A Review of the Clinical Evidence for Complementary and Alternative Medicine in Huntington's Disease.
Identifieur interne : 000651 ( Main/Exploration ); précédent : 000650; suivant : 000652A Review of the Clinical Evidence for Complementary and Alternative Medicine in Huntington's Disease.
Auteurs : Margaret Yu [États-Unis] ; Danny Bega [États-Unis]Source :
- Tremor and other hyperkinetic movements (New York, N.Y.) [ 2160-8288 ] ; 2019.
Descripteurs français
- KwdFr :
- Compléments alimentaires (statistiques et données numériques), Diétothérapie (statistiques et données numériques), Humains (MeSH), Maladie de Huntington (thérapie), Thérapie par la danse (statistiques et données numériques), Thérapies corps-esprit (statistiques et données numériques), Traitement par les exercices physiques (statistiques et données numériques).
- MESH :
- statistiques et données numériques : Compléments alimentaires, Diétothérapie, Thérapie par la danse, Thérapies corps-esprit, Traitement par les exercices physiques.
- thérapie : Maladie de Huntington.
- Humains.
English descriptors
- KwdEn :
- Dance Therapy (statistics & numerical data), Diet Therapy (statistics & numerical data), Dietary Supplements (statistics & numerical data), Exercise Therapy (statistics & numerical data), Humans (MeSH), Huntington Disease (therapy), Mind-Body Therapies (statistics & numerical data), Outcome Assessment, Health Care (statistics & numerical data).
- MESH :
- statistics & numerical data : Dance Therapy, Diet Therapy, Dietary Supplements, Exercise Therapy, Mind-Body Therapies, Outcome Assessment, Health Care.
- therapy : Huntington Disease.
- Humans.
Abstract
Background
There is a lack of published guidelines related to the use of complementary and alternative medicine (CAM) for Huntington's disease (HD). We conducted a review of the literature to summarize the available evidence for various mind-body practices and nutraceuticals.
Methods
PubMed and Cochrane Library electronic databases were searched independently from inception to February 2019 by two independent raters. Studies were classified for the level of evidence (Class I, II, III, or IV) according to the American Academy of Neurology (AAN) classification scale.
Results
Randomized controlled trials in HD were reviewed for mind-body interventions (dance therapy, music therapy, and exercise), alternative systems (traditional Chinese medicine [TCM]), and nutraceuticals/diet (aminooxyacetic acid [AOAA], coenzyme q10, creatine, cannabinoids, alpha-tocopherol, eicosapentaenoic acid, idebenone, levocarnitine, and triheptanoin). Few studies met AAN Class I or II level of evidence for benefits, and these are highlighted.
Discussion
There is a relative paucity of clinical trials examining CAM modalities in HD when compared to other neurodegenerative disorders. Currently, there is no evidence supporting disease modification or symptom improvement with any specific dietary or nutraceutical supplement for HD. Supervised exercise and contemporary dance are safe for people with HD, but more robust studies are warranted to guide specific recommendations for these and other mind-body interventions.
DOI: 10.7916/tohm.v0.678
PubMed: 31523487
PubMed Central: PMC6714489
Affiliations:
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IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></analytic><series><title level="j">Tremor and other hyperkinetic movements (New York, N.Y.)</title><idno type="eISSN">2160-8288</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dance Therapy (statistics & numerical data)</term><term>Diet Therapy (statistics & numerical data)</term><term>Dietary Supplements (statistics & numerical data)</term><term>Exercise Therapy (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Huntington Disease (therapy)</term><term>Mind-Body Therapies (statistics & numerical data)</term><term>Outcome Assessment, Health Care (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Compléments alimentaires (statistiques et données numériques)</term><term>Diétothérapie (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Maladie de Huntington (thérapie)</term><term>Thérapie par la danse (statistiques et données numériques)</term><term>Thérapies corps-esprit (statistiques et données numériques)</term><term>Traitement par les exercices physiques (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dance Therapy</term><term>Diet Therapy</term><term>Dietary Supplements</term><term>Exercise Therapy</term><term>Mind-Body Therapies</term><term>Outcome Assessment, Health Care</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Compléments alimentaires</term><term>Diétothérapie</term><term>Thérapie par la danse</term><term>Thérapies corps-esprit</term><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Huntington Disease</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladie de Huntington</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>There is a lack of published guidelines related to the use of complementary and alternative medicine (CAM) for Huntington's disease (HD). We conducted a review of the literature to summarize the available evidence for various mind-body practices and nutraceuticals.