Effect of Reiki treatments on functional recovery in patients in poststroke rehabilitation: a pilot study.
Effect of Reiki treatments on functional recovery in patients in poststroke rehabilitation: a pilot study.
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DOI：
10.1089/10755530260511766
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发表时间：
2002-12
影响因子：
2.6
通讯作者：
S. Shiflett;Sangeetha Nayak;C. Bid;P. Miles;Sandra Agostinelli
中科院分区：
文献类型：
--
作者：
S. Shiflett;Sangeetha Nayak;C. Bid;P. Miles;Sandra Agostinelli
本研究的三个目的是：（1）评估灵气作为亚急性中风患者的有效性，这些患者作为住院患者接受标准康复治疗，（2）评估培训灵气从业者的双盲程序，以及（3）确定双盲灵气和假从业者是否可以确定他们属于哪一类。设计：一项改良的双盲、安慰剂对照的临床试验，增加了一个历史对照条件。单位：一家大型康复医院的卒中科。50例亚急性缺血性脑卒中住院患者，男31例，女19例。干预有四个条件：灵气大师，灵气从业者，假灵气，没有治疗（历史对照）。受试者除了标准康复外，还在2（1/2）周的时间内接受多达10次治疗。观察指标：功能独立性测量（Functional Independence Measure，CES-D）和流行病学研究中心-抑郁测量。结果：灵气没有影响到患者的睡眠质量或CES-D，尽管检测到了年龄、性别和康复时间的典型影响。盲目的从业者（假或灵气）无法确定他们属于哪一类。与灵气练习者相比，Sham Reiki练习者报告了更高频率的手部发热。在感觉能量流过双手的能力方面，假灵气练习者和真实的灵气练习者之间没有报道的差异。事后分析表明，灵气可能对情绪和能量水平的影响有限。结论灵气对接受标准护理康复治疗的亚急性住院患者的脑卒中恢复没有任何临床有用的影响。对情绪和精力的选择性积极影响不是注意力或安慰剂效应的结果。
OBJECTIVES The three objectives of this study were: (1) to evaluate the effectiveness of Reiki as an adjunctive treatment for patients with subacute stroke who were receiving standard rehabilitation as inpatients, (2) to evaluate a double-blinded procedure for training Reiki practitioners, and (3) to determine whether or not double-blinded Reiki and sham practitioners could determine which category they were in. DESIGN A modified double-blinded, placebo-controlled clinical trial with an additional historic control condition. SETTING The stroke unit of a major rehabilitation hospital. SUBJECTS Fifty (50) inpatients with subacute ischemic stroke, 31 male and 19 female. INTERVENTIONS There were four conditions: Reiki master, Reiki practitioner, sham Reiki, and no treatment (historic control). Subjects received up to 10 treatments over a 2(1/2)-week period in addition to standard rehabilitation. OUTCOME MEASURES Functional independence measure (FIM), and Center for Epidemiologic Studies--Depression (CES-D) measure. RESULTS No effects of Reiki were found on the FIM or CES-D, although typical effects as a result of age, gender, and time in rehabilitation were detected. Blinded practitioners (sham or reiki) were unable to determine which category they were in. Sham Reiki practitioners reported greater frequency of feeling heat in the hands compared to Reiki practitioners. There was no reported difference between the sham and the real Reiki practitioners in their ability to feel energy flowing through their hands. Post hoc analyses suggested that Reiki may have had limited effects on mood and energy levels. CONCLUSION Reiki did not have any clinically useful effect on stroke recovery in subacute hospitalized patients receiving standard-of-care rehabilitation therapy. Selective positive effects on mood and energy were not the result of attentional or placebo effects.