Relaxationstherapie und Akupunktur bei Kommunikationsstörungen

Zusammenfassung

Trotz einer steigenden Akzeptanz in der Bevölkerung für alternativmedizinische Therapieansätze und einer steigenden Zahl von Wirksamkeitsnachweisen bei Erkrankungen wie chronischen Schmerzzuständen oder Angststörungen gibt es bisher wenig Studien zur Wirksamkeit dieser Therapieverfahren bei Kommunikations- oder Kognitionsstörungen. In der vorliegenden Arbeit wird ein Überblick über Relaxations- und Akupunkturverfahren in der Behandlung solcher Störungen gegeben. Nach einem Überblick über allgemeine Therapieprinzipien wird dann die existierende wissenschaftliche Datenlage dargestellt.

Abstract

Despite increasing consumer utilization of complementary and alternative medicine (CAM) and growing evidence of its positive effects on certain physical (e.g., chronic pain, insomnia) and psychiatric (e.g., anxiety) disorders, few empirical investigations have explored using CAM to treat neurogenic disorders of communication or cognition. Accordingly, to spur clinical and research interest in CAM, we review two forms of CAM, relaxation therapy and acupuncture, that have been used to address the needs of patients with neurogenic cognitive or communicative disorders. For each technique, we describe general therapy procedures, summarize and critique the extant research, and delineate areas in need of further empirical investigation.

Schlüsselwörter

Akupunktur - Relaxationsverfahren - Aphasie - Demenz

Key words

relaxation therapy - acupuncture - complementary and alternative medicine - treating communication disorders - neurogenic communication disorder

1 In Anlehnung an: Murray, L., Hye-Yong, K. (2004): A review of selected alternative treatment approaches for acquired neurogenic disorders: relaxation therapy and acupuncture, Seminars in Speech and Language, 25, 121-132

