Auto-immune disorders - Guided Imagery and Meditation Blog | Health Journeys Mon, 22 May 2017 17:29:49 -0400 Joomla! - Open Source Content Management en-gb Electrical Acupuncture Stimulators & Relaxation Help With Rheumatoid Arthritis

Researchers from the Department of Anesthesiology of the Pain Clinic, in Hannover, Germany, compared the efficacy of auricular electrio-acupuncture (EA) to autogenic training (AT) for the treatment of rheumatoid arthritis (RA). Forty-four patients with RA were randomized to either EA or AT groups which met once a week for 6 weeks. 

Primary outcome measures were the mean weekly pain intensity and the disease activity score (DAS 28). Secondary outcome measures were the use of pain medication, the pain disability index (PDI), the clinical global impression (CGI) and pro-inflammatory cytokine levels, which were assessed during the study period and 3 months after the end of treatment.

At the end of treatment and at 3-month follow-up, a clinically meaningful and statistically significant improvement (p < 0.05) was observed in all outcome parameters and in both groups. 

In contrast to the AT group, the onset of these effects in the EA group could already be observed after the 2nd treatment week. In the 4th treatment week the EA group reported significantly less pain than the AT group (p = 0.040). After the end of treatment (7th week) the EA group assessed their outcome as significantly more improved than the AT group (p = 0.035). The erythrocyte sedimentation rate in the EA group was significantly reduced (p = 0.010), and the serum concentration of tumor necrosis factor-alpha was significantly increased compared to the AT group (p = 0.020).

CONCLUSIONS: The adjuvant use of both EA and AT in the treatment of RA resulted in significant short- and long-term treatment effects but the effects of auricular EA were more pronounced.

Citation:  Bernateck M, Becker M, Schwake C, Hoy L, Passie T, Parlesak A, Fischer MJ, Fink M, Karst M. Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial. Auricular acupuncture and autogenic training in rheumatoid arthritis. Forsch Komplementmed. 2008 Aug;15(4):187-93. Epub 2008 Jul 29.

]]> (Belleruth Naparstek) Hot Research Sun, 05 Apr 2009 19:00:00 -0400
Effectiveness of non-pharmacological interventions for fatigue in adults with multiple sclerosis.

Low Impact Exercise Reduces Fatigue in Adults with Autoimmune Conditions such as MS, Rheumatoid Arthritis, Lupus

A systematic review of the literature reveals that low impact aerobic exercise, gradually increasing in intensity, duration & frequency, reduces fatigue in people with auto-immune conditions.

Researchers from Flinders University in Adelaide, Australia did a systematic review of non-pharmacological interventions for fatigue in adults with three common autoimmune conditions: M.S., rheumatoid arthritis and lupus. The literature search included 19 electronic databases and libraries, three evidence-based journals and two internet search engines, from 1987-2006, and limited to English.

Thirty-three primary studies reported 14 randomized controlled trials and 19 quasi-experimental designs. Most interventions were tested with people with multiple sclerosis. Exercise, behavioral, nutritional and physiological interventions were associated with statistically significant reductions in fatigue.

Although the diversity of interventions, designs, and instruments limited comparisons, the study did find that low impact aerobic exercise, gradually increasing in intensity, duration and frequency, may be an effective strategy in reducing fatigue in some adults with chronic auto-immune conditions. Electromagnetic field devices showed promise.

The authors recommend well-designed studies testing these promising strategies and that there be consensus on outcome fatigue measures.

Citation: Neill J, Belan I, Ried K. Effectiveness of non-pharmacological interventions for fatigue in adults with multiple sclerosis, rheumatoid arthritis, or systemic lupus erythematosus: a systematic review. Journal of Advanced Nursing. 2006 Dec; 56 (6): pages 617-35.
]]> (Belleruth Naparstek) Multiple Sclerosis Research Fri, 23 May 2008 07:45:25 -0400