Division of Rehabilitation Medicine, University of Ottawa, The Rehabilitation Centre, 505 Smyth Road, Ottawa, Ontario, Canada K1H 8M2. jblackmer@ottawahospital.on.ca
Many patients use alternative therapies. The purpose of this study was to determine the percentage of stroke rehabilitation patients in Saskatchewan using alternative therapies, whether patients found these therapies effective in alleviating stroke-related symptoms, how often those patients who used alternative therapies discuss this fact with their primary care doctor and the main reason why patients might not do so.
Telephone questionnaire surveys were conducted with 117 patients who had suffered a stroke and undergone inpatient or outpatient rehabilitation at Saskatoon City Hospital.
The study revealed that 26.5% of 117 stroke rehabilitation patients visited alternative practitioners at least once or used some form of unconventional therapy. Only 16.1% of patients found that alternative therapy made them feel much better. Of those who used alternative therapy, 61.3% did not discuss this fact with their primary physician. Many of the respondents (47.3%) who did not inform their physician stated that they did not see the necessity of talking about these treatments and 21.1% did not discuss the issue with their physician because they felt that he or she might disapprove of alternative therapies.
A relatively small percentage of stroke patients found alternative therapies beneficial. Doctors should be aware that a significant number of patients will try alternative treatment without discussion with their primary care physician or specialist. The current study suggests that after completing routine questioning, doctors should also ask their patients about their use of alternative therapies and, when appropriate, review issues of safety and efficacy.
Notes
Cites: Lancet. 2000 Feb 12;355(9203):548-910683008
Cites: Lancet. 2000 Feb 12;355(9203):576-710683030
Cites: Arch Phys Med Rehabil. 2000 May;81(5):662-710807108
Cites: Br Med J (Clin Res Ed). 1985 Jan 5;290(6461):28-92981134
Cites: Med J Aust. 1985 May 13;142(10):539-413990603
Cites: Med J Aust. 1985 May 13;142(10):547-513887110
Cites: Lancet. 1985 Sep 7;2(8454):542-52863553
Cites: N Engl J Med. 1992 Jan 2;326(1):61-41727068