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Dr Romy Lauche

Biography

Romy is a Chancellor’s post-doctoral research fellow at the Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney. Romy has a background and qualifications in psychology (MSc), and received her PhD in medical sciences.

She received comprehensive training in research methodology; and has extensive experience in clinical research, systematic reviews, meta-analysis, mixed-methods research and statistical analyses of large population health datasets. Romy has (co-)supervised PhD students, and established a seminar on research methodology in complementary and integrative medicine at the Department of Internal and Integrative Medicine, Faculty of Medicine of the University of Duisburg-Essen.

Romy’s current research program includes a focus upon the use of complementary medicine and self-care use for older adults with depression and anxiety as well as projects exploring yoga, Tai Chi and self-care in the context of chronic illness, and the analyses of large national and international population health datasets.

Professional

Romy has editorial roles for several international peer-reviewed journals such as Complementary Therapies in Medicine, Forschende Komplementärmedizin, Advances in Integrative Medicine and Alternative and Integrative Medicine, and guest edited a special issue for Evidence-Based Complementary and Alternative Medicine. Romy has also served as ad-hoc reviewer for more than 50 scientific journals including Acta Neuropsychologica, BMJ Open, Clinical Rheumatology, Current Oncology, Journal of Alternative and Complementary Medicine, Medicine, PLoS One, Quality of Life Research, Scandinavian Journal of Rheumatology and Trials; and for grant applications such as the Health and Medical Research Fund, Government of the Hong Kong Special Administrative Region (HKSAR).

Key achievements:

  • 2015 Chancellor’s Postdoctoral Research Fellowship, University of Technology Sydney, Sydney, Australia
  • 2014 International Complementary Medicine Research Leadership and Capacity Building Program Research Fellow, Australian Research Centre in Complementary and Integrative Medicine Research, University of Technology Sydney, Sydney, Australia
  • 2014 Trainee Poster Award for outstanding poster presentation, The International Society for Complementary Medicine Research, Miami, FL, USA
  • 2012 The Hufeland Research Award for Complementary Medicine Research 2011
  • 2009-2011 PhD scholarship of the University of Duisburg-Essen

Conference grants/scholarships

  • 2016 Distinguished New Investigator Travel Scholarships for the International Conference on Integrative Medicine and Health, Las Vegas, NV, USA
  • 2016 Staff Development and Conference Funding Travel Grant, University of Technology Sydney, for the 11. International Conference on Integrative Medicine and Health, Las Vegas, NV, USA
  • 2015 Conference Travel Grant, German Academic Exchange Service (DAAD) for the 10.  International Congress on Complementary Medicine Research, Jeju, Korea
  • 2014 Conference Travel Grant, German Academic Exchange Service (DAAD) for the 9.  International Congress on Complementary Medicine Research, Miami, USA
  • 2012 Conference Travel Grant, German