1. Alternative & Complementary Therapies
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Alternative & Complementary Therapies

2. Alternative Therapy
Unconventional therapies are referred to as complementary therapies or alternative medicine (CAM)
Frequently becomes the primary treatment modality that replaces allopathic medicine (shark cartilage, coffee enemas)
1/3-1/2 of US population uses one or more forms of CAM, more buy in from traditional medicine & insurance co

3. Complementary or Alternative Medicine
Relaxation Techniques
Exercise
Massage
Reflexology
Biofeedback
Hypnotherapy
Creative Therapies(Acupuncture)

4. Biobehavioral Therapies
Designed to teach individuals ways to change their behavior to alter physical responses to stress & improve symptoms such as muscle tension, GI discomforts, pain & sleep disturbances
Individual becomes actively involved in treatment
Must practice techniques daily, commitment to therapy

5. Biobehavioral Therapies
Relaxation
Imagery
Biofeedback
Hypnosis
Meditation

6. Relaxation Therapy
State of generalized decreased cognitive, physiological, & or behavioral arousal
Elongates muscle fibers
Decreased neural impulses to brain
Decreased brain activity
Decreased HR, RR, BP, O2 consumption

7. Clinical Application Relaxation Therapy
Decrease HR, BP, metabolic rate
Reduce muscle tension
Improve feeling of well-being
Reduce symptom distress
Relaxation can be used alone or in combination with deep breathing, imagery, yoga, music
Labor pain, post-op pain, chronic back pain, reduce cancer related nausea, improve immune function, decrease anxiety

8. Imagery
Visualization techniques which uses conscious mind to create mental images to evoke physical changes in body
Improves well-being, enhances awareness
Can be combined with relaxation therapy

9. Clinical Application Imagery
Visualize cancer pain cells being destroyed by immune system
Control or relieve pain
Achieve calmness, serenity
Used in the treatment of asthma, high BP, functional urinary disorders, premenstrual-menstrual syndromes, GI disorders, rheumatoid arthritis

10. Biofeedback
Assist individual in learning to control specific autonomic nervous system responses
Uses electronic or electromechanical instruments to measure, process & provide information to persons about their neuromuscular & autonomic nervous system activity
Provides a greater awareness & resulting voluntary control over their physiological responses of which they were otherwise unaware

11. Clinical Application Biofeedback
Stroke patients-Muscle rehabilitation
Raynauds disease
Urinary Stress Incontinence

14. Manual Healing Therapies
Energy systems in the body need to be balanced in an effort to enhance healing
Ancient Chinese healing discipline

15. Therapeutic Touch
Natural human potential that consists of placing the practitioner’s hands either on or close to the body of the person
Practitioner scans the body to find areas of accumulated tension
Redirects energies to bring person back into balance

16. Clinical Application Therapeutic Touch
Decrease anxiety in heart attack patients
Decrease headache pain
Improve mood
Alleviate pain in sprains, burns
Reducing chemo-induced nausea

19. Traditional Chinese Medicine
Herbs, acupuncture, diet, exercise, meditation
Yin & Yang
Qi- Vital energy of human
Acupuncture-method of stimulating certain points on the body by insertion of special needles to modify the perception of pain, normalize physiological functions or treat/prevent disease

20. Traditional Chinese Medicine
Acupuncture needles unblock the obstruction of energy
Re-establish the flow of Qi
Stimulates the body’s self healing mechanism

23. Clinical Applications Chinese Medicine
Low back pain
Myofascial pain
Headaches (Migraine)
Sciatica
Shoulder pain
Osteoarthritis
Whiplash
Musculoskeletal sprains
Asthma
Clinical depression

24. Herbal Therapies FDA does not approve their use as drugs
Sold as food or food supplements in health food stores
No health claims can be made on label

25. Clinical Applications Herbal Therapies
Chamomile- Antispasmodic (GI upset)
Echinacea- stimulates immune system
Feverfew- prevent migraines
Garlic- lipid lowering agent
Ginger- antiemetic
Gingko- memory improvement
Gingseng-increased physical endurance
St. John’s Wort- mild depression
Saw palmetto-enlarged prostate
Ma huang- (Ephedra) CNS stimulant, bronchodilator