlines traditional sources such as textbooks and colleagues as well as evidence-based practice sources. Primary sources include original peer-reviewed papers that can be searched through databases like PubMed. Secondary sources provide synthesized research through systematic reviews and guidelines. Examples given are evidence-based journals, The Cochrane Library, and TRIP Database. A structured approach to database searching is also outlined, including developing a focused question and using keywords, subject headings, and Boolean operators to efficiently search literature.
This document discusses entrepreneurship education for physiotherapy students at Ghent University in Belgium. It emphasizes teaching entrepreneurial skills like creativity, innovation, passion, and seeing opportunities through experiential learning. Students learn over three levels - generating ideas, creating prototypes, and commercializing products. Teaching methods include scenario-based learning, multidisciplinary projects, and having students start their own companies. The goal is to stimulate an entrepreneurial mindset and transfer knowledge and skills to help students start and grow new companies.
The document discusses rehabilitation teams and their importance in healthcare. It defines rehabilitation as restoring ability to function according to the WHO. The goal of rehabilitation teams is to improve quality of care and help patients achieve maximum potential. Core team members typically include patients and families, physiatrists, nurses, physical therapists, and occupational therapists. There are three models of rehabilitation teams: multidisciplinary, interdisciplinary, and transdisciplinary. The document outlines the functions and roles of various team members such as nurses, physical therapists, and social workers in helping patients with rehabilitation needs.
Neurological physiotherapy is the treatment of individuals who have neurological impairments.
for example Traumatic Brain Injury or Stroke; Multiple Sclerosis, Spinal Cord Injury and Parkinson's disease.
Physiotherapy, also known as physical therapy, is a primary health care profession that treats a variety of medical conditions through movement and exercise. Physiotherapists diagnose issues, develop treatment plans which may include exercises, manual therapy, electrotherapy, and education, and help patients achieve the best possible physical function and mobility. They are university-trained health professionals that work in various settings like hospitals, private clinics, and patients' homes to improve patients' pain, function, and quality of life for conditions like injuries, arthritis, strokes, and respiratory diseases.
The document discusses disability rehabilitation and provides definitions of key terms from the World Health Organization. It describes the roles of an interdisciplinary rehabilitation team which includes various medical professionals. The team provides comprehensive client assessments and works together with a family-centered approach to set goals and facilitate positive outcomes for clients. Physiotherapy and occupational therapy services are outlined, along with techniques for oromotor rehabilitation to address common issues like drooling.
assessment and physiotherapy management of pain in elderly sunil JMI
1. Pain assessment in elderly patients requires a comprehensive evaluation of sensory, emotional, functional, and social impacts of pain. It also requires consideration of age-related changes and beliefs about pain.
2. A thorough history and physical exam are needed to identify potential causes of pain and evaluate for comorbidities. The history should address location, intensity, descriptors, relieving/aggravating factors, and impact on sleep, function, mood and quality of life.
3. Physical exam includes general exam, specific pain evaluation, neurological and musculoskeletal exams to identify potential causes and contributing factors. Assessment of psychological and cognitive factors is also important.
Use of technology in rehabilitation - Lorna PaulMS Trust
Aims:
Overview of technology in Rehabilitation
Barriers and Drivers
Consider neurophysiological/scientific basis
Look at some examples
Robotics
Mobile and digital technology
Gaming and Virtual Reality
This document outlines the process for conducting a systematic review. It defines a systematic review as a review that uses explicit and reproducible methods to identify, select, and critically appraise relevant research and collect and analyze data from the included studies. It notes that systematic reviews help address biases and provide more robust evidence than individual studies. The document describes the key steps in a systematic review as developing a focused question, performing a comprehensive search, applying inclusion/exclusion criteria, assessing study quality, extracting data, performing meta-analyses if appropriate, and interpreting results. It also discusses challenges such as ensuring systematic reviews address developing world priorities and include studies conducted in those settings.
This document discusses age and sex considerations in exercise. For older adults, physical activity can help prevent disease progression and extend independent living. Aerobic capacity and cardiac function naturally decline with age, but training can help offset these changes. Adolescents can gain strength through resistance training primarily through neurological adaptations rather than muscle growth. Females generally have lower muscle mass, stroke volume and VO2max than males due to smaller body size, but training can significantly improve endurance and strength. Special concerns for both sexes include amenorrhea and reduced hormone levels from excessive exercise.
This document provides an overview of complementary and alternative medicine (CAM). It defines CAM as medical systems not considered conventional medicine. CAM can be used alongside conventional medicine as complementary therapies or in place of conventional medicine as alternative therapies. The major types of CAM discussed include biologically based therapies, manipulative therapies, mind-body interventions, alternative medical systems, and energy therapies. Examples of specific CAM therapies and their uses are also outlined.
