An Integrated Mind-Body Approach to Arthritis: A Pilot Study

10.4103/2225-4110.124364

Krista Prusak；Keven Prusak；Jack Mahoney

Arthritis ； Complementary alternative medicine ； Exercise ； Meditation ； Tai Chi

Journal of Traditional and Complementary Medicine

4卷2期（2014 / 03 / 01）

99 - 107

英文

Arthritis affects both the physical and psychological abilities of people in all walks of life. There are currently no recommended effective 'disease-modifying' remedies. Therapists and physicians are therefore exploring possible benefits from non-conventional therapeutic approaches. The purpose is to assess the changes in fitness and psychosocial outcomes of six doctor-referred patients as a result of participating in the I Can Move Again (ICMA) program. Six female participants diagnosed with arthritis were recruited from a local family practitioner. The subjects participated in a series of daily classes for 12 weeks including massage, mindfulness, bounce-back chairs, resistance chairs, aerobic and anaerobic training, rebounders, and whole body vibration platform Tai Chi. Demographic, psychosocial, and physical data were collected at the ICMA and at Y-Be-Fit (Provo, UT). Significant pre to post mean differences were found for sit-ups (F (1,8) =5.42 P =0.048), chair stand (F (1,10) =6.622 P =0.028), arm curl (F (1,10) =14.379 P =0.004), six-minute walk test distance (F (1,9)= 19.188 P=0.002), and speed (F,(1,8) =13.984 P =0.006), and rotation right (F (1,10) =8.921 P =0.014) and left (F (1,10) =11.373 P =0.007), in 27 of the 61-item questionnaire. The preliminary data on the six subjects lacked sufficient statistical power to detect the significant differences that could exist, thus committing a Type II error, but it is important to note an overall, substantial trend in improvement in the patients' physical outcomes and psychosocial perceptions associated with improvements in activities of daily living.