Literatur

• 1 National Center for Complementarv and Alternative Medicine .What is Complementary and Alternative Medicine?. Publication No. D156. Bethesda, MD 2002
• 2 Eisenberg DM, Davis R, Ettner S. et al . Trends in alternative medicine use in the United States, 1990-1997.  JAMA. 1998;  280 1569-1575
• 3 Lollman C, Vickers A. Users and practitioners of complementary medicine.  BMJ. 1999;  319 836-838
• 4 Barrows KA, Jacobs BP. Mind-body medicine: an introduction and review of the literature.  Med Clin North Am. 2002;  86 11-31
• 5 Bodane C, Brownson K. The growing acceptance of complementary and alternative medicine.  Health Care Manag (Frederick). 2002;  20 11-21
• 6 Mamtani R, Cimino A. A primer of complementary and alternative medicine and its relevance in the treatment of mental health problems.  Psychiatr Q. 2002;  73 367-381
• 7 Nader T, Rothenberg S, Averbach R, Charles B, Fields JZ, Schneider RI 1. Improvements in chronic diseases with a comprehensive natural medicine approach: a review and case series.  Behav Med. 2000;  26 34-46
• 8 Schwanz CE, Laitin E, Brotman S, LaRocca N. Utilization of unconventional treatments by persons with MS: is it alternative or complementary?.  Neurology. 1999;  52 626-629
• 9 Finger W, Arnold EM. Mind-body interventions: applications for social work practice.  Soc Work Health Care. 2002;  35 57-78
• 10 Nayak S, Matheis RJ, Schoenberger NE, Shiflett SC. Use of unconventional therapies by individuals with multiple sclerosis.  Clin Rehabil. 2003;  17 181-191
• 11 Brazil K. Assessing the consequences of traumatic brain injury.  Int J Rehabil Res. 1992;  15 93-101
• 12 Hemsley G, Code C. Interactions between recovery in aphasia, emotional and psychosocial factors in subjects with aphasia, their significant others and speech pathologists.  Disabil Rehabil. 1996;  18 567-584
• 13 Benson II, Beary JF, Carol MP. The relaxation response.  Psychiatry. 1974;  37 37-46
• 14 Jacobson E. Progressive Relaxation. Chicago, IL: University of Chicago Press 1938
• 15 Critchley HD, Melmed RN, Featherstone E, Mathias CJ, Dolan RJ. Brain activity during Biofeedback relaxation: a functional neuroimaging investigation.  Brain. 2001;  124 1003-1012
• 16 Jevning R, Wallace RK, Beidebach M. The physiology of meditation: a review.  Neurosci Biobehav Rev. 1992;  16 415-424
• 17 Infante JR, Torres-Avisbal M, Pinel P. et al . Catecholamine levels in practitioners of the transcendental meditation technique.  Physiol Behav. 2001;  72 141-146
• 18 Morin C, Hauri J, Espie C. Nonpharmacologic treatment of chronic insomnia.  Sleep. 1999;  22 1134-1156
• 19 Carlson CR, Hoyle RH. Efficacy of abbreviated progressive muscle relaxation training: a quantitative review of behavioral medicine research.  J Consult Clin Psychol. 1993;  61 1059-1067
• 20 Wetherell JL. Treatment of anxiety in older adults.  Psychotherapy. 1998;  35 444-458
• 21 Gift AG, Moore T, Soeken K. Relaxation to reduce dyspnea and anxiety in COPD patients.  Nurs Res. 1992;  41 242-246
• 22 Jorm AF, Christensen J, Griffiths KM, Rodgers B. Effectiveness of complementary and self-help treatments for depression.  Med J Aust. 2002;  176 84-96
• 23 Gruzelier JH. A review of the impact of hypnosis, relaxation, guided imagery and individual differences on aspects of immunity and health.  Stress. 2002;  5 147-163
• 24 Shah AH, Joshi SV, Mehrotra PP, Potdar N, Dhar HL. Effect of Saral meditation on intelligence performance and cardiopulmonary functions.  Indian J Med Sci. 2001;  55 604-608
• 25 Bedard M, Felteau M, Mazmanian D. et al . Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained brain injuries.  Disabil Rehabil. 2003;  25 722-731
• 26 Duckett S, Kramer T. Managing myoclonus secondary to anoxic encephalopathy through EMG biofeedback.  Brain Inj. 1994;  8 185-188