Pediatric rehabilitation medicine utilizes an interdisciplinary approach to treat physical impairments in children from birth through adolescence, addressing conditions like cerebral palsy, muscular dystrophies, and injuries through therapies, procedures like Botox injections, and inpatient and outpatient programs at leading children's hospitals. New technologies also aim to help children by enhancing mobility and function through means like robotic therapy devices and prosthetics tailored for developing bodies.
Any rehabilitation team is comprised of different types of specialists who deal with the physical, emotional and spiritual needs of the patient. Find here a description of a few of them along with their responsibilities.
Dear all,
This ppt includes the acute and chronic effect of exercise on different body system which includes musculoskeletal systems, cardiovascular systems, respiratory system, endocrive system, psychological effects etc. I hope this is helpful for you.
Thank you
This document discusses recent advances in pain management, including multimodal analgesia using different drug classes and routes of administration to provide improved pain relief with fewer side effects. It describes pharmacological and non-pharmacological pain interventions, the WHO analgesic ladder for treating pain, and various opioid and non-opioid analgesics as well as adjuvants that have been developed or investigated for postoperative pain management, including several novel drug delivery methods for opioids. The goal is to reduce opioid requirements, side effects, and hasten recovery through multimodal approaches.
Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing postural and ergonomic advice, preparing women for labor, and teaching relaxation techniques. During antenatal care, physiotherapists help prevent and treat issues like back/pelvic pain, nerve compressions, pelvic floor dysfunction, and more. They provide advice on exercise, nutrition, posture, and birth options. Postnatal care involves addressing common issues like diastasis recti and pelvic floor dysfunction. Overall, physiotherapy aims to help women have a healthy pregnancy and recovery.
Bobath physiotherapy. evidence based or habit based.Mepsted Roger
The evidence for the use of Bobath methods is reviewed. The reasons for the continued popularity of this approach despite its poor objective evidence base are then discussed.
The document provides an overview of pain management in Traditional Chinese Medicine (TCM). It discusses the history and philosophies of TCM, including Yin-Yang theory and the five elements theory. It also describes TCM diagnostic techniques like pulse and tongue diagnosis. Key TCM concepts for pain like Qi, meridians, acupuncture points and bi syndromes are explained. The mechanisms of acupuncture for pain relief like the gate control theory and endorphin theory are summarized. Clinical applications of acupuncture for various pain conditions like headaches, arthritis and low back pain are also covered.
Physiotherapy involves evaluating, diagnosing, and treating a range of diseases, disorders, and disabilities using physical means. Physiotherapy management is provided for conditions such as musculoskeletal disability, cardiorespiratory dysfunction, central nervous system trauma/disease, and more. Physiotherapy includes both inpatient and outpatient services for treatments like orthopedics, trauma, and spinal injuries/surgeries.
Fatigue management and recovery strategies for athletesTaisuke Kinugasa
The document discusses fatigue management and recovery strategies for athletes. It defines fatigue and recovery, and outlines various strategies to aid recovery including sleep, nutrition, psychological skills, physical therapy, hydro-recovery, active rest, and tapering training loads. Monitoring tools like daily logs and questionnaires are also presented to track athlete recovery. The goal is to implement recovery-based training to avoid overtraining and enhance performance.
The Female Athlete Triad refers to the combination of energy deficiency, menstrual dysfunction, and low bone mineral density that can occur in female athletes. Originally consisting of three components, the triad model has advanced to view these conditions on a continuum of severity. Sports emphasizing leanness, like gymnastics and ballet, most commonly see cases of the triad. Preventive measures include education, monitoring menstrual cycles, consulting doctors, and seeing nutrition professionals to design healthy, sport-specific diets.
UNIT-VII model and methods of rehabilitation.pptxanjalatchi
Results: Six conceptual rehabilitation models were identified in the literature: the Biomedical Model, the Social Model, the Bio-Psycho-Social Model (BPS), the International Classification of Impairments, Disabilities, and Handicaps Model (ICIDH), the Community Based Rehabilitation Model (CBR), and the Health-Related ..
Healing Touch and Cancer Pain and Stress PPTTrinh Diep
This document outlines a proposed research study that will examine the effectiveness of Healing Touch therapy in treating cancer pain and reducing stress levels. The study will involve recruiting 50 cancer patients to receive Healing Touch therapy sessions for one hour per day over three weeks, and comparing their reported pain and stress levels to a control group receiving standard care only. Pain and stress will be measured before, during, and after treatment using pain scales and an inventory of life stressors. The results will be analyzed to determine if Healing Touch provides benefits and how long any effects may last.
13 November 2013
Page 6 of 14
ProQuest
The study investigated the effects of preoperative massage therapy, music therapy, or a combination of the two on postoperative outcomes such as anxiety, blood pressure, and pain medication use. Patients were randomly assigned to receive 30 minutes of massage, 30 minutes of music, a combination of both, or standard care. Anxiety levels, blood pressure, and hormone levels were measured before and after the interventions. The results showed that anxiety levels were significantly lower and prolactin levels were significantly higher for all groups that received interventions compared to the control group. No significant differences were found between groups for other outcomes.
