Use of traditional and complementary medicine for musculoskeletal diseases
Use of traditional and complementary medicine for musculoskeletal diseases
Background/aim: We aimed to determine the prevalence of traditional and complementary medicine (TCM) use among patients withmusculoskeletal disorders (MSDs) and to examine the methods used, frequency, and experienced benefits of therapies; the reasons forusing TCM; and the sources of information about therapies. We also compared demographic characteristics of users and nonusers ofTCM.Materials and methods: The descriptive study was conducted with 839 patients who attended the physical therapy and rehabilitationunits of 3 public hospitals between September 2014 and March 2015. A self-administered questionnaire including demographiccharacteristics, medical history, and details of TCM use was applied.Results: Of the 839 individuals in the study (592 female, 247 male; mean age 48.9 ± 13.0 years), 35.4% reported using TCM. Therewas no significant statistical difference between users and nonusers in terms of age, gender, body mass index, socioeconomic status,or educational level (P > 0.05). The disease duration of TCM users was significantly higher than that of nonusers (P < 0.05). The mostcommonly used TCM methods were balneotherapy (31%), herbal therapies (30%), wet cupping (22.2%), and massage-manipulationmethods (21.2%). Of TCM users, 75.1% were satisfied.Conclusion: The prevalence of TCM use and satisfaction levels are high in patients with MSDs. Physicians should be well informedabout TCM methods and raise the awareness of patients to prevent improper use of TCM.
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- 1. World Health Organization. General Guidelines for
Methodologies on Research and Evaluation of Traditional
Medicine. WHO/EDM/TRM/2000. Geneva, Switzerland: WHO;
2000.
- 2. Ben-Arye E, Frenkel M, Klein A, Scharf M. Attitudes toward
integration of complementary and alternative medicine
in primary care: perspectives of patients, physicians and
complementary practitioners. Patient Educ Coun 2008; 70: 395-
402.
- 3. Ernst E, Cohen MH, Stone J. Ethical problems arising in evidence
based complementary and alternative medicine. J Med Ethics
2004; 30: 156-159.
- 4. Grazio S, Balen D. Complementary and alternative treatment of
musculoskeletal pain. Acta Clin Croat 2011; 50: 513-530.
- 5. Artus M, Croft P, Lewis M. The use of complementary and
alternative medicine and conventional treatments among
primary care consulters with chronic musculoskeletal pain. BMC
Family Practice 2007; 8: 26.
- 6. Sullivan M, Rothfels P. Identifying and managing modifiable risk
factors for chronic pain and disability. BC Med J 2012; 54: 152.
- 7. Ulusoy H, Güçer TK, Aksu M, Arslan S, Habiboğlu A, Akgöl
G, Bilgici A, Kuru Ö, Çetin I, Kamanlı A et al. The use of
complementary and alternative medicine in Turkish patients
with rheumatic diseases. Turk J Rheumatol 2012; 27: 31-37.
- 8. Sherman KJ, Cherkin DC, Ichikawa L, Avins AL, Delaney K,
Barlow WE, Khalsa PS, Deyo RA. Treatment expectations
and preferences as predictors of outcome of acupuncture for
chronic back pain. Spine (Phila Pa 1976) 2010; 35: 1471-1477.
- 9. Louw A, Diener I, Butler DS, Puentedura EJ. The effect of
neuroscience education on pain, disability, anxiety and stress
in chronic musculoskeletal pain. Arch Phys Med Rehabil 2011;
92: 2041-2056.
- 10. Avcı İA, Koç Z, Sağlam Z. Use of complementary and
alternative medicine by patients with cancer in northern
Turkey: analysis of cost and satisfaction. J Clin Nurs 2011; 21:
677-688.
- 11. Aslan O, Vural H, Kömürcü S, Özet A. Use of complementary
and alternative medicine by cancer patients in Turkey: a
survey. J Altern Complement Med 2006; 12: 355-356.
