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Tengblad J, Airosa F, Karlsson L, Rosenqvist J, Elmqvist C, Karlsson AC, Henricson M. "I am Here"-The Importance of Caring Touch in Intensive Care. A Qualitative Observation and Interview Study. J Holist Nurs 2023:8980101231198723. [PMID: 37735941 DOI: 10.1177/08980101231198723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
Purpose: The purpose of the study was to illuminate the experience of caring touch in intensive care from the perspectives of patients, next-of-kin, and healthcare professionals. Design and Method: This study was explorative, and data were collected through qualitative observations (n = 9) with subsequent interviews (n = 27) at two general intensive care units. An inductive approach was embraced to be open-minded to the participants' experiences. Findings: The results are presented in one generic category-caring touch creates presence-which generated five subcategories: to touch and be touched with respect, touch as guidance and communication, touch causes suffering, touch creates compassion, and touch creates security. Conclusion: When the ability to communicate with words is lost, it is body language that reveals what a person is trying to express. Nurses create a way of being present with the patients by touching them, to communicate I am here for you. Caring touch is a tool to show compassion and respect and to protect the integrity of the lived body. The caring touch is soothing and comforting for the patient and next-of-kin and creates security. It also helps to awaken the motivation to get healthy, which is needed in an environment that is foreign.
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Affiliation(s)
| | | | | | | | - Carina Elmqvist
- Department of Research and Development, Region Kronoberg Department of Health and Caring Sciences, Linnaeus University
| | | | - Maria Henricson
- Faculty of Caring Science, Work Life and Social Welfare, University of Borås Jönköping Academy for Improvement of Health and Welfare, Jönköping University
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Senderovich H, Gardner S, Berall A, Shultz R, Grant B, Santaguida V. Therapeutic Touch in the Management of Responsive Behaviors in Patients with Dementia. Dement Geriatr Cogn Disord 2022; 51:142-149. [PMID: 35340008 DOI: 10.1159/000523752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 02/20/2022] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION This study aimed to investigate the use of therapeutic touch (TT) in the management of responsive behaviors in patients with dementia. METHODS A randomized, double-blinded control trial was used to compare response to TT in a population with responsive behaviors in dementia, in 3 phases, pretreatment, treatment, and posttreatment each lasting 5 days. The participants were divided into three groups: experimental, placebo, and control. The experimental group received regular TT, the placebo group received mimic TT, and the control group received regular routine care. Behavior was observed and recorded by trained research assistants every 20 min during the study time throughout each of the phases. Modified Agitated Behavior Rating Scale (ABRS) and Revised Memory and Behavior Check (RMBC) scores were used to assess the behavioral symptoms of dementia throughout the study. RESULTS All groups had decreasing RMBC scores during the pretreatment period, however; the experimental TT group was the only group whose RMBC scores continued to decrease during the treatment period. All groups had a similar pattern of rates of change in ABRS scores over the 15-day period, with no differential pattern of results related to experimental TT. CONCLUSION Despite limited evidence, TT should be explored as an adjunctive therapy for reducing behavioral symptoms in individuals with dementia. Further research is needed to determine the effects of TT on responsive behaviors in dementia. There is a need for studies with larger sample sizes, equal distribution of participants between groups (in terms of dementia stages), and longer post study follow-ups.
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Affiliation(s)
- Helen Senderovich
- Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.,Division of Palliative Care, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,University of Toronto, Toronto, Ontario, Canada
| | - Sandra Gardner
- Baycrest Kunin-Lunenfeld Centre for Applied Research and Evaluation (KL-CARE), Toronto, Ontario, Canada.,Biostatistics Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Anna Berall
- Baycrest Kunin-Lunenfeld Centre for Applied Research and Evaluation (KL-CARE), Toronto, Ontario, Canada
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Alp FY, Yucel SC. The Effect of Therapeutic Touch on the Comfort and Anxiety of Nursing Home Residents. JOURNAL OF RELIGION AND HEALTH 2021; 60:2037-2050. [PMID: 32415423 DOI: 10.1007/s10943-020-01025-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Nurses are increasingly using energy therapies such as therapeutic touch (TT) in many countries. This research aimed at finding out the effects of TT on comfort and anxiety of nursing home residents. This research is a quasi-experimental randomized control study which was conducted to investigate the impact of TT on the comfort and anxiety of older people living in a nursing home in İzmir, Turkey, between August 2015 and 2016. The sample of the study was formed from 60 older people who fitted the selection criteria, 30 in the experimental group and 30 in the control group. Data were collected using a General Comfort Questionnaire (GCQ) and a Situational Anxiety Inventory (STAI). A statistically significant difference was found between the measurements of the TT and control groups. According to the results, TT reduces anxiety and increases the comfort level of older people (p < 0.05). Considering the positive results of TT on comfort levels and anxiety, it can be recommended as an independent nursing practice.
