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Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings

BACKGROUND: Many children with chronic disease use complementary therapies. Anthroposophic treatment for paediatric chronic disease is provided by physicians and differs from conventional treatment in the use of special therapies (art therapy, eurythmy movement exercises, rhythmical massage therapy)...

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Autores principales: Hamre, Harald J, Witt, Claudia M, Kienle, Gunver S, Meinecke, Christoph, Glockmann, Anja, Willich, Stefan N, Kiene, Helmut
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2713221/
https://www.ncbi.nlm.nih.gov/pubmed/19545358
http://dx.doi.org/10.1186/1471-2431-9-39
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author Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Meinecke, Christoph
Glockmann, Anja
Willich, Stefan N
Kiene, Helmut
author_facet Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Meinecke, Christoph
Glockmann, Anja
Willich, Stefan N
Kiene, Helmut
author_sort Hamre, Harald J
collection PubMed
description BACKGROUND: Many children with chronic disease use complementary therapies. Anthroposophic treatment for paediatric chronic disease is provided by physicians and differs from conventional treatment in the use of special therapies (art therapy, eurythmy movement exercises, rhythmical massage therapy) and special medications. We studied clinical outcomes in children with chronic diseases under anthroposophic treatment in routine outpatient settings. METHODS: In conjunction with a health benefit program, consecutive outpatients starting anthroposophic treatment for any chronic disease participated in a prospective cohort study. Main outcome was disease severity (Disease and Symptom Scores, physicians' and caregivers' assessment on numerical rating scales 0–10). Disease Score was documented after 0, 6, and 12 months, Symptom Score after 0, 3, 6, 12, 18, and 24 months. RESULTS: A total of 435 patients were included. Mean age was 8.2 years (standard deviation 3.3, range 1.0–16.9 years). Most common indications were mental disorders (46.2% of patients; primarily hyperkinetic, emotional, and developmental disorders), respiratory disorders (14.0%), and neurological disorders (5.7%). Median disease duration at baseline was 3.0 years (interquartile range 1.0–5.0 years). The anthroposophic treatment modalities used were medications (69.2% of patients), eurythmy therapy (54.7%), art therapy (11.3%), and rhythmical massage therapy (6.7%). Median number of eurythmy/art/massage therapy sessions was 12 (interquartile range 10–20), median therapy duration was 118 days (interquartile range 78–189 days). From baseline to six-month follow-up, Disease Score improved by average 3.00 points (95% confidence interval 2.76–3.24 points, p < 0.001) and Symptom Score improved by 2.41 points (95% confidence interval 2.16–2.66 points, p < 0.001). These improvements were maintained until the last follow-up. Symptom Score improved similarly in patients not using adjunctive non-anthroposophic therapies within the first six study months. CONCLUSION: Children under anthroposophic treatment had long-term improvement of chronic disease symptoms. Although the pre-post design of the present study does not allow for conclusions about comparative effectiveness, study findings suggest that anthroposophic therapies may play a beneficial role in the long-term care of children with chronic illness.
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spelling pubmed-27132212009-07-21 Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings Hamre, Harald J Witt, Claudia M Kienle, Gunver S Meinecke, Christoph Glockmann, Anja Willich, Stefan N Kiene, Helmut BMC Pediatr Research Article BACKGROUND: Many children with chronic disease use complementary therapies. Anthroposophic treatment for paediatric chronic disease is provided by physicians and differs from conventional treatment in the use of special therapies (art therapy, eurythmy movement exercises, rhythmical massage therapy) and special medications. We studied clinical outcomes in children with chronic diseases under anthroposophic treatment in routine outpatient settings. METHODS: In conjunction with a health benefit program, consecutive outpatients starting anthroposophic treatment for any chronic disease participated in a prospective cohort study. Main outcome was disease severity (Disease and Symptom Scores, physicians' and caregivers' assessment on numerical rating scales 0–10). Disease Score was documented after 0, 6, and 12 months, Symptom Score after 0, 3, 6, 12, 18, and 24 months. RESULTS: A total of 435 patients were included. Mean age was 8.2 years (standard deviation 3.3, range 1.0–16.9 years). Most common indications were mental disorders (46.2% of patients; primarily hyperkinetic, emotional, and developmental disorders), respiratory disorders (14.0%), and neurological disorders (5.7%). Median disease duration at baseline was 3.0 years (interquartile range 1.0–5.0 years). The anthroposophic treatment modalities used were medications (69.2% of patients), eurythmy therapy (54.7%), art therapy (11.3%), and rhythmical massage therapy (6.7%). Median number of eurythmy/art/massage therapy sessions was 12 (interquartile range 10–20), median therapy duration was 118 days (interquartile range 78–189 days). From baseline to six-month follow-up, Disease Score improved by average 3.00 points (95% confidence interval 2.76–3.24 points, p < 0.001) and Symptom Score improved by 2.41 points (95% confidence interval 2.16–2.66 points, p < 0.001). These improvements were maintained until the last follow-up. Symptom Score improved similarly in patients not using adjunctive non-anthroposophic therapies within the first six study months. CONCLUSION: Children under anthroposophic treatment had long-term improvement of chronic disease symptoms. Although the pre-post design of the present study does not allow for conclusions about comparative effectiveness, study findings suggest that anthroposophic therapies may play a beneficial role in the long-term care of children with chronic illness. BioMed Central 2009-06-19 /pmc/articles/PMC2713221/ /pubmed/19545358 http://dx.doi.org/10.1186/1471-2431-9-39 Text en Copyright © 2009 Hamre et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Meinecke, Christoph
Glockmann, Anja
Willich, Stefan N
Kiene, Helmut
Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title_full Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title_fullStr Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title_full_unstemmed Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title_short Anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
title_sort anthroposophic therapy for children with chronic disease: a two-year prospective cohort study in routine outpatient settings
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2713221/
https://www.ncbi.nlm.nih.gov/pubmed/19545358
http://dx.doi.org/10.1186/1471-2431-9-39
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