• 27 Fecteau GW, Boyne J. Behavioural relaxation training with Huntington's disease patients: a pilot study.  Psychol Rep. 1987;  61 151-157
• 28 Guercio JM, Ferguson KE, McMorrow MJ. Increasing functional communication through relaxation training and neuromuscular feedback.  Brain Inj. 2001;  15 1073-1082
• 29 Haley WE. A family-behavioral approach to the treatment of the cognitively impaired elderly.  Gerontologist. 1983;  23 18-20
• 30 Holland D, Witty T, Lawler J, Lanzisera D. Biofeedback-assisted relaxation training with braininjured patients in acute stages of recovery.  Brain Inj. 1999;  13 53-57
• 31 Hosaka T, Sugiyama Y. A structured intervention for family caregivers of dementia patients: a pilot study.  Tokai J Exp Clin Med. 1999;  24 35-39
• 32 Ince LP. Desensitization with an aphasic patient.  Behav Res Ther. 1968;  6 235-237
• 33 Lantz MS, Buchalter EN, McBee L. The wellness group: a novel intervention for coping with disruptive behavior in elderly nursing home residents.  Gerontologist. 1997;  37 551-556
• 34 Leng TR, Woodward MJ, Stokes MJ, Swan AV, Wareing L, Baker R. Effects of multisensory stimulation in people with Huntington's disease: a randomized controlled pilot study.  Clin Rehabil. 2003;  17 30-41
• 35 Lysaght R, Bodenhamer E. The use of relaxation training to enhance functional outcomes in adults with traumatic head injuries.  Am J Occup Ther. 1990;  44 797-802
• 36 Maguire BL. The effects of imagery on attitudes and moods in multiple sclerosis patients.  Altern Ther Health Med. 1996;  2 75-79
• 37 Marshall RC, Watts MT. Relaxation training: effects of communicative ability of aphasic adults.  Arch Phys Med Rehabil. 1976;  57 464-467
• 38 Mizuno E, Hosaka T, Ogihara R, Higano H, Mano Y. Effectiveness of a stress management program for family caregivers of the elderly at home.  J Med Dent Sci. 1999;  46 145-153
• 39 Mohr B, Muller V, Mattes R. et al . Behavioral treatment of Parkinson's disease leads to improvement of motor skills and to tremor reduction.  Behav Ther. 1996;  27 235-255
• 40 Murray LL, Ray AH. A comparison of relaxation training and syntax stimulation for chronic nonfluent aphasia.  J Commun Dis. 2001;  34 87-113
• 41 Rapp S, Brenes G, Marsh AP. Memory enhancement training for older adults with mild cognitive impairment: a preliminary study.  Aging Ment Health. 2002;  6 5-11
• 42 Suhr JS, Anderson S, Tranel D. Progressive muscle relaxation in the management of behavioral disturbance in Alzheimer's disease.  Neuropsychol Rehabil. 1999;  9 31-44
• 43 Tsang HWH, Mok CK, Yeung YTA, Chan SYC. The effect of Qgong on general and psychosocial health of elderly with chronic physical illnesses: a randomized clinical trial.  Int J Geriatr Psychiatry. 2003;  18 441-449
• 44 Welden S, Yesavage J. Behavioral improvement with relaxation training in senile dementia.  Clin Gerontol. 1982;  1 45-49
• 45 Wilson C, Robertson IH. A home-based intervention for attentional slips during reading following head injury: a single case study.  Neuropsychol Rehabil. 1992;  2 193-205
• 46 Yoo E, Park E, Chung B. Mental practice effect on line-tracing accuracy in persons with hemiparetic stroke: a preliminary study.  Arch Phys Med Rehabil. 2001;  82 1213-1218
• 47 Mayers KS. Calming the agitated demented patient: use of self-soothing techniques.  Am J Alzheimer's Care Related Dis Res. 1994;  9 2-5
• 48 Matsumoto M, Smith JC. Progressive muscle relaxation, breathing exercises, and ABC relaxation theory.  J Clin Psychol. 2001;  57 1551-1557
• 49 Bernstein DA, Borkovec TD. Progressive Relaxation: A Manual for the Helping Professions. Champaign, IL: Research Press 1973
• 50 Yesavage JA. Relaxation and memory training in 39 elderly patients.  Am J Psychiatry. 1984;  141 778-781
• 51 Yesavage JA, Jacob R. Effects of relaxation and mnemonics on memory, attention and anxiety in the elderly.  Exp Aging Res. 1984;  10 211-214