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Garrett B, Riou M. A rapid evidence assessment of recent therapeutic touch research. Nurs Open 2021; 8:2318-2330. [PMID: 33742792 PMCID: PMC8363410 DOI: 10.1002/nop2.841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 11/20/2020] [Accepted: 02/17/2021] [Indexed: 01/31/2023] Open
Abstract
Aim To synthesize the most recent evidence investigating the effectiveness and safety of therapeutic touch as a complementary therapy in clinical health applications. Design A rapid evidence assessment (REA) approach was used to review recent TT research adopting PRISMA 2009 guidelines. Methods CINAHL, PubMed, MEDLINE, Cochrane databases, Web of Science, PsychINFO and Google Scholar were screened between January 2009–March 2020 for studies exploring TT therapies as an intervention. The main outcome measures were for pain, anxiety, sleep, nausea and functional improvement. Results Twenty‐one studies covering a range of clinical issues were identified, including 15 randomized‐controlled trials, four quasi‐experimental studies, one chart review study and one mixed methods study including 1,302 patients. Eighteen of the studies reported positive outcomes. Only four exhibited a low risk of bias. All others had serious methodological flaws, bias issues, were statistically underpowered and scored as low‐quality studies. No high‐quality evidence was found for any of the benefits claimed.
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Affiliation(s)
- Bernie Garrett
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Marliss Riou
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
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Bağcı H, Çınar Yücel Ş. Effect of Therapeutic Touch on Sleep Quality in Elders Living at Nursing Homes. JOURNAL OF RELIGION AND HEALTH 2020; 59:1304-1318. [PMID: 31062207 DOI: 10.1007/s10943-019-00831-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study was carried out to investigate the effect of therapeutic touch on sleep quality in the elderly people living in the nursing homes. The study is a randomized controlled experimental study (pretest-posttest control group). The sample of the research consisted of 25 elderly people. As a result of the study, although there was a significant increase (p < 0.05) in the sleep quality of each group, no significant difference was found between the groups (p > 0.05). Therapeutic touch is an effective method of improving the sleep quality of the elders living at a nursing home.
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Affiliation(s)
- Hazel Bağcı
- Department of Fundamentals Nursing, Ege University Nursing School, 35000, Izmir, Turkey.
| | - Şebnem Çınar Yücel
- Department of Fundamentals Nursing, Ege University Nursing School, 35000, Izmir, Turkey
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Accompagnement du patient cancéreux, les détails qui font la différence. ACTUALITES PHARMACEUTIQUES 2020. [DOI: 10.1016/j.actpha.2019.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Bazzi M, Lundèn M, Ahlberg K, Bergbom I, Hellström M, Lundgren SM, Fridh I. Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study. J Clin Nurs 2019; 29:810-820. [DOI: 10.1111/jocn.15129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 10/09/2019] [Accepted: 11/10/2019] [Indexed: 12/27/2022]
Affiliation(s)
- May Bazzi
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Maud Lundèn
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Karin Ahlberg
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Ingegerd Bergbom
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Mikael Hellström
- Department of Radiology Sahlgrenska University Hospital and Sahlgrenska Academy Gothenburg University Gothenburg Sweden
| | - Solveig M. Lundgren
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Isabell Fridh
- Faculty of Caring Sciences, Work Life & Social Welfare University of Borås Borås Sweden
- Department of Anesthesiology and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden
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The effect of Therapeutic Touch on Back Pain in Adults on a Neurological Unit: An Experimental Pilot Study. Pain Manag Nurs 2019; 20:75-81. [DOI: 10.1016/j.pmn.2018.09.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 07/24/2018] [Accepted: 09/02/2018] [Indexed: 11/19/2022]
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Conveying Emotions by Touch to the Nao Robot: A User Experience Perspective. MULTIMODAL TECHNOLOGIES AND INTERACTION 2018. [DOI: 10.3390/mti2040082] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Social robots are expected gradually to be used by more and more people in a wider range of settings, domestic as well as professional. As a consequence, the features and quality requirements on human–robot interaction will increase, comprising possibilities to communicate emotions, establishing a positive user experience, e.g., using touch. In this paper, the focus is on depicting how humans, as the users of robots, experience tactile emotional communication with the Nao Robot, as well as identifying aspects affecting the experience and touch behavior. A qualitative investigation was conducted as part of a larger experiment. The major findings consist of 15 different aspects that vary along one or more dimensions and how those influence the four dimensions of user experience that are present in the study, as well as the different parts of touch behavior of conveying emotions.
