the Impact of Complementary and Alternative Treatment Modalities on the Care of Orthopaedic Patients

Background Guided imagery (GI) has been recommended as a mind-body therapy for pain relief following orthopaedic surgery, but little is known about the acceptability of the intervention. Purpose Describe the perceptions of patients undergoing total knee replacement surgery (TKR) regarding the acceptability of a customized GI intervention to promote TKR outcomes. Methods Narrative and survey data collected during a randomized controlled trial of the GI intervention were analyzed to assess the acceptability of the intervention. Results Most participants were satisfied with and actively engaged in the intervention, and they perceived it to be helpful. For the smaller group who did not find the intervention to be acceptable, reasons for dissatisfaction and barriers to engagement were identified. Conclusions GI is an acceptable intervention for many persons undergoing TKR surgery. The results of this study can provide information to further develop a targeted and customized GI intervention for this population.

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“…Rispler, Sara, Davenport, Mills, & Iskra, 2011; D. T. Rispler & Sara, 2011; Yang, Dubé, Eaton, McAlindon, & Lapane, 2013).…”

Section: Introductionmentioning

confidence: 99%

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Draucker

Jacobson

Umberger

et al. 2015

Orthopaedic Nursing

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“…They are used worldwide as self-prescribed home medicines, especially in developing countries, as an aid in basic health care in 60%–80% of the population (Agra et al , 2008). Of late, they have even become a source of compounds for the pharmaceutical industry (Tsuboy et al , 2010; Rispler and Sara, 2011). As bioactive compounds from plants have many biological activities, the appreciable biodiversity among Brazilian plants presents great potential in the development of new drugs for application in the treatment of human diseases (Balbani et al , 2009).…”

Section: Introductionmentioning

confidence: 99%

Genotoxicity assessment of Copaiba oil and its fractions in Swiss mice

Almeida¹,

Darin²,

Hernandes³

et al. 2012

Genet. Mol. Biol.

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Copaiba oil-resin, extracted from the trunk of Copaifera, and traditionally used in folk medicine in the treatment of various disorders, has been shown to be an effective antiinflamatory, antitumor, antitetanus, antiseptic and anti-blenorrhagea agent. As, there are few studies evaluating its genotoxicity, this aspect of the commercial oil-resin, and its volatile and resinous fractions, were evaluated in mice by comet assay and micronucleus (MN) test. A single dose of oil resin, volatile or resin fractions (500; 1,000 or 2,000 mg/kg b.w.) was administered by gavage. The chemical compositions of Copaiba oil resin and its fractions was analyzed by gas chromatography. According to comet assaying, treatment with either one did not increase DNA damage, and as to MN testing, there was no alteration in the incidence of micronucleated polychromatic erythrocytes. Chromatographic analysis of the oil-resin itself revealed sesquiterpenes, diterpenic carboxylic acid methyl esters and high levels of β-caryophyllene. Thus, it can be assumed that the oil resin and volatile and resinous fractions from the commercial product are not genotoxic or mutagenic.

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“…Several herbal remedies may reduce pain and inflammation by blocking the arachidonic pathway, an important mechanism for producing pain and inflammation. 15) Taking Chinese formulated herbal medicine may reduce the serum cortisol level, thereby resulting in adrenal insufficiency. Armanini et al 16) suggested that licorice, one of the oldest and most popular herbal medicines in the world, possesses many properties that potentiate the action of cortisol.…”

Section: Discussionmentioning

confidence: 99%

Adrenal Insufficiency in Patients with Rotator Cuff Tear: Prevalence, Risk Factors and Influence on Outcome

Kim

Gwak²

2015

Clinics in Shoulder and Elbow

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Background: This study measured the rate of adrenal insufficiency among rotator cuff tear patients, and determined the roles of steroid treatment and herbal medicine as specific risk factors of adrenal insufficiency. Methods: We prospectively evaluated the 53 patients who agreed to participate in the study and underwent arthroscopic rotator cuff repair due to a chronic full-thickness tear from March 2012 to September 2013. The diagnosis of adrenal insufficieny was made by rapid adrenocortical hormone test before the operation. We collected information regarding their history of steroid and herbal medicine treatment within the last 12 months. Results: The rate of adrenal insufficiency among the rotator cuff tear patients in our study was 18.9% (10 of 53 patients). Steroid treatment (p=0.034), frequency of local steroid injection (p=0.008), and herbal medicine treatment (p=0.02) showed significant association with the risk of adrenal insufficiency. Conclusions: In this study, careful taking of a patient's medical history, such as the use of steroids and herbal medicine, is important when investigating adrenal function before surgery.

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the Impact of Complementary and Alternative Treatment Modalities on the Care of Orthopaedic Patients

Cited by 13 publications

References 38 publications

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Acceptability of a Guided Imagery Intervention for Persons Undergoing a Total Knee Replacement

Genotoxicity assessment of Copaiba oil and its fractions in Swiss mice

Adrenal Insufficiency in Patients with Rotator Cuff Tear: Prevalence, Risk Factors and Influence on Outcome

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