Wainapel S F, Thomas A D, Kahan B S
Department of Rehabilitation Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY, USA.
Arch Phys Med Rehabil. 1998 Aug;79(8):1003-5. doi: 10.1016/s0003-9993(98)90102-2.
To document the prevalence and patterns of use of alternative medical therapies as well as their perceived effectiveness by patients in a rehabilitation medicine outpatient practice.
Cross-sectional survey by written questionnaire.
An urban rehabilitation medicine outpatient referral office.
A random sample of 103 patients referred for rehabilitation outpatient care, while waiting for their appointment, were given a questionnaire addressing their use of alternative therapies.
Use of alternative therapies and their perceived effectiveness.
One or more alternative medical therapies had been used by 29.1% of subjects in the past 12 months for their presenting problem. The most common therapies were massage, chiropractic, vitamin and mineral supplementation, and acupuncture. Musculoskeletal pain syndromes involving the spine and extremities were the most common problems for which patients sought both physiatric and alternative care. Of the patients who used alternative treatments 53% reported some degree of efficacy.
A significant proportion of rehabilitation medicine patients use and frequently perceive a benefit from alternative therapies, particularly massage, chiropractic, vitamin and mineral supplementation, and acupuncture. Incorporating alternative therapies into physiatric practice is a desirable future direction for the specialty.
记录康复医学门诊患者使用替代医学疗法的患病率、模式及其对这些疗法有效性的认知。
通过书面问卷进行横断面调查。
城市康复医学门诊转诊办公室。
随机抽取103名前来接受康复门诊治疗的患者，在等待预约时，让他们填写一份关于使用替代疗法情况的问卷。
替代疗法的使用情况及其被感知到的有效性。
在过去12个月中，29.1%的受试者曾使用一种或多种替代医学疗法来解决其当前问题。最常见的疗法是按摩、整脊疗法、补充维生素和矿物质以及针灸。涉及脊柱和四肢的肌肉骨骼疼痛综合征是患者同时寻求物理治疗和替代治疗的最常见问题。在使用替代疗法的患者中，53%报告有一定程度的疗效。
相当一部分康复医学患者使用替代疗法，并且经常认为从中受益，特别是按摩、整脊疗法、补充维生素和矿物质以及针灸。将替代疗法纳入物理治疗实践是该专业未来一个理想的发展方向。