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Mangione L, Swengros D, Anderson JG. Mental Health Wellness and Biofield Therapies: An Integrative Review. Issues Ment Health Nurs 2017; 38:930-944. [PMID: 28968143 DOI: 10.1080/01612840.2017.1364808] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Biofield therapies such as Healing Touch and Reiki increase relaxation, decrease anxiety and stress, and improve mood. Understanding the efficacy of these therapies in terms of mental health wellness is important for nurses interested in complementary and integrative care. The goal of the present integrative review was to investigate the state of knowledge regarding biofield therapies and the impact on anxiety, mood, and mental health wellness. Electronic databases were searched for articles available in English and published from 2014 to 2016. Biofield therapies show safety and promise in reducing anxiety, improving mood, and cultivating mental health and wellness.
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Affiliation(s)
| | | | - Joel G Anderson
- c University of Tennessee, College of Nursing , Knoxville , Tennessee , USA
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Hanley MA, Coppa D, Shields D. A Practice-Based Theory of Healing Through Therapeutic Touch: Advancing Holistic Nursing Practice. J Holist Nurs 2017; 35:369-381. [DOI: 10.1177/0898010117721827] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Barrett D. Rethinking presence: a grounded theory of nurses and teleconsultation. J Clin Nurs 2017; 26:3088-3098. [PMID: 27874982 DOI: 10.1111/jocn.13656] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/06/2016] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To develop a theory that offered an evidence-based insight into the use of teleconsultation by nurses. BACKGROUND Teleconsultation is the use of video to facilitate real-time, remote interaction between healthcare practitioners and patients. Although its popularity is growing, there is little understanding of how teleconsultation impacts on the role of nurses. DESIGN The study adopted a constructivist grounded theory method, supplemented by the use of Straussian analytical approaches. METHODS Using selective and theoretical approaches, registered nurses with experience of using video in health care were sampled. Data were collected using semi-structured interviews exploring experiences, knowledge and feelings surrounding teleconsultation. Interviews were recorded, transcribed and subjected to three-stage, nonlinear manual analysis (open, axial and selective coding). RESULTS Theoretical saturation occurred after 17 interviews. The core category identified from the data was 'nursing presence' Four subcategories of nursing presence were identified: operational, clinical, therapeutic and social. The degree to which presence could be achieved was dependent upon three influencing factors - enablers, constraints and compensation. CONCLUSIONS Nurses provide different types of presence during teleconsultation, with the degree of presence dependent on specific characteristics of video-mediated communication. Where the use of video constrains the delivery of presence, nurses use a range of compensatory mechanisms to enhance patient care. RELEVANCE TO CLINICAL PRACTICE Teleconsultation provides an innovative approach to enhancing the delivery of health care. This study provides nurses with insight into the impact of teleconsultation on their professional role, and an understanding of how best to use video-mediated communication to support patient care.
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Affiliation(s)
- David Barrett
- Faculty of Health and Social Care, University of Hull, Hull, UK
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External Nursing Applications in the Supportive Management of Prolonged Postoperative Ileus: Description of Interventions and Case Report. Holist Nurs Pract 2017; 30:216-21. [PMID: 27309410 DOI: 10.1097/hnp.0000000000000158] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Prolonged postoperative ileus is a common but clinically challenging problem that leads to patient discomfort and prolonged hospitalization; the condition is managed through a multimodular program of supportive measures. In anthroposophic nursing, the management of prolonged postoperative ileus involves additional tools, including external abdominal compresses and massages with plant or silver-containing oils and ointments. We describe 3 typical techniques: Oxalis tincture compresses, Thuja/Argentum ointment compresses, and massage with "Wala Melissenöl" (containing Melissa officinalis, Carvum cari, Foeniculum amari, and Origanum majorana). A 61-year-old man with chronic pain from adhesions after multiple abdominal surgical procedures developed a prolonged postoperative ileus after an elective ileostomy reversal. Following slow recovery during the first postoperative days, he began vomiting. A nasogastric tube was inserted, and daily Oxalis tincture compresses and massage with "Wala Melissenöl" and Thuja/Argentum ointment compresses were applied on the abdomen. The patient's symptoms gradually improved over the next 10 days. No prokinetic medications were needed to manage this episode. External abdominal nursing applications with plant substances and silver can be an additional tool in the management of prolonged postoperative ileus.
