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Mind-body interventions: applications in neurology.

Helané Wahbeh¹, Siegward-M Elsas, Barry S Oken

¹Department of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code CR120, Portland, OR 97239, USA.

|June 11, 2008

Summary

Mind-body therapies are frequently used by adults, including neurology patients seeking alternative treatments. While evidence is strong for conditions like migraine headaches, more research is needed for other neurological applications.

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Area of Science:

Neurology
Integrative Medicine
Mind-Body Therapies

Background:

Complementary and alternative medicine (CAM) is widely used by adults in the U.S.
Mind-body therapies represent the most common form of CAM utilized.
Neurology patients frequently seek physician guidance on CAM effectiveness and integration into care.

Purpose of the Study:

To provide a clinical overview of mind-body interventions.
To explore the applications of mind-body therapies in neurology.
To summarize current evidence for these applications.

Main Methods:

Searched Medline and PsychInfo databases.
Used search terms for mind-body therapies and neurologic diseases.
Included clinical trials and reviews, grading the published evidence.

Main Results:

Reviewed various mind-body therapies: meditation, relaxation, breathing techniques, yoga, tai chi, qigong, hypnosis, and biofeedback.
Examined applications in conditions including general pain, back/neck pain, carpal tunnel syndrome, headaches (migraine), fibromyalgia, multiple sclerosis, epilepsy, muscular dysfunction, stroke, aging, Parkinson disease, and ADHD.
Identified strong evidence for specific conditions like migraine headaches.

Conclusions:

Mind-body therapies demonstrate strong evidence for certain neurological conditions, notably migraine headaches.
Evidence for other neurological applications is limited, often due to small trial sizes and inadequate control groups.
Further research with robust methodologies is needed to fully establish the efficacy of mind-body therapies in broader neurological contexts.