Neurological physiotherapy is the treatment of individuals who have neurological impairments.
for example Traumatic Brain Injury or Stroke; Multiple Sclerosis, Spinal Cord Injury and Parkinson's disease.
Physiotherapy, also known as physical therapy, is a primary health care profession that treats a variety of medical conditions through movement and exercise. Physiotherapists diagnose issues, develop treatment plans which may include exercises, manual therapy, electrotherapy, and education, and help patients achieve the best possible physical function and mobility. They are university-trained health professionals that work in various settings like hospitals, private clinics, and patients' homes to improve patients' pain, function, and quality of life for conditions like injuries, arthritis, strokes, and respiratory diseases.
The document discusses disability rehabilitation and provides definitions of key terms from the World Health Organization. It describes the roles of an interdisciplinary rehabilitation team which includes various medical professionals. The team provides comprehensive client assessments and works together with a family-centered approach to set goals and facilitate positive outcomes for clients. Physiotherapy and occupational therapy services are outlined, along with techniques for oromotor rehabilitation to address common issues like drooling.
assessment and physiotherapy management of pain in elderly sunil JMI
1. Pain assessment in elderly patients requires a comprehensive evaluation of sensory, emotional, functional, and social impacts of pain. It also requires consideration of age-related changes and beliefs about pain.
2. A thorough history and physical exam are needed to identify potential causes of pain and evaluate for comorbidities. The history should address location, intensity, descriptors, relieving/aggravating factors, and impact on sleep, function, mood and quality of life.
3. Physical exam includes general exam, specific pain evaluation, neurological and musculoskeletal exams to identify potential causes and contributing factors. Assessment of psychological and cognitive factors is also important.
Use of technology in rehabilitation - Lorna PaulMS Trust
Aims:
Overview of technology in Rehabilitation
Barriers and Drivers
Consider neurophysiological/scientific basis
Look at some examples
Robotics
Mobile and digital technology
Gaming and Virtual Reality
This document outlines the process for conducting a systematic review. It defines a systematic review as a review that uses explicit and reproducible methods to identify, select, and critically appraise relevant research and collect and analyze data from the included studies. It notes that systematic reviews help address biases and provide more robust evidence than individual studies. The document describes the key steps in a systematic review as developing a focused question, performing a comprehensive search, applying inclusion/exclusion criteria, assessing study quality, extracting data, performing meta-analyses if appropriate, and interpreting results. It also discusses challenges such as ensuring systematic reviews address developing world priorities and include studies conducted in those settings.
This document discusses age and sex considerations in exercise. For older adults, physical activity can help prevent disease progression and extend independent living. Aerobic capacity and cardiac function naturally decline with age, but training can help offset these changes. Adolescents can gain strength through resistance training primarily through neurological adaptations rather than muscle growth. Females generally have lower muscle mass, stroke volume and VO2max than males due to smaller body size, but training can significantly improve endurance and strength. Special concerns for both sexes include amenorrhea and reduced hormone levels from excessive exercise.
This document provides an overview of complementary and alternative medicine (CAM). It defines CAM as medical systems not considered conventional medicine. CAM can be used alongside conventional medicine as complementary therapies or in place of conventional medicine as alternative therapies. The major types of CAM discussed include biologically based therapies, manipulative therapies, mind-body interventions, alternative medical systems, and energy therapies. Examples of specific CAM therapies and their uses are also outlined.
Pediatric rehabilitation medicine utilizes an interdisciplinary approach to treat physical impairments in children from birth through adolescence, addressing conditions like cerebral palsy, muscular dystrophies, and injuries through therapies, procedures like Botox injections, and inpatient and outpatient programs at leading children's hospitals. New technologies also aim to help children by enhancing mobility and function through means like robotic therapy devices and prosthetics tailored for developing bodies.
Any rehabilitation team is comprised of different types of specialists who deal with the physical, emotional and spiritual needs of the patient. Find here a description of a few of them along with their responsibilities.
Dear all,
This ppt includes the acute and chronic effect of exercise on different body system which includes musculoskeletal systems, cardiovascular systems, respiratory system, endocrive system, psychological effects etc. I hope this is helpful for you.
Thank you
This document discusses recent advances in pain management, including multimodal analgesia using different drug classes and routes of administration to provide improved pain relief with fewer side effects. It describes pharmacological and non-pharmacological pain interventions, the WHO analgesic ladder for treating pain, and various opioid and non-opioid analgesics as well as adjuvants that have been developed or investigated for postoperative pain management, including several novel drug delivery methods for opioids. The goal is to reduce opioid requirements, side effects, and hasten recovery through multimodal approaches.