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Burgener SC, Jao YL, Anderson JG, Bossen AL. Mechanism of Action for Nonpharmacological Therapies for Individuals With Dementia: Implications for Practice and Research. Res Gerontol Nurs 2015; 8:240-59. [DOI: 10.3928/19404921-20150429-02] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2014] [Accepted: 02/02/2015] [Indexed: 12/17/2022]
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Frampton SB, Guastello S, Lepore M. Compassion as the foundation of patient-centered care: the importance of compassion in action. J Comp Eff Res 2014; 2:443-55. [PMID: 24236742 DOI: 10.2217/cer.13.54] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The Institute of Medicine defines patient-centered care as "providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions." What is missing in this definition is an explicit emphasis on compassion. This perspective article draws on the experience of Planetree (CT, USA), a not-for-profit organization that partners with healthcare establishments to drive adoption of patient-centered care principles and practices by connecting healthcare professionals with the voices and perspectives of the patients and family members who utilize their services. Across hundreds of focus groups facilitated by Planetree, patients and their loved ones emphasize that paramount among their needs, preferences and values are compassionate human interactions. For care to be truly patient-centered, a foundation of compassion is essential. Reports from patients and the media, and research from healthcare systems around the world demonstrate the fallacy of assuming that compassion is a current or prevalent feature of the care experience. Concurrently, a growing evidence base highlights the supreme importance of compassion in driving high-quality, high-value care. However, good intentions are not sufficient for delivering compassionate care. Drawing on the experiences of exemplary patient-centered hospitals (recognized as such following a rigorous culture audit to determine fulfillment of the criteria for formal recognition as a Designated® Patient-Centered Hospital [Planetree]), this paper explores practical approaches for embedding compassion in healthcare delivery and organizational culture to meet patients' expressed desires for empathic and respectful human interactions.
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Tagge EP, Natali EL, Lima E, Leek D, Neece CL, Randall KF. Psychoneuroimmunology and the pediatric surgeon. Semin Pediatr Surg 2013; 22:144-8. [PMID: 23870208 DOI: 10.1053/j.sempedsurg.2013.05.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The mind-body connection is receiving increasing scrutiny in a large number of clinical settings, although research has lagged in the pediatric specialties. Psychoneuroimmunology (PNI) is a novel interdisciplinary scientific field that examines the relationship of the mind to the patient's neurologic, endocrine, and immune systems by examining critical parameters such as the effects of mental stress on wound healing and infection rates. Techniques that modify a patient's emotional and mental responses to illness and surgery have positive effects on their physiology resulting in improved recoveries and higher patient satisfaction rates. In the appropriate clinical settings, an awareness of PNI can enhance outcomes for pediatric surgical patients.
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Affiliation(s)
- Edward P Tagge
- Division of Pediatric Surgery, Loma Linda University Children's Hospital, 11175 Campus St, CP21111, Loma Linda, California 92350, USA.
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Chiropractic management of a patient with symptoms of attention-deficit/hyperactivity disorder. J Chiropr Med 2013; 11:221-4. [PMID: 23449647 DOI: 10.1016/j.jcm.2011.10.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2011] [Revised: 09/06/2011] [Accepted: 10/28/2011] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The purpose of this study is to report a case of a child with attention-deficit/hyperactivity disorder (ADHD) who was treated with chiropractic care. CLINICAL FEATURES Parents of a 5-year-old boy with diagnosed ADHD brought him for chiropractic care to address his subjective signs (acting out, ability to follow instructions, and poor home and school performance), which also included waking at night due to asthmatic symptoms and low self-esteem. Palpation revealed hypertonicity and trigger points in the paraspinal muscles at the thoracolumbar region with local pain. A preliminary diagnosis included cervical and thoracolumbar facet joint irritation with concurrent muscle hypertonicity. INTERVENTION AND OUTCOMES Treatment including spinal manipulative therapy, soft tissue therapy, and stretching was provided. Treatment began on a thrice-weekly basis and declined to twice weekly over the course of approximately 12 weeks. After 1 year of treatment, subjective improvements were noted in episodes of acting out, ability to follow instructions, and general home and school performance. CONCLUSIONS The patient improved over 1 year in which he received chiropractic care, including manual treatments such as spinal manipulative therapy and soft tissue therapies. This suggests that there may be a role for doctors of chiropractic in the management of patients with ADHD.
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Human Energetic Therapies. Integr Med (Encinitas) 2012. [DOI: 10.1016/b978-1-4377-1793-8.00117-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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