1. (2002).WHO Traditional Medicine Strategy: 2002‑2005.Geneva:World Health Organization.
2. (CDC) Cfdc(2003).(CDC) Cfdc. FAQ (Data Related) Costs Analysis. Atlanta 2003..
3. (NCCAM), Tncfcaam.(NCCAM) Tncfcaam. Complementary, alternative, or integrative health: What’s in a name? Gaithersburg, MD 208982013..
4. Amiel, D,Abel, MF,Kleiner, JB,Lieber, RL,Akeson, WH(1986).Synovial‑fluid nutrient delivery in the diathrial joint‑ An analysis of knee ligaments.J Orthop Res,4,90-95.
5. Arthritis Foundation. Get the Facts. Available at: www.arthritis.org/conditions-treatments/understanding-arthritis/. Accessed June 2013.
6. Davidson, RJ,Kabat‑Zinn, J,Schumacher, J,Rosenkranz, M,Muller, D,Santorelli, SF(2003).Alterations in brain and immune function produced by mindfulness meditation.Psychosom Med,65,564-570.
7. Debbi, EM,Agar, G,Fichman, G,Ziv, YB,Kardosh, R,Halperin, N(2011).Efficacy of methylsulfonylmethane supplementation on osteoarthritis of the knee, a randomized controlled study.BMC Complement Altern Med,11,50.
8. Ezaki, J,Hashimoto, M,Hosokawa, Y,Ishimi, Y(2013).Assessment of safety and efficacy of methylsulfonylmethane on bone and knee joints in osteoarthritis animal model.J Bone Miner Metab,31,16-25.
9. Flint‑Wagner, HG,Lisse, J,Lohman, TG,Going, SB,Guido, T,Cussler, E(2009).Assessment of a sixteen‑week training program on strenth, pain, and function in rheumatoid arthritis patients.J Clin Rheumatol,15,165-171.
10. Fouladbakhsh, J.(2013).Complimentary and alternative modalities to relieve osteoarthritis symptoms: A review of the evidence on several therapies often used for osteoarthritis management.Orthop Nurs,31,115-121.
11. Fries, JF,Spitz, P,Kriaines, RG,Holman, HR(1980).Measurement of patient outcome in arthiritis.Arthritis Rheum,23,137-145.
12. Goggs, R,Vaughn‑Thomas, A,Clegg, PD,Carter, SD,Innes, JF,Mobasheri, A(2005).Nutraceutical therapies for degenerative joint diseases: A critical review.Crit Rev Food Sci Nutr,45,64-145.
13. Golightly, YM,Allen, KD,Caine, DJ(2012).A comprehensive review of the effectiveness of different exercise programs for patients with osteoarthritis.Phys Sportsmed,40,52-62.
14. Hawtin, H,Sullivan, C(2011).Experiences of mindfulness training in living with rhumatic disease: An interperative phenomenological analysis.Br J Occup Ther,74,137-142.
15. Hesslink, R, Jr,Armstrong, D, 3rd,Nagendran, MV,Sreevatsan, S,Barathur, R(2002).Cetylated fatty acids improve knee function in patients with osteoarthritis.J Rheumatol,29,1708-1712.
16. Hocberg, M,Altman, R,April, K,Al, E(2012).American College of Rheumatology 2012. Recommendations for the use of nonpharmacologicaland pharmacologicaltherapies in osteoarthritis of the hand, hip and knee.Arthritis Care Res,64,465-474.
17. Knuesel, O,Weber, M,Suter, A(2002).Arnica Montana gel in osteoarthritis of the knee: An open, multicenter clinical trial.Adv Ther,19,209-218.
18. Kraemer, WJ,Ratamess, NA,Maresh, CM,Anderson, JA,Volek, JS,Tiberio, DP(2005).A cetylated fatty acid topical cream with menthol reduces pain and improves functional performance in individuals with arthritis.J Strength Cond Res,19,475-480.
19. Ong, KL,Wu, BJ,Cheung, BM,Barter, PJ,Rye, KA(2013).Arthritis: Its Prevelance, risk factors, and association with cardiovascular disease in the United States, 1999‑2008.Ann Epidemiol,23,80-86.
20. Perlman, AI,Sabina, A,Williams, AL,Njike, VY,Katz, DL(2006).Massage therapy for osteoarthritis of the knee: A randomized control trial.Arch Internal Med,166,2533-2538.
21. Ramey, D,Fries, J,Singh, G(1996).The Health Assessment Questionnaire 1995– Status and review.Philiadelphia:Lippincott‑ Raven Publishers.
22. Richards, BL,Whittle, SL,Buchbinder, R(2012).Neuromodulators for pain management in rheumatoid arthritis.Chochrane Database Syst Rev,1,CD008921.
23. Rikli, R,Jones, J.(2001).Senior fitness test manual.Champaign, IL:Human Kinetics.
24. Ross, S(2011).Osteoarthritis of the knee: An integrative therapies approach.Holist Nurs Pract,25,327-331.
25. Soeken, KL(2004).Selected CAM therapies for arthritis‑related pain: The evidence from systematic reviews.Clin J Pain,20,13-18.
26. Wang, C,Schmid, CH,Hibberd, PL,Kalish, R,Roubenoff, R,Rones, R(2009).Tai Chi is effective in treating knee osteoarthritis: A randomized controlled trail.Arthritis Rheum,61,1545-1553.
27. Widrig, R,Suter, A,Saller, R,Melzer, J(2007).Choosing between NSAIDS and arnica for topical treatment of hand osteoarthritis in a randomized double‑blind study.Rheumatol Int,27,585-591.
28. Yan, JH,Gu, WJ,Sun, J,Zhang, WX,Li, BW,Pan, L(2013).Efficacy of Tai Chi on pain, stiffness and function in patients with osteoarthritis: Ameta‑analysis.Plos One,8
29. Yuan, W,Bannuru, R,Kong, L,Cheng, Y,Mcalindon, T,Fang, M(2012).A massage therapy on pain relief for knee osteoarthritis: A systematic review and meta‑analysis.Osteoarthr Cartil,20,S281.
30. Zhuo, DH(1982).Preventive geriatrics‑ An overview from traditional Chinese medicine.Am J Chin Med,10,32-39.