Complementary medicine and lifestyles in Tuscany

Complementary medicine and lifestyles in Tuscany

Available online at www.sciencedirect.com ScienceDirect European Journal of Integrative Medicine 7S (2015) 1–53 Abstracts from 8th European Congress...

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Available online at www.sciencedirect.com

ScienceDirect European Journal of Integrative Medicine 7S (2015) 1–53

Abstracts from 8th European Congress for Integrative Medicine (ECIM) – ECIM 2015 Global Summit on Integrative Medicine and Healthcare (Greater Copenhagen, Denmark, September 25–27th, 2015)

Oral presentations A chiropractic practice-based study on the quality of life of children using PROMIS- 25 Joel Alcantara ∗ , Jeanne Ohm, Junjoe Alcantara International Chiropractic Pediatric Association, 327N Middletown Rd., Media, PA 19063, USA E-mail address: dr [email protected] (J. Alcantara). Introduction: Patient reported outcomes such a quality of life (QoL) measures have relevance by measuring the day-today impact of a disease and can augment objective measures such as laboratory or imaging studies. In an exploratory study, we examined the quality of life of children presenting for care in a practice-based research network. Methods: This study received IRB approval from Life University (Marietta, GA). Supplementing socio-demographic data and clinical correlates, we utilized the NIH Patient Reported Outcomes Measurement Information System (i.e., PROMIS-25) for children (age 8–17 years) to measure their QoL. T score metric is utilized with a mean of 50 and a standard deviation of 10. Results: A total of 90 children (mean age = 11.71 years; NFemales = 42) completed baseline and comparative surveys. The motivation for chiropractic care was to promote general health, relieve symptoms and improve the quality of life. The PROMIS29 mean T scores (i.e., TBaseline:TComparative) were: anxiety (45.65 vs. 44.31); depressive symptoms (44.49:42.76), fatigue (44.10:42.36), pain interference (46.49:43.32), peerrelationships (50.61:52.71) and physical function mobility (52.39:53.81). Overall, improvements in QoL scores were observed concomitant with chiropractic care over a period of 30 days (mean number of visits = 3.4). Changes in pain interference (p < 0.001), physical functioning (p < 0.05) and peer relationship (p < 0.05) were statistically significant.

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Conclusions: The use of PROMIS-25 was successfully implemented in a PBRN setting. Improvement in QoL was observed with care. We encourage further research to examine the impact of chiropractic care in children. http://dx.doi.org/10.1016/j.eujim.2015.09.009 Complementary medicine and lifestyles in Tuscany Sonia Baccetti ∗ , Mariella Di Stefano, Elio Rossi, Fabio Firenzuoli, Sergio Segantini, Fabio Voller Health Direction of Tuscany Region, Tuscan Network of Integrative Medicine, Via Taddeto Alderotti 26/N, Firenze, Firenze, Italy E-mail address: [email protected] (S. Baccetti). Introduction: According to international literature, users of CM are more active, less overweight and have healthier lifestyles. The aim of the study was to evaluate the lifestyle of patients of CM public clinics in Tuscany and compare it with general data, at regional and national level. Methods: In 2014 the Tuscan Network of Integrative Medicine in co-operation with the Regional Health Agency of Tuscany developed a specific questionnaire on lifestyles, distributed to patients in Tuscan public clinics of CM. Beside socio-demographic data, the questionnaire included questions on exercise, smoking, diet, alcohol and drug consumption; it was delivered to citizens during the treatment and its compilation was optional and respecting anonymity. Results were compared with those of the surveillance system Passi (Progressi Aziende Sanitarie per la Salute in Italia) started on 2006 with the aim of monitoring the health status of adult Italian population and reporting lifestyles of the general population in Tuscany (Pool Passi 2010–2013).

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Abstracts / European Journal of Integrative Medicine 7S (2015) 1–53

Results: 1064 questionnaires were filled out by CM patients (>18 years). Overweight or obese people in the sample of CM patients were 40.5% versus 38% of Tuscan general population; sedentary habits: 25.2% versus 26.65%; non-smokers 48.8% vs. 28.48%; alcohol consumption at risk, 11.6% of CM sample versus 16.9% of Passi sample; smoking 16.8% of CM sample versus 28.48% of Passi. Conclusions: Users of CM in the Tuscan public health system, in spite of being a population significantly older, have healthier lifestyles when compared with a sample of general population, especially in the parameters of exercise, alcohol consumption and smoking habits. http://dx.doi.org/10.1016/j.eujim.2015.09.010 “Like walking into an empty room”: Effects of eurythmy therapy on stress perception in comparison with a sports intervention from the subjects’ perspective – A qualitative study Bettina Berger ∗ , M. Bertram, J. Kanitz, K. Pretzer, G. Seifert Studienkoordinatorin, Forschungs- und Lehrzentrum Herdecke, eine Trägerorganisation des Zentrums für klinische Studien (ZKS) der Universität Witten/Herdecke Gerhard Kienle Lehrstuhl für Medizintheorie, Integrative und Anthroposophische Medizin Gerhard Kienle Weg 4, D-58313 Herdecke, Germany E-mail address: [email protected] (B. Berger). Introduction: Stress and health-related quality of life are important constructs used in treatment evaluation today. This study is based on a randomised controlled trial examining the stress-reducing effect of eurythmy therapy in comparison with step aerobics in 106 healthy but stressed subjects. The aim of the analysis was to characterise changes in the subjective perceptions of the participants. Methods: Interviews were conducted with 76 healthy adults, 36 (f = 31/m = 5) from the eurythmy group and 40 (f = 28/m = 12) from the step aerobics group both analysed by content analysis and phenomenologically. Results: The following categories were identified for the eurythmy therapy group: enabling a productive therapeutic response, emergence of a new perceptual space, reevaluation of the accustomed perception, and emergence of new options for action. Step aerobics places increased physical and intellectual demands. These are perceived differently as pleasant and relaxing, insufficiently challenging and/or boring, and too challenging and thus experienced as stress-enhancing. Conclusions: The qualitative results provided revealing insights into the profound effects of and subjective assignments of meaning to external and internal stress factors. Processes of

mental reinterpretation leading to stress reduction can be stimulated by physical procedures such as eurythmy therapy. http://dx.doi.org/10.1016/j.eujim.2015.09.011 Music and medicine and music therapy in hospitals – An overview of practices and evidence Lars Ole Bonde Aalborg University, Communication and Psychology, Musikkens Hus, Aalborg 9000, Denmark E-mail address: [email protected] Introduction: Slowly but surely music interventions are used in medical and palliative care in- and outside hospitals all over the world, and the evidence of the effectiveness of these interventions is growing steadily. This paper aims to present an overview of the field. Methods: The overview includes (1) defining music medicine and medical music therapy as two major and distinctive intervention models, (2) describing selected types of interventions with documented effect, and (3) presenting some of the evidence that can serve as a foundation of music medicine and medical music therapy as integrative practices. Results: In order to focus the presentation, two welldocumented clinical areas are selected: Cancer care (including end-of-life care) and Psychiatry. Results will include a summary of Cochrane reviews. Conclusions: In music medicine, it is the carefully selected music itself that facilitates e.g. reduction of pain and anxiety, relaxation or distraction, typically through music listening. In music therapy, the relationship between patient and therapist is crucial and music is the medium through which the healing experiences are promoted to facilitate e.g. enhanced coping, emotion regulation and social engagement, typically in song writing, improvisation and music and imagery experiences. There is a potential discrepancy between different paradigms here, while an integrative practice needs a more pragmatic and non-ideological framework. http://dx.doi.org/10.1016/j.eujim.2015.09.012