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>PubMed and Cochrane Library electronic databases were searched independently from inception to February 2019 by two independent raters. Studies were classified for the level of evidence (Class I, II, III, or IV) according to the American Academy of Neurology (AAN) classification scale.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Randomized controlled trials in HD were reviewed for mind-body interventions (dance therapy, music therapy, and exercise), alternative systems (traditional Chinese medicine [TCM]), and nutraceuticals/diet (aminooxyacetic acid [AOAA], coenzyme q10, creatine, cannabinoids, alpha-tocopherol, eicosapentaenoic acid, idebenone, levocarnitine, and triheptanoin). Few studies met AAN Class I or II level of evidence for benefits, and these are highlighted.</p></div><div type="abstract" xml:lang="en"><p><b>Discussion</b></p><p>There is a relative paucity of clinical trials examining CAM modalities in HD when compared to other neurodegenerative disorders. Currently, there is no evidence supporting disease modification or symptom improvement with any specific dietary or nutraceutical supplement for HD. Supervised exercise and contemporary dance are safe for people with HD, but more robust studies are warranted to guide specific recommendations for these and other mind-body interventions.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31523487</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>26</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>02</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2160-8288</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>Tremor and other hyperkinetic movements (New York, N.Y.)</Title><ISOAbbreviation>Tremor Other Hyperkinet Mov (N Y)</ISOAbbreviation></Journal><ArticleTitle>A Review of the Clinical Evidence for Complementary and Alternative Medicine in Huntington's Disease.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.7916/tohm.v0.678</ELocationID><Abstract><AbstractText Label="Background">There is a lack of published guidelines related to the use of complementary and alternative medicine (CAM) for Huntington's disease (HD). We conducted a review of the literature to summarize the available evidence for various mind-body practices and nutraceuticals.</AbstractText><AbstractText Label="Methods">PubMed and Cochrane Library electronic databases were searched independently from inception to February 2019 by two independent raters. Studies were classified for the level of evidence (Class I, II, III, or IV) according to the American Academy of Neurology (AAN) classification scale.</AbstractText><AbstractText Label="Results">Randomized controlled trials in HD were reviewed for mind-body interventions (dance therapy, music therapy, and exercise), alternative systems (traditional Chinese medicine [TCM]), and nutraceuticals/diet (aminooxyacetic acid [AOAA], coenzyme q10, creatine, cannabinoids, alpha-tocopherol, eicosapentaenoic acid, idebenone, levocarnitine, and triheptanoin). Few studies met AAN Class I or II level of evidence for benefits, and these are highlighted.</AbstractText><AbstractText Label="Discussion">There is a relative paucity of clinical trials examining CAM modalities in HD when compared to other neurodegenerative disorders. Currently, there is no evidence supporting disease modification or symptom improvement with any specific dietary or nutraceutical supplement for HD. Supervised exercise and contemporary dance are safe for people with HD, but more robust studies are warranted to guide specific recommendations for these and other mind-body interventions.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yu</LastName><ForeName>Margaret</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Neurology Northwestern University Feinberg School of Medicine, Chicago, IL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bega</LastName><ForeName>Danny</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Neurology Northwestern University Feinberg School of Medicine, Chicago, IL, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Tremor Other Hyperkinet Mov (N Y)</MedlineTA><NlmUniqueID>101569493</NlmUniqueID><ISSNLinking>2160-8288</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003614" MajorTopicYN="N">Dance Therapy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004035" MajorTopicYN="N">Diet Therapy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019587" MajorTopicYN="N">Dietary Supplements</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006816" MajorTopicYN="N">Huntington Disease</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026441" MajorTopicYN="N">Mind-Body Therapies</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">CAM</Keyword><Keyword MajorTopicYN="Y">Huntington’s disease</Keyword><Keyword MajorTopicYN="Y">mind–body</Keyword><Keyword MajorTopicYN="Y">nutraceuticals</Keyword></KeywordList><CoiStatement>Funding: None. Conflicts of Interest: The authors report no conflicts of interest. 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|texte= A Review of the Clinical Evidence for Complementary and Alternative Medicine in Huntington's Disease.
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