Physiotherapy plays an important role in both antenatal and postnatal care by addressing musculoskeletal issues, promoting healthy lifestyles, providing postural and ergonomic advice, preparing women for labor, and teaching relaxation techniques. During antenatal care, physiotherapists help prevent and treat issues like back/pelvic pain, nerve compressions, pelvic floor dysfunction, and more. They provide advice on exercise, nutrition, posture, and birth options. Postnatal care involves addressing common issues like diastasis recti and pelvic floor dysfunction. Overall, physiotherapy aims to help women have a healthy pregnancy and recovery.
Bobath physiotherapy. evidence based or habit based.Mepsted Roger
The evidence for the use of Bobath methods is reviewed. The reasons for the continued popularity of this approach despite its poor objective evidence base are then discussed.
The document provides an overview of pain management in Traditional Chinese Medicine (TCM). It discusses the history and philosophies of TCM, including Yin-Yang theory and the five elements theory. It also describes TCM diagnostic techniques like pulse and tongue diagnosis. Key TCM concepts for pain like Qi, meridians, acupuncture points and bi syndromes are explained. The mechanisms of acupuncture for pain relief like the gate control theory and endorphin theory are summarized. Clinical applications of acupuncture for various pain conditions like headaches, arthritis and low back pain are also covered.
Physiotherapy involves evaluating, diagnosing, and treating a range of diseases, disorders, and disabilities using physical means. Physiotherapy management is provided for conditions such as musculoskeletal disability, cardiorespiratory dysfunction, central nervous system trauma/disease, and more. Physiotherapy includes both inpatient and outpatient services for treatments like orthopedics, trauma, and spinal injuries/surgeries.
Fatigue management and recovery strategies for athletesTaisuke Kinugasa
The document discusses fatigue management and recovery strategies for athletes. It defines fatigue and recovery, and outlines various strategies to aid recovery including sleep, nutrition, psychological skills, physical therapy, hydro-recovery, active rest, and tapering training loads. Monitoring tools like daily logs and questionnaires are also presented to track athlete recovery. The goal is to implement recovery-based training to avoid overtraining and enhance performance.
The Female Athlete Triad refers to the combination of energy deficiency, menstrual dysfunction, and low bone mineral density that can occur in female athletes. Originally consisting of three components, the triad model has advanced to view these conditions on a continuum of severity. Sports emphasizing leanness, like gymnastics and ballet, most commonly see cases of the triad. Preventive measures include education, monitoring menstrual cycles, consulting doctors, and seeing nutrition professionals to design healthy, sport-specific diets.
UNIT-VII model and methods of rehabilitation.pptxanjalatchi
Results: Six conceptual rehabilitation models were identified in the literature: the Biomedical Model, the Social Model, the Bio-Psycho-Social Model (BPS), the International Classification of Impairments, Disabilities, and Handicaps Model (ICIDH), the Community Based Rehabilitation Model (CBR), and the Health-Related ..
Healing Touch and Cancer Pain and Stress PPTTrinh Diep
This document outlines a proposed research study that will examine the effectiveness of Healing Touch therapy in treating cancer pain and reducing stress levels. The study will involve recruiting 50 cancer patients to receive Healing Touch therapy sessions for one hour per day over three weeks, and comparing their reported pain and stress levels to a control group receiving standard care only. Pain and stress will be measured before, during, and after treatment using pain scales and an inventory of life stressors. The results will be analyzed to determine if Healing Touch provides benefits and how long any effects may last.
13 November 2013
Page 6 of 14
ProQuest
The study investigated the effects of preoperative massage therapy, music therapy, or a combination of the two on postoperative outcomes such as anxiety, blood pressure, and pain medication use. Patients were randomly assigned to receive 30 minutes of massage, 30 minutes of music, a combination of both, or standard care. Anxiety levels, blood pressure, and hormone levels were measured before and after the interventions. The results showed that anxiety levels were significantly lower and prolactin levels were significantly higher for all groups that received interventions compared to the control group. No significant differences were found between groups for other outcomes.
This document summarizes a study that examined the effects of distance healing as an adjunct treatment for patients with major depression. 40 patients receiving standard antidepressant medication and psychotherapy were randomly assigned to either receive daily distance healing for 6 weeks from trained healers (experimental group), or to only receive standard treatment (control group). Outcome measures including depression scores, general psychopathology, and functioning were assessed weekly for 6 weeks and biweekly for 6 more weeks. Results showed a nonsignificant trend for the experimental group to show greater improvement, and favorable outcomes in the experimental group were correlated with number of healing sessions and healers' ratings of session strength.
This document discusses non-pharmacological methods for pain management. An informal survey of 38 patients found that massage therapy and exercise were the most known, and exercise and acupuncture were the most wanted to learn about and try. Transcutaneous electrical nerve stimulation (TENS), massage, music therapy, exercise, cognitive behavioral therapy, and hypnosis are described as approaches that have been studied for pain relief, with mixed results requiring more research. The conclusion advocates educating patients and doctors on available wellness services to better promote non-drug options for pain management.
