Assefi Nassim, Bogart Andy, Goldberg Jack, Buchwald Dedra
Department of Medicine, University of Washington, Seattle, WA, USA.
J Altern Complement Med. 2008 Nov;14(9):1115-22. doi: 10.1089/acm.2008.0068.
Fibromyalgia is a common, chronic pain condition for which patients frequently use complementary and alternative medicine, including Reiki. Our objective was to determine whether Reiki is beneficial as an adjunctive fibromyalgia treatment.
This was a factorial designed, randomized, sham-controlled trial in which participants, data collection staff, and data analysts were blinded to treatment group.
SETTING/LOCATION: The study setting was private medical offices in the Seattle, Washington metropolitan area.
The subjects were comprised 100 adults with fibromyalgia.
Four (4) groups received twice-weekly treatment for 8 weeks by either a Reiki master or actor randomized to use direct touch or no touch (distant therapy).
The primary outcome was subjective pain as measured by visual analog scale at weeks 4, 8, and 20 (3 months following end of treatment). Secondary outcomes were physical and mental functioning, medication use, and health provider visits. Participant blinding and adverse effects were ascertained by self-report. Improvement between groups was examined in an intention-to-treat analysis.
Neither Reiki nor touch had any effect on pain or any of the secondary outcomes. All outcome measures were nearly identical among the 4 treatment groups during the course of the trial.
Neither Reiki nor touch improved the symptoms of fibromyalgia. Energy medicine modalities such as Reiki should be rigorously studied before being recommended to patients with chronic pain symptoms.
纤维肌痛是一种常见的慢性疼痛病症,患者经常使用包括灵气疗法在内的补充和替代医学。我们的目的是确定灵气疗法作为纤维肌痛辅助治疗是否有益。
这是一项析因设计、随机、假对照试验,参与者、数据收集人员和数据分析人员均对治疗组不知情。
设置/地点:研究地点是华盛顿州西雅图市都会区的私人医疗办公室。
受试者包括100名患有纤维肌痛的成年人。
四组受试者接受由灵气治疗师或被随机安排使用直接接触或非接触(远程治疗)的演员进行的每周两次、为期8周的治疗。
主要结局指标是在第4周、第8周和第20周(治疗结束后3个月)通过视觉模拟量表测量的主观疼痛。次要结局指标是身体和心理功能、药物使用情况以及看诊医疗服务提供者的次数。通过自我报告确定参与者的盲法情况和不良反应。在意向性分析中检验组间改善情况。
灵气疗法和接触对疼痛或任何次要结局均无任何影响。在试验过程中,4个治疗组的所有结局指标几乎相同。
灵气疗法和接触均未改善纤维肌痛的症状。在向有慢性疼痛症状的患者推荐灵气疗法等能量医学模式之前,应进行严格研究。