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INTEGRATIVE NEUROLOGYYOGA AND MEDIATION’S
ROLE IN HEALTH
SHRI KANT MISHRA, ABMS, MD, MS (ADMIN. MEDICINE) (ADMIN. MEDICINE)
PROFESSOR OF NEUROLOGY /COORDINATOR PROFESSOR OF NEUROLOGY /COORDINATOR INTEGRATIVE MEDICINE INTEGRATIVE MEDICINE
KECK USC SCHOOL OF MEDICINE, LOS ANGELES, CALIFKECK USC SCHOOL OF MEDICINE, LOS ANGELES, CALIFDIRECTOR NEUROMUSCULAR PROGRAMDIRECTOR NEUROMUSCULAR PROGRAM
VA GLA AND OLIVE VIEW UCLA MEDICAL CENTERVA 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 VISITS1993 425 MILLION VISITS (NEJM)
THIS WILL DOUBLE BY 2010. 1997 625 MILLION VISITS (JAMA)
EXPENDIETURE1997 $27 BILLION2004 $35 BILLION2010 $ 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 BUDGETBUDGET 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• PSYCHOTHERAP
Y• 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 EVERYONE
PROVEN SCIENTIFIC/SOCIAL STUDIES
EFFECTS CAN BE DIVIDED INTO THREE PARTS
1. HEALTH PROMOTION AND DISEASE PREVENTION
2. PHYSICAL ILLNESS
3. 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 SYNDROME 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 18TH 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
ACUPUNCTUREMAIL 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 NEURODEGENERATIVE 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 )
EPILEPSYALTERNATIVE TREATMENTS
VAGUS NERVE STIMULATIONVAGUS NERVE STIMULATION
DEEP BRAIN STIMULATIONDEEP BRAIN STIMULATION
CORTICAL STIMULATIONCORTICAL STIMULATION
TRIGEMINAL NERVE STIMULATIONTRIGEMINAL NERVE STIMULATION
FISH OILFISH OIL
BACKGROUNDBACKGROUND THE TRIGEMINAL NERVE PROJECTS TO THE THE TRIGEMINAL NERVE PROJECTS TO THE
NUCLEUS TRACTUS SOLITARIUS (NTS), THE LOCUS NUCLEUS TRACTUS SOLITARIUS (NTS), THE LOCUS CERULEUS, AND THE VAGUS NERVE.CERULEUS, AND THE VAGUS NERVE. Stimulation of NTS reduces seizures induced by
amygdala stimulation.
STIMULATION OF LC SUPPRESSES COBALT AND STIMULATION OF LC SUPPRESSES COBALT AND PENICILLIN INDUCED EPILEPTIC DISCHARGES.PENICILLIN INDUCED EPILEPTIC DISCHARGES. Lesioning the LC blocks the effect of vagus nerve Lesioning the LC blocks the effect of vagus nerve
stimulation.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 SUDDEN DEATH
RATES ARE RATES ARE SIGNIFICANTLY SIGNIFICANTLY HIGHER IN HIGHER IN EPILEPSY THAN EPILEPSY THAN AGE MATCHED AGE MATCHED POPULATIONPOPULATION SPERLINGSPERLING ANNEGERSANNEGERS
Major Categories of Mortality in Epilepsy
Seizures20%
Sudden Death20%
Underlying Causes of Epilepsy
20%
Usual Causes:CancerHeart
DiseaseStroke
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
PROTOCOLRANDOMIZED 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 SYNDROMEYOGA / 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