The document summarizes alternative healing techniques, specifically Reiki and energy healing touch therapy. It discusses that illness is caused by energy imbalance and blockages in the body's subtle energy channels (nadis). Reiki and touch therapy work to remove these blockages and uplift energy levels, bringing relief. Research shows these therapies emit electromagnetic signals from practitioners' hands and can accelerate wound healing, reduce pain, stress, and symptoms of various illnesses. Side effect risks are low as these are non-invasive energy-based methods. Studies demonstrate their effectiveness through measures like improved blood work, accelerated healing, relief of conditions like asthma, headaches, and progress in cancer patients.
This randomized controlled trial compared the effectiveness of spinal manipulation therapy (SMT), medication, and home exercise with advice (HEA) for acute and subacute neck pain. The trial found that:
1) SMT had a statistically significant advantage over medication in reducing pain up to 1 year after treatment based on participant-reported pain levels.
2) HEA was as effective as SMT, with no important differences in pain reduction between the two treatments at any time point.
3) Both SMT and HEA were more effective for reducing neck pain than medication in both the short and long term.
This study examined the effects of using the upper limb tension test (ULTT) as a neural mobilization technique in addition to conservative treatment for patients with cervical radiculopathy. 40 patients were divided into a control group receiving conservative treatment only and an experimental group receiving conservative treatment plus ULTT. Outcome measures of cervical range of motion and pain were assessed before and after treatment. The results showed significantly greater improvements in cervical flexion, extension, and side flexion ranges of motion as well as pain levels for the experimental group compared to the control group, indicating that ULTT provides additional benefits for managing symptoms of cervical radiculopathy.
Manual and manipulative therapy is a hands-on treatment where a physiotherapist moves tissues and joints to restore movement and relieve pain. The goal is to treat the neuro-orthopaedic aspect of a patient's condition rather than just symptoms. It addresses musculoskeletal issues and can be used for pain throughout the body from the head to legs. Benefits include reduced pain, improved mobility, and relaxation of muscles. Touch healing is a type of energy therapy that uses gentle hand techniques to balance a person's energy field and accelerate healing of the body, mind and spirit. It aims to restore harmony to the patient's energy system to facilitate self-healing.
The document summarizes several studies on the effects of Animal Assisted Activity (AAA) on cancer patients. One study found AAA programs in pediatric oncology hospitals were consistent in having strict safety policies. Another study found AAA decreased fatigue and improved emotional health for cancer patients undergoing radiation treatment. A third study found hospital staff generally had positive views of an AAA program, believing it benefited patients. A final study examined found AAA improved the mood of terminal cancer patients in palliative care. Overall, the studies suggested AAA can have benefits for cancer patients' moods and symptoms.
The document summarizes a systematic review that analyzed 15 randomized controlled trials on the use of acupuncture and related techniques for postoperative pain management. The review found that acupuncture was associated with significant reductions in postoperative opioid consumption, pain intensity, and opioid-related side effects such as nausea, dizziness, and sedation, compared to sham controls. Specifically, acupuncture reduced opioid use by 23-29 mg at 8-72 hours postoperatively and decreased pain scores at 8 and 72 hours. The studies involved a variety of surgeries and acupuncture methods.
The document summarizes 10 research breakthroughs from the last decade that support chiropractic care. Some of the key findings include:
1) Seeing a chiropractor as a first contact provider was associated with decreases in hospital admissions, days, surgeries, and pharmaceutical costs compared to conventional medicine.
2) One study found that upper cervical chiropractic care was associated with marked and sustained reductions in blood pressure similar to two-drug combination therapy.
3) A wellness program implemented by chiropractors improved various health metrics such as weight, blood pressure, and strength.
The document concludes that these and other studies provide evidence that chiropractic care can positively impact multiple dimensions
R175 Naka, R., Amano, H., & Ito, T. (2014). A case study of healing touch on ...Takehiko Ito
R175 Naka, R., Amano, H., & Ito, T. (2014). A case study of healing touch on Parkinson’s disease in community nursing: Focusing on reducing pain, emotional distress, and insomnia Journal of International Society of Life Information Science, 32(1), 34-37.
Reiki is an ancient form of energy healing that involves gently touching or holding hands over areas of the body to unblock chi and promote relaxation and healing. A hospital integrated Reiki services and found that patients reported decreased anxiety and pain. Studies have shown Reiki can reduce stress, pain, and accelerate healing by inducing relaxation and affecting energy fields. The hospital has since expanded Reiki programs to many units and sees benefits for patients' well-being and recovery.
This study evaluated the effectiveness of progressive muscle relaxation (PMR) exercises in reducing pain and fatigue among 100 hospitalized cancer patients receiving radiotherapy. The patients were randomly assigned to an intervention group that received four PMR sessions over 4 weeks or a control group that received standard treatment. Pain was measured using a numerical pain rating scale and fatigue was measured using a cancer fatigue scale before and after the intervention. The results showed a significant reduction in reported pain and fatigue scores in the PMR group compared to the control group, indicating that PMR exercises can effectively reduce pain and fatigue in hospitalized cancer patients receiving radiotherapy when used as an adjuvant therapy.
