A report from the Department of
Complementary Medicine, School of Postgraduate Medicine and Health
Sciences, University of Exeter, Exeter, UK investigated the role of
complementary and alternative therapies for patients suffering from
Multiple Sclerosis.
Conventional medicine offers no cure
for Multiple sclerosis (MS), a chronic disease of the central nervous
system. However, there is a great need for improved management of symptoms
in palliative care and this is borne out by the popularity of
complementary medical treatments amongst MS sufferers.
This report reviewed whether the
popularity is supported by evidence of effectiveness from rigorous
clinical trials. Database literature searches were performed and papers
were extracted in a pre-defined manner. Twelve randomized controlled
trials were located that investigated a particular
complementary/alternative therapy for MS, including nutritional therapy
(4), massage (1), Feldenkrais bodywork (1), reflexology (1), magnetic
field therapy (2), neural therapy (1) and psychological counselling (2).
The evidence was not found to be compelling for any of the therapies, with
many trials suffering from what were considered to be significant
methodological flaws. However, there was evidence to suggest that
therapeutic benefit was offered by nutritional therapy for the physical
symptoms of MS. Furthermore, magnetic field therapy and neural therapy
both appeared to produce a short-term beneficial effect on the physical
symptoms of MS. Massage/bodywork and psychological counselling were found
to improve depression, anxiety and self-esteem.
The report concluded that there is a
need for larger, controlled studies to investigate more closely how
non-conventional therapies may be utilised to their best advantage for MS
sufferers.