Complementary and integrative health interventions in post-stroke rehabilitation: a systematic PRISMA review

 And just why the fuck would you be reviewing quackery like complementary and integrative health techniques? Qigong, Pilates, Tai Chi, and yoga actually have science to back them up, they are real medicine.

From Quackery to “Complementary”Medicine: The American Medical Profession Confronts Alternative Therapies

The latest crapola here:

Complementary and integrative health interventions in post-stroke rehabilitation: a systematic PRISMA review

Alysha A. Walter , Marieke Van Puymbroeck , Pamela Bosch & Arlene A. Schmid

Received 27 Dec 2018, Accepted 27 Sep 2020, Published online: 12 Oct 2020

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• https://doi.org/10.1080/09638288.2020.1830440
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Abstract

Aim

Researchers have reported measurable improvements in emotional and physical health among adults post-stroke after participating in complementary and integrative health techniques. The aim of this manuscript was to systematically review the effectiveness of active complementary and integrative health interventions as a treatment modality for adults post-stroke.

Method

For this review, active interventions were defined as those that required participants to be in control of initiating their own body movement. Five active complementary and integrative health techniques were reviewed and included: Feldenkrais Method, qigong, Pilates, Tai Chi, and yoga. A key word search was conducted in Medline, Cochrane Library, EBSCO, Google Scholar, and PubMed. Inclusion criteria for studies were (1) randomized controlled trials on the effects of active complementary and integrative health interventions, (2) all participants had to be post-stroke, and (3) studies appeared in English in a peer-reviewed journal.

Results

Articles in this review included one Qigong, five Pilates, nine Tai Chi, and five yoga studies. All 20 manuscripts reported improvements for participants. Participants in Pilates experienced improvements in quality of life. Improvements in functional balance, standing and dynamic balance, reaction time, maximum excursion, and quality of life were reported in the Pilates studies. Participants in the TC studies experienced a range of positive results including center of gravity, increased reaction time, improved aerobic endurance, fewer falls, sway length and velocity, functional reach, dynamic gait, walking speed, and static and dynamic balance. Improvements after participation in the yoga manuscripts consisted of reduced depression, decreased state and trait anxiety, improved balance, reduction in fear of falling, and enhanced quality of life.

Conclusion

Based on the small number of randomized controlled trials, this systematic review reported the effectiveness of four active mind-body interventions for individuals post-stroke. The strongest evidence was for the use of Tai Chi, followed by Pilates and yoga.

• Implications for rehabilitation

• Clinicians should consider the benefits of qigong, Pilates, Tai Chi, and yoga to best meet individual patient needs and goals.

• Clinicians who offer qigong, Pilates, Tai Chi, and/or yoga should be qualified to instruct the specific active complementary and integrative health technique or refer patients to those who are qualified.

• Locate qigong, Pilates, Tai Chi, and yoga classes that are appropriate for people post-stroke in the community to help integrate patients into a program after treatment.

 

Buyang Huanwu Decoction Ameliorates Poststroke Depression via Promoting Neurotrophic Pathway Mediated Neuroprotection and Neurogenesis

You can read this on your own but since it is in the Evidence-based Complementary and Alternative Medicine Journal it is already is suspect in the proofs provided. Only 10 pages.

Buyang Huanwu Decoction Ameliorates Poststroke Depression via Promoting Neurotrophic Pathway Mediated Neuroprotection and Neurogenesis

Mayo Clinic high blood pressure DVD

Mayo Clinic Wellness Solutions High Blood Pressure [DVD]

Wow, even the Mayo clinic has been compromised with Complementary and Integrative medicine. Lots of woo in that dvd. Yoga and meditation are not complementary, they are evidence based and so are real medicine. No real help with nutrition in there. Can't tell how old this is but it still has the main restrictions on salt, which is in dispute right now. I'm obviously totally unbalanced at least according to their medicine wheel quadrants; physical, mental, emotional, spiritual. I have no spiritual beliefs so my three spoked wheel has to compensate. It's doing a damn good job.

Stroke patient records help evaluate need for Integrative Medicine

This is so simple to explain why stroke patients go for Integrative, Complementary, Chinese, and other assorted quackery. Doctors have no objective diagnosis of the problems in your stroke and no repeatable way to get to 100% recovery. With that as a backdrop why wouldn't you listen to slick sellers of quackery?
http://medicalxpress.com/news/2014-05-patient-medicine.html
And they are doing it wrong by looking at 3-6 month period which is when spontaneous recovery is going to occur anyway. Absolutely nothing to do with the quackery being sold.