Complementary and Alternative Medicine Treatments Among Stroke Patients in India

Pandian, Jeyaraj Durai; Toor, Gagan; Arora, Ripu Daman; Kaur, Prameet; Dheeraj, Kumar; Bhullar, Ranjeet Singh; Sylaja, P N

doi:10.1310/tsr1905-384

Cited by 39 publications

(34 citation statements)

References 16 publications

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“…Moreover, the use of complementary and alternative medicine treatments by the patients during the poststroke phase hampers the rehabilitation process. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Assessment of Utilization of Rehabilitation Services among Stroke Survivors

Mahak

Shashi

Yashomati

et al. 2018

Journal of Neurosciences in Rural Practice

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Background:Rehabilitation is probably one of the most important phases of recovery for many stroke survivors. The current study was conducted with the objective to assess the utilization of rehabilitation services and factors affecting nonutilization of rehabilitation services among the stroke survivors.Materials and Methods:The current study was carried out in the Neuro Outpatient Department of a tertiary care hospital in India. It was a descriptive study. Consecutive 55 stroke survivors who had met the inclusion and exclusion criteria were recruited in this study. Self-structured rehabilitation tool was used to collect the data.Results:Data were analyzed using the descriptive and inferential statistics. Majority of the patients comprised 70.9% of males and 29.1% of females. Among participants, 70.90% were aware about rehabilitation, 67% were utilizing rehabilitation services, whereas 33% were not utilizing rehabilitation services. In the current study, certain reasons were found behind not utilizing rehabilitation services. There were 83.3% of participants who had lack of awareness about rehabilitation services and 61.1% of participants who had no availability of rehabilitation services. Only 45.5% of rural inhabitants were utilizing rehabilitation services as compared to 81.2% of urban inhabitants and 83.23% of suburban inhabitants.Conclusion:Rehabilitation is of utmost importance. Hemiparesis, difficulty in performing activity of daily living, difficulty in performing social activities, and difficulty in reasoning were the most common problems faced by people suffering stroke after discharge from the hospital. There was lack of awareness and utilization of rehabilitation services by patients among Indian stroke population. Hence, health workers have an immense role in educating, motivating, and ensuring that rehabilitation services in rural inhabitants.

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“…Moreover, the use of complementary and alternative medicine treatments by the patients during the poststroke phase hampers the rehabilitation process. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Assessment of Utilization of Rehabilitation Services among Stroke Survivors

Mahak

Shashi

Yashomati

et al. 2018

Journal of Neurosciences in Rural Practice

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“…In the recent years, the therapeutic effect of acupuncture in lowering BP has been investigated and discussed in many case reports and small-scale clinical trials [3–7], as well as several large-scale clinical trials on hypertension with acupuncture treatments [8–10]. However, these studies have only focused on the efficacy of acupuncture, and the mechanism of acupuncture in hypertension relief remains unknown.…”

Section: Introductionmentioning

confidence: 99%

Hypothalamus-Related Resting Brain Network Underlying Short-Term Acupuncture Treatment in Primary Hypertension

Chen

Dai

Zhang

et al. 2013

Evidence-Based Complementary and Alternative Medicine

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The present study attempted to explore modulated hypothalamus-seeded resting brain network underlying the cardiovascular system in primary hypertensive patients after short-term acupuncture treatment. Thirty right-handed patients (14 male) were divided randomly into acupuncture and control groups. The acupuncture group received a continuous five-day acupuncture treatment and undertook three resting-state fMRI scans and 24-hour ambulatory blood pressure monitoring (ABPM) as well as SF-36 questionnaires before, after, and one month after acupuncture treatment. The control group undertook fMRI scans and 24-hour ABPM. For verum acupuncture, average blood pressure (BP) and heart rate (HR) decreased after treatment but showed no statistical differences. There were no significant differences in BP and HR between the acupuncture and control groups. Notably, SF-36 indicated that bodily pain (P = 0.005) decreased and vitality (P = 0.036) increased after acupuncture compared to the baseline. The hypothalamus-related brain network showed increased functional connectivity with the medulla, brainstem, cerebellum, limbic system, thalamus, and frontal lobes. In conclusion, short-term acupuncture did not decrease BP significantly but appeared to improve body pain and vitality. Acupuncture may regulate the cardiovascular system through a complicated brain network from the cortical level, the hypothalamus, and the brainstem.

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“…However, collecting reliable population level information on stroke mortality in rural communities remains challenging. Because of poor access to formal healthcare and reliance on complementary and alternative therapies for stroke, 8 such information cannot be obtained from formal healthcare facilities such as the healthcare centers of the government healthcare system. Furthermore, a majority of deaths in rural India occur outside medical facilities.…”

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confidence: 99%

Stroke Is the Leading Cause of Death in Rural Gadchiroli, India

Kalkonde

Deshmukh

Sahane

et al. 2015

Stroke

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Background and Purpose-Stroke is an important cause of death and disability worldwide. However, information on stroke deaths in rural India is scarce. To measure the mortality burden of stroke, we conducted a community-based study in a rural area of Gadchiroli, one of the most backward districts of India. Methods-We prospectively collected information on all deaths from April 2011 to March 2013 and assigned causes of death using a well-validated verbal autopsy tool in a rural population of 94 154 individuals residing in 86 villages. Two trained physicians independently assigned the cause of death, and the disagreements were resolved by a third physician. Results-Of 1599 deaths during the study period, 229 (14.3%) deaths were caused by stroke. Stroke was the most frequent cause of death. For those who died because of stroke, the mean age was 67.47±11.8 years and 48.47% were women. Crude stroke mortality rate was 121.6 (95% confidence interval, 106.4-138.4), and age-standardized stroke mortality rate was 191.9 (95% confidence interval, 165.8-221.1) per 100 000 population. Of total stroke deaths, 87.3% stroke deaths occurred at home and 46.3% occurred within the first month from the onset of symptoms. Conclusions-Stroke is the leading cause of death and accounted for 1 in 7 deaths in this rural community inGadchiroli. There was high early mortality, and the mortality rate because of stroke was higher than that reported from previous studies from India. Stroke is emerging as a public health priority in rural India. (Stroke. 2015;46:1764-1768.

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Complementary and Alternative Medicine Treatments Among Stroke Patients in India

Abstract: More than one-third of the patients in this study opted for CAM. Presence of limb weakness, dysphagia, dyslipidemia, hypertension, hemorrhagic stroke, severe stroke, and poor outcome predicted the use of CAM.

Cited by 39 publications

References 16 publications

Assessment of Utilization of Rehabilitation Services among Stroke Survivors

Assessment of Utilization of Rehabilitation Services among Stroke Survivors

Hypothalamus-Related Resting Brain Network Underlying Short-Term Acupuncture Treatment in Primary Hypertension

Stroke Is the Leading Cause of Death in Rural Gadchiroli, India

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