Spinal manipulation therapy (SMT) was more effective than medication for relieving acute or subacute neck pain in both the short and long term. Home exercise with advice (HEA) resulted in similar pain outcomes to SMT at most time points. For 272 participants with neck pain lasting 2-12 weeks, SMT had statistically significantly less pain than medication after 8 weeks and up to 1 year later. HEA was superior to medication for pain relief at 26 weeks. No important differences in pain were found between SMT and HEA. The trial demonstrated that SMT and HEA were both more effective than medication for acute or subacute neck pain.
This study examined the effects of craniosacral therapy (CST) on heart rate variability (HRV) in 31 patients with subjective discomforts. HRV was measured before and after a 30-minute control rest period and a 30-minute CST session on consecutive days using a mobile device. Standard deviation of heart rate intervals (SDNN) and total power (TP), indicators of autonomic nervous system activity, increased significantly after CST but not the control rest. Heart rate also decreased significantly after CST compared to rest. However, interactions between treatment and HRV changes were not fully statistically significant. The study provides preliminary evidence that CST may positively influence autonomic nervous system regulation.
Pressures sensitivity & phenotypic changes in patients with suspected oih bei...Paul Coelho, MD
1) The study assessed changes in pain phenotype and pressure sensitivity in 20 patients with suspected opioid-induced hyperalgesia (OIH) after transitioning from full mu opioid agonists to buprenorphine therapy.
2) Patients on higher opioid doses (≥100 mg oral morphine equivalents) had significant improvements in measures of pain, mood, and function 1 week after starting buprenorphine, with eventual return to baseline.
3) Patients on higher opioid doses also showed a non-significant trend of decreased pressure pain sensitivity 1 week after starting buprenorphine, eventually returning to baseline.
The document provides information on various complementary and alternative medicine therapies including acupuncture, massage therapy, mind-body medicine, tai chi, yoga, and reflexology. It describes the basic techniques, historical origins, benefits, risks and contraindications of each therapy. The document emphasizes integrating complementary therapies with standard medical care on a case by case basis to best meet patient needs and improve health outcomes.
2. What do you know about integrative
medicine?
Opinions?
3. Types
Herbal supplementation
Acupuncture
Chiropracty
Music Therapy
Ayurvedic Medicine
Functional Medicine
Yoga
Mind-Body Medicine
Nutrition
Energy Medicine
Massage Therapy
Traditional Chinese Medicine
Aromatherapy
Tai Chi
Guided imagery
Naturopathic/Homeopathic doctors
6. Healing Touch is a relaxing, nurturing energy therapy
that uses gentle touch to assist in balancing physical,
mental, emotional, and spiritual well-being. Healing
Touch works with your energy field to support your
natural ability to heal, is safe for all ages and works
in harmony with standard or allopathic medical
care.
7. Uses
Stress
Anxiety and depression disorders
Pain management
Immune function
Surgery recovery
Supportive cancer care/palliative
care
Healing Touch is used in a wide
variety of settings including
hospitals, long-term care facilities,
private practices, hospices, and
spas. Healing Touch was founded
in 1989 as a continuing education
program for nurses, massage
therapists, other health care
professionals, and lay
persons. Today, Healing Touch is
taught in universities, medical and
nursing schools, and other settings
around the world.
8. What does it actually look like?
The first session involves a consultation in addition to the Healing Touch session. The
provider will ask a series of questions about your physical, mental, and emotional
situation, and will answer questions about Healing Touch. Then you lay fully clothed on a
massage table while the provider gently places his or her hands slightly above or on the
body. The session generally lasts 40 to 60 minutes, and people frequently report feeling
deeply relaxed and peaceful during and after the session. Because there may be a
cumulative effect of using Healing Touch over time, regular sessions are recommended.
9. What does it do?
The Effect of Healing Touch on Body Response Mechanisms Janice A. Maville, EdD, MSN,
CNS, HTP, Judy E. Bowen, MPA, OTR, CHTP and Grant Benham, PhD
A recent publication by studied the effect of Healing Touch on stress perception and
biological correlates. This was published in the journal of Holistic Nursing Practice in the
March/April 2008 issue. The objective of this pilot study was to investigate the effect of
Healing Touch on anxiety and physiological measures (heart rate, blood pressure, muscle
tension, skin conductance, and skin temperature) in 30 healthy adult volunteers. The
participants completed a standardized questionnaire on stress before and after the
session. The physiological data were collected prior to, during and after the Healing Touch
session which included two techniques: hands in motion and the chakra connection. Changes
were found for anxiety measures and the physiological measures, with the exception of
muscle tension which did not change.
