Cleveland Clinic, Epilepsy Center, Cleveland, Ohio, USA.
Department of Wellness and Preventive Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Epilepsia Open. 2024 Oct;9(5):1981-1996. doi: 10.1002/epi4.13037. Epub 2024 Aug 23.
Lifestyle interventions are strategies used to self-manage medical conditions, such as epilepsy, and often complement traditional pharmacologic and surgical therapies. The need for integrating evidence-based lifestyle interventions into mainstream medicine for the treatment of epilepsy is evident given that despite the availability of a multitude of treatments with medications and surgical techniques, a significant proportion of patients have refractory seizures, and even those who are seizure-free report significant adverse effects with current treatments. Although the evidence base for complementary medicine is less robust than it is for traditional forms of medicine, the evidence to date suggests that several forms of complementary medicine including yoga, mindfulness meditation, cognitive behavioral therapy, diet and nutrition, exercise and memory rehabilitation, and music therapy may have important roles as adjuncts in the treatment armamentarium for epilepsy. These topics were discussed by a diverse group of medical providers and scientists at the "Lifestyle Intervention for Epilepsy (LIFE)" symposium hosted by Cleveland Clinic. PLAIN LANGUAGE SUMMARY: There are many people with epilepsy who continue to have seizures even though they are being treated with medication or brain surgery. Even after seizures stop, some may experience medication side effects. There is research to suggest that certain lifestyle changes, such as yoga, mindfulness, exercise, music therapy, and adjustments to diet, could help people with epilepsy, when used along with routine treatment. Experts discussed the latest research at the "Lifestyle Intervention for Epilepsy (LIFE)" symposium hosted by Cleveland Clinic.
生活方式干预是用于自我管理医学病症(如癫痫)的策略,通常补充传统的药物和手术治疗。鉴于尽管有多种药物和手术技术治疗方法,但仍有相当一部分患者存在难治性癫痫发作,即使那些无癫痫发作的患者也报告目前的治疗方法存在严重的不良反应,因此将基于证据的生活方式干预措施整合到主流医学中用于治疗癫痫是必要的。尽管补充医学的证据基础不如传统医学形式那么强大,但迄今为止的证据表明,几种形式的补充医学,包括瑜伽、正念冥想、认知行为疗法、饮食和营养、运动和记忆康复以及音乐疗法,可能在癫痫的治疗手段中作为辅助手段发挥重要作用。这些主题是由克利夫兰诊所主办的“癫痫生活方式干预(LIFE)”研讨会的一群多元化的医疗服务提供者和科学家讨论的。
尽管有些人正在接受药物或脑部手术治疗,但仍有许多癫痫患者持续发作。即使癫痫停止,有些人也可能会出现药物副作用。有研究表明,某些生活方式的改变,如瑜伽、正念、运动、音乐疗法和饮食调整,可能有助于癫痫患者,当与常规治疗一起使用时。克利夫兰诊所主办的“癫痫生活方式干预(LIFE)”研讨会的专家们讨论了最新的研究。