- 12. Erci B. Attitudes towards holistic complementary and
alternative medicine: a sample of healthy people in Turkey. J
Clin Nurs 2007; 16: 761-768.
- 13. Ramsey SD, Spencer AC, Topolski TD, Belza B, Patrick
DL. Use of alternative therapies by older adults with
osteoarthritis. Arthritis Rheum 2001; 45: 222-227.
- 14. Herman CJ, Allen P, Hunt WC, Prasad A, Brady TJ. Use of
complementary therapies among primary care clinic patients
with arthritis. Prev Chronic Dis 2004; 1: 12.
- 15. Patterson C, Arthur H. A complementary alternative medicine
questionnaire for young adults. Integr Med Insights 2009; 4:
1-11.
- 16. Mbada CE, Adeyemi TL, Adedoyin RA, Badmus HD,
Awotidebe TO, Arije OO, Omotosho OS. Prevalence and
modes of complementary and alternative medicine use
among peasant farmers with musculoskeletal pain in a rural
community in South-Western Nigeria. BMC Compl Altern
Med 2015; 6: 164.
- 17. Mollaoğlu M, Acıyurt A. Use of complementary and alternative
medicine among patients with chronic diseases. Acta Clin
Croat 2013; 52: 181-188.
- 18. Tokem Y, Parlar KS, Özer S, Nakaş D, Argon G. A multicenter
analysis of the use of complementary and alternative medicine
in Turkish patients with rheumatoid arthritis: holistic nursing
practice review copy. Holis Nurs Pract 2014; 28: 98-105.
- 19. Ndao-Brumblay SK, Green CR. Predictors of complementary
and alternative medicine use in chronic pain patients. Pain
Med 2010; 11: 16-24.
- 20. Umay E, Rükşen S, Tezelli MK, Meşhur M, Dinç A. Evaluation
of patient satisfaction. Turk J Phys Med Rehab 2013; 59: 222-
228.
- 21. Rietjens IM, Boersma MG, Haan LD, Spenkelink B, Awad HM,
Cnubben NH, Van Zanden JJ, Woude HV, Alink GM, Koeman
JH. The pro-oxidant chemistry of the natural antioxidants
vitamin C, vitamin E, carotenoids and flavonoids. Environ
Toxicol Pharmacol 2002; 11: 321-333.
- 22. Eke D, Çelik A. Curcumin prevents perfluorooctane sulfonateinduced genotoxicity and oxidative DNA damage in rat
peripheral blood. Drug Chem Toxicol 2015; 7: 1-7.
- 23. Datta S, Mahdi F, Ali Z, Jekabsons MB, Khan IA, Nagle DG,
Zhou YD. Toxins in botanical dietary supplements: blue cohosh
components disrupt cellular respiration and mitochondrial
membrane potential. J Nat Prod 2014; 77: 111-117.
- 24. El-Wakil A. Observations of the popularity and
religious significance of blood-cupping as an Islamic
medicine. Contemp Islamıc Studies 2011; 2: 1-12.
- 25. Abdullah S, Dar LM, Rashid A, Tewari A. Hirudotherapy/
leech therapy: applications and indications in surgery. Arch
Clin Exp Surg 2012; 1: 172-180.
- 26. Cherkin DC, Deyo RA, Sherman KJ, Hart LG, Street JH,
Hrbek A. Characteristics of visits to licensed acupuncturists,
chiropractors, massage therapists and naturopathic physicians.
J Am Board Fam Pract 2012; 15: 463-472.
- 27. Chandola A, Young Y, McAlister J, Axford JS. Use of
complementary therapies by patients attending musculoskeletal
clinics. J Royal Soc Med 1999; 92: 13-16.
- 28. Haetzman M, Elliott AM, Smith BH, Hannaford P, Chambers
WA. Chronic pain and the use of conventional and alternative
therapy. Fam Pract 2003; 20: 147-154