Results support the basic premise of physiological and psychological relaxation with
Healing Touch. A majority of the participants also used the word “relax” to describe the
session. Despite the pilot nature of this study the findings suggest that Healing Touch may
contribute to positive changes in physiological stress mechanisms and subjective measures of
anxiety. This study significantly contributes to the growing body of evidence that supports
the use of Healing Touch for the reduction of anxiety and stress.
10. How does it do it?
Surface Electromyography (EMG) Apparatus as a Measurement Device for
Biofield Research: Results of a Single Case Study. Mitzi A. Forbes, PhD, RN,
CHTP, Ray Rust, PhD, CHPT, and Gerald J. Becker, CHTP
The objective of this study was to determine if surface electromyography (EMG)
equipment was capable of detecting electrical signals that can be used in Healing
Touch and other biofield therapies to measure outcomes. Resting state data was
compared to data collected during a Healing Touch back sequence on one
subject. The results indicated that an averaged baseline, "resting state"
frequency spectrum was definable. When the HT practitioner attuned with the
subject, higher frequency components of the spectrum increased in amplitude,
peaked, then decreased throughout the intervention. The conclusion drawn is
that the surface EMG apparatus has potential as a measurement device for
biofield research.
13. Diabetes
Effects of Healing Touch and Other Complementary Therapies on
Diabetes. Patricia Merritt, RN, HNC, HTP, NCRT
A combination of Healing Touch, massage, and reflexology was tested in diabetic
patients. Blood sugar and biofeedback measures were obtained before and after
the sessions. There was a 70% decrease in blood sugar (when using combined
therapies) and 77% of the subjects receiving Healing Touch had warming of their
hands which suggests improved circulation.
14. Pain Management
Pain Management Outcomes of Healing Touch Interventions. Judi Fouladbakhsh RN,
PhD, APRN, BC, AHN-C
This descriptive study examined pain management outcomes of Healing Touch interventions for
839 Healing Touch treatments on more than 400 clients who came to the Healing Touch Center of
Farmington Hills over a two-year period. Analysis revealed a significant decrease in reported
pain, and significant increase in energy flow as measured by practitioner assessment.
Reducing Pain and Anxiety through Healing Touch. Barbara Welcher, RN, BS, CHTP, and
John Kish, PhD, RN
This study was designed to evaluate the outcomes of a Healing Touch intervention with 138 in-
patients. The patients were both male and female with a variety of diagnoses and ranged in age
from 18 to 94 years old. After the Healing Touch treatment, the practitioner gave a questionnaire
to the patients requesting that the patients assess their level of pain and anxiety before the
treatment and then assess their present level of pain and anxiety after the treatment using a
scale of 1 to 10. Healing Touch significantly reduced both pain and anxiety in this study of
hospitalized patients.
15. CABG Recovery
The Effect of Healing Touch on Coronary Artery Bypass Surgery Patients. K. Arom, MD, and Barbara MacIntyre, RN
This was an experimental randomized control trail of 237 patients undergoing coronary artery bypass surgery. There were
three groups, Healing Touch, visit, or control. It was found that Healing Touch participants had a shorter hospital stay.
The Efficacy of Healing Touch in Coronary Artery Bypass Surgery
The research and publication by Certified Healing Touch Practitioner, Barbara MacIntyre and the team at HealthEast St. Joseph
Hospital in St Paul Minnesota details a randomized controlled study in the coronary intensive care unit. The study was
published in Alternative Therapies in Health and Medicine in July-August 2008.
There were 237 cardiac patients scheduled for coronary artery bypass surgery and were randomized to either of three groups:
the intervention group who received Healing Touch or one of two control groups of either standard care or standard care plus
visits. The Healing Touch group received preoperative education about Healing Touch and received a session the day before
surgery, immediately prior to surgery, and the day after. The Healing Touch sessions were from 20-60 minutes for the first and
third session and 60-90 minutes for session two. The techniques varied and included both hands on and hands above the
body. One control group received a visit by a nurse who either had a general conversation or sat quietly in the room. The
second control group had standard care without Healing Touch or a visit.
The study had six outcome measures including length of stay, incidence of postoperative atrial fibrillation, use of antiemetic
(anti-nausea) medication, amount of narcotic pain medication, functional status and anxiety. There was no significant
difference in the incidence of atrial fibrillation, use of medication, or functional status. There were significant differences in
a shortened length of stay for those in the Healing Touch group and a significant decrease in anxiety. The decrease in anxiety
was found in all subjects in the Healing Touch group. This has important implications for care of cardiac patients as a decrease
in length of stay in a hospital setting can provide cost benefits for the use of Healing Touch. For this hospital, it was estimated
that the savings were about a half a million dollars per year. Healing Touch services were also expanded at the hospital and
currently 90% of all cardiac patients take advantage of the program.
The decrease in anxiety found with the Healing Touch recipients with cardiac conditions was also found in another well
designed study conducted at Duke University and is published in Nursing Research Journal by Seskevich et al in March/April
2004.
