Research: LUSKIN and colleagues, St

Listed in Issue 54

Abstract

LUSKIN and colleagues, Stanford University USA review (91 references) the literature regarding complementary and alternative treatments, specifically mind/body techniques for musculoskeletal diseases.

Background

Methodology

The authors set out to perform a comprehensive literature review and provide a rationale for future research for 'successful ageing'. The authors conducted computerized searches using MEDLINE, PsychInfo, Stanford Library, Dissertation Abstracts, Lexus-Nexus, the Internet, in addition to interviews conducted with practitioners and the elderly. The authors evaluated the following mind/body practices: social support, cognitive-behavioural therapy, meditation, the placebo effect, imagery, visualization, spiritual/energy healing, music therapy, hypnosis, yoga, tai chi, and qigong. Research published after 1990 were prioritized; however when more recent literature was scarce, other controlled studies were included.

Results

Mind/body techniques were found to be effective primarily as complementary treatments for musculoskeletal disease and related disorders. The research provided evidence for treatment efficacy; however most apparent was the requirement for further controlled research.

Conclusion

The authors found a dearth of randomized controlled research conducted in the US, and a lack of studies with which to determine appropriate dosage and understand the mechanisms by which many of the practices work. Anecdotal evidence, some controlled research, clinical observation, cost effectiveness and lack of side effects of the mind/body treatments make further investigation a high priority.

References

Luskin FM et al. A review of mind/body therapies in the treatment of musculoskeletal disorders with implications for the elderly. Alternative Therapies in Health and Medicine 6(2): 46-56. Mar 2000.

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