• 52 Yesavage JA, Sheikh J, Tanke ED, Hill R. Response to memory training and individual differences in verbal intelligence and state anxiety.  Am J Psychiatry. 1988;  145 636-639
• 53 Rickard HC, Scogin F, Keith S. A one-year followup of relaxation training for elders with subjective anxiety.  Gerontologist. 1994;  34 121-122
• 54 Scogin F, Rickard HC, Keith S, Wilson J, McElreath L. Progressive and imaginal relaxation training for elderly persons with subjective anxiety.  Psychol Aging. 1992;  7 419-424
• 55 Glanz M, Klawansky S, Chalmers T. Biofeedback therapy in stroke rehabilitation: a review.  J R Soc Med. 1997;  90 33-39
• 56 Wolf SL, Binder-Macleod SA. Electromyographic biofeedback applications to the hemiplegic patient.  Phys Ther. 1983;  63 1404-1413
• 57 Smith J. Advances in ABC Relaxation. New York: Springer 2001
• 58 Schilling D, Poppen R. Behavioral relaxation training and assessment.  J Behav Ther Exp Psychiatry. 1983;  14 99-107
• 59 Gosling J, Oddy M. Rearranged marriages: marital relationships after head injury.  Brain Inj. 1999;  13 785-796
• 60 Teri L. Behavior and caregiver burden: behavioral problems in patients with Alzheimer disease and its association with caregiver distress.  Alzheimer Dis Assoc Disord. 1997;  11 S35-S38
• 61 Douglas JM, Spellacy FJ. Indicators of long-term family functioning following severe traumatic brain injury in adults.  Brain Inj. 1996;  10 819-839
• 62 Mayer DJ. Acupuncture: an evidence-based review of the clinical literature.  Annu Rev Med. 2000;  51 49-63
• 63 Rabinstein AA, Shulman L. Acupuncture in clinical neurology.  Neurology. 2003;  9 137-148
• 64 Kaptchuk T. Acupuncture: theory, efficacy, and practice.  Ann Intern Med. 2002;  136 374-383
• 65 Lee A, Done ML. The use of nonpharmacologic techniques to prevent postoperative nausea and vomiting: a meta-analysis.  Anesth Analg. 1999;  88 1362-1369
• 66 Bullock ML, Kiresuk TJ, Sherman RE. et al . A large randomized placebo controlled study of auricular acupuncture for alcohol dependency.  J Subst Abuse Treat. 2002;  22 71-77
• 67 Melchart D, Linde K, Fischer P, White A, Allais G, Vickars A. Acupuncture for recurrent headaches: a systematic review of randomized controlled trials.  Cephalalgia. 1999;  19 779-786
• 68 Hardware B, Lacey A. Acupuncture and other alternative therapies in rheumatoid arthritis.  Prof Nurse. 2002;  17 437-439
• 69 Berman BM, Ezzo J, Hadhazy V, Swyers JP. Is acupuncture effective in the treatment of fibromyalgia?.  J Fam Pract. 1999;  48 213-218
• 70 Wang SM, Kain ZN. Auricular acupuncture: a potential treatment for anxiety.  Anesth Analg. 2001;  92 548-553
• 71 Ernst E, Pittler MH. The effectiveness of acupuncture in treating acute dental pain: a systematic review.  Br Dent J. 1998;  184 443-447
• 72 Leibling E, Leonhardt U, Koster G. et al . Acupuncture treatment of chronic low-back pain: a randomized, blinded, placebo-controlled trial with 9-month follow-up.  Pain. 2002;  96 189-196
• 73 Li G, Liu HL, Cheung RT. et al . An fMRI study comparing brain activation between word generation and electrical stimulation of language-implicated acupoints.  Hum Brain Mapp. 2003;  18 233-238
• 74 Astin J, Marie A, Pelletier K, Haskell W. A review of the incorporation of complementary and alternative medicine by mainstream physicians.  Arch Intern Med. 1998;  158 2303-2310
• 75 NIH Consensus Development Panel on Acupuncture . Acupuncture.  JAMA. 1998;  280 1518-1524
• 76 Li G, Cheung RT, May QY, Yang ES. Visual cortical activation on fMRI upon stimulation of the vision-implicated acupoints.  Neuroreport. 2003;  14 669-673
• 77 Lo YL, Cui SL. Acupuncture and the modulation of cortical excitability.  Neuroreport. 2003;  14 1229-1231