16. Post-Anesthesia Recovery
The Effect of Relaxation (Healing Touch) Touch on the Recovery Level of
Post-anesthesia Abdominal Hysterectomy Patients, Maria Adela Concepcion
Silva, PhD, RN, CHTI
This study evaluated the effects of Healing Touch on the amount of narcotic
analgesic self-administered postoperatively, the frequency of bowel program
treatments and medications administered to patients with abdominal
hysterectomies. Sixty preoperative patients were randomly assigned to one of
three groups: Healing Touch, back massage, and no treatment. The results
indicated that the Healing Touch subjects had a significantly higher level of
recovery than the two controls on lung, gastro-intestinal, and activity status.
Reduction of systolic and diastolic blood pressures and pulse rate were
statistically significant for the Healing Touch group and the amount of narcotic
analgesia and bowel treatments were less in this group as well.
17. Statistical Power
Studies are small, not as well funded, which means some do not reach statistical significance; but we
know that the size of a study affects the power and the degree of difference required to see
significance. Hence these are promising results, and they actively look to improve the studies.
18. Improvements to Methods
Development of an Instrument to Measure Holistic Client Comfort as an Outcome of Healing Touch, Therese Dowd,
PhD, RN, Katharine Kolcaba, PhD, RNC, and Richard Steiner, PhD, MPH
The Energy Therapy Comfort Questionnaire (ETCQ) was adapted from the General Comfort Questionnaire (Kolcaba, 1992) to
measure the immediate efficacy of Healing Touch (HT) on the outcome of holistic comfort. Findings of the 53 persons who
returned the questionnaires were that those who had received five or more HT treatments had higher comfort levels than
those with fewer treatments. The ETCQ provides a holistic measure of the effects of HT for research and practice venues.
The HEALTH Tool (Healing Energy and Life Through Holism), Sylvia Philpy, MSN, NNP, CNS and Cynthia Hutchinson
DNSc, RN, CHTI
The goal of this project was to develop a tool that would be totally encompassing in reflecting the Healing Touch treatment
process. This included who the practitioner is, who the patient is, what techniques are used and in what order, and what the
environment is like. The HEALTH tool is designed to obtain a thorough, holistic history from a client; determine the meaning
the client holds for each aspect of that history; document and assess the outcome of all energetic healing treatments done;
and determine the concerns, plans, and goals for care on the part of the client, as well as the practitioner.
The Development and Initial Testing of an Instrument to Assess Advanced Practice Nursing Graduate Students'
Attitudes Toward Healing, Nancy Scheel, MS, MA, RN
The purpose of this study was to develop and initially test an instrument to assess advanced practice nursing graduate
students' knowledge and attitudes toward Healing Touch. The instrument, A Surgery Study of Advanced Practice Nursing
Graduate Students' Knowledge and Attitudes Toward Healing Touch was initially tested by 14 volunteer first year advanced
practice nursing graduate students. There were no significant relationships so the investigator made recommendations for
instrument revisions.
19. Non-Clinical Benefits
Healing Touch: A Cost Effectiveness Study. Mary Beth Lodge, RN, BSN, CHTP
A cost effectiveness study was conducted to assess the overall impact of the inclusion of energy
medicine (Healing Touch) and imagery on utilization of benefits and medical costs. It was a thirteen-
month study with 440 employees in a self-insured manufacturing company. Healing Touch was included
as a benefit available to any employee or dependent covered under the medical benefits plan. There
were a total of 38 participants with chronic disease. Overall medical costs were higher during the study
year than the previous year. The cost of the study represented on 3% of total medical benefit costs to
the company. A co-pay comparable to other outpatient benefits of the medical plan would have
reduced this. The company decided to include Healing Touch in its benefit plan with a co-pay after
receiving demands for continuation of this service from study participants.
Healing Touch Program Survey at St. Joseph's Hospital. Kimberly Garcia, RN, CHTP/I
A three-month survey was done at St. Joseph's Hospital in Tampa, Florida from June through August,
2004. During a fifty-two day time period 140 Healing Touch treatments were given to 124 patients with
a variety of problems. The most frequent condition in which Healing Touch was used was for those
receiving surgical repair for orthopedic problems, especially laminectomies. Headaches, peripheral
neuropathy, and other conditions were also included. There was a significant before and after effect in
decreasing pain, anxiety, and nausea. Effects were also seen for those patients experiencing lumbar or
cervical laminectomy most dramatically in the areas of anxiety and nausea. There was also increased
patient satisfaction identified on evaluations as "staff's sensitivity to needs."
20. Take Away Points
Your patients are going to ask you about integrative and alternative therapies. Educate yourself,
and your patients, rather than dismiss them outright.
Reduces pain and improves recovery times.
Patients appreciate the one-on-one care, and value the real therapeutic nature of touch.
If nothing else, it improves bedside manner by
teaching the ability to be present to the
patient in the moment and expressing concern
for more than patients’ physical bodies.