• 78 Chen JF, Ye MF. Hemorrheological study on the effect of acupuncture in treating cerebral infarction.  J Tradit Chin Med. 1988;  8 167-172
• 79 Gosman-Hedstrom G, Claesson L, Klingenstierna U. et al . Effects of acupuncture treatment an daily life activities and quality of life: a controlled, prospective and randomized study of acute stroke patients.  Stroke. 1998;  29 2100-2108
• 80 Guo Y, Shi X, Uchiyama H. et al . A study on the rehabilitation of cognitive function and short-term memory in patients with Alzheimer's disease using transcutaneous electrical nerve stimulation.  Front Med Biol Eng. 2002;  11 237-247
• 81 Hu J. Acupuncture treatment of wind stroke.  J Tradit Chin Med. 1996;  16 307-311
• 82 Johansson BB, Haker E, von Arbin M. et al . Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial.  Stroke. 2001;  32 707-713
• 83 Naeser MA, Alexander MP, Stiassny-Eder D, Galler V, Hobbs J, Bachman D. Acupuncture in the treatment of paralysis in chronic and acute stroke patients: Improvement correlated with specific CT scan lesion sites.  Acupunct Electrother Res. 1994;  19 227-249
• 84 Park H, Lim S, Joo W. et al . Acupuncture prevents 6-hydroxydopamine-induced neuronal death in the nigro-striatal dopaminergic system in the rat Parkinson's disease model.  Exp Neurol. 2003;  180 93-98
• 85 Scherder J, Bouma A, Steen L. Influence of transcutaneous electrical nerve stimulation on memory in dementia of the Alzheimer's type.  J Clin Exp Neuropsychol. 1992;  14 951-960
• 86 Scherder J, Bouma A, Steen L. Effects of shortterm transcutaneous electrical nerve stimulation on memory and affective behavior in patients with probable Alzheimer's disease.  Behav Brain Res. 1995;  67 211-219
• 87 Qu H, Ren L, Guo Y. Combined application of scalp and Body acupuncture in the treatment of pseudobulbar paralysis.  J Tradit Chin Med. 1991;  11 170-173
• 88 Seki T, Kurusu M, Tanji H, Arai H, Sasaki H. Acupuncture and swallowing reflex in poststroke patients.  J Am Geriatr Soc. 2003;  51 726-727
• 89 Shulman L, Wen X, Weiner WJ. et al . Acupuncture therapy for the symptoms of Parkinson's disease.  Move Disord. 2002;  17 799-802
• 90 Sze FK, Wong E, Yi X, Woo J. Does acupuncture have additional value to standard poststroke motor rehabilitation?.  Stroke. 2002;  33 186-194
• 91 Vallar G, Rusconi ML, Barozzi S. et al . Improvement of left visuo-spatial hemineglect by left-sided transcutaneous electrical stimulation.  Neuropsychologia. 1995;  33 73-82
• 92 Vallar G, Rusconi ML, Bernardini B. Modulation of neglect hemianesthesia by transcutaneous electrical stimulation.  J Int Neuropsychol Soc. 1996;  2 452-459
• 93 Xu G. Prof. Shaoquin's experience in acupuncture.  J Tradit Chin Med. 2001;  21 273-276
• 94 Wong A, Su T, Tang F, Cheng P, Liaw M. Clinical trial of electrical acupuncture on hemiplegic stroke patients.  Am J Phys Med Rehabil. 1999;  78 117-122
• 95 Zhang Z. Efficacy of acupuncture in the treatment of post-stroke aphasia.  J Tradit Chin Med. 1989;  9 87-89
• 96 Zhang Z, Zhao C. Comparative observations on the curative results of the treatment of central aphasia by puncturing the yumen point versus conventional acupuncture methods.  J Tradit Chin Med. 1990;  10 260-263
• 97 Zhao J. Acupuncture treatment of facial paralysis caused by craniocerebral trauma in 50 cases.  J Tradit Chin Med. 2003;  23 47-48
• 98 Rajedran PR, Thompson RE, Reich JR. Traditional and complementary therapies in Parkinson's disease.  Neurology. 2001;  57 790-794
• 99 Verhoef MJ, Hagen N, Pelletier G, Forsyth P. Alternative therapy use in neurologic diseases: use in brain tumor patients.  Neurology. 1999;  52 617-622

1 In Anlehnung an: Murray, L., Hye-Yong, K. (2004): A review of selected alternative treatment approaches for acquired neurogenic disorders: relaxation therapy and acupuncture, Seminars in Speech and Language, 25, 121-132

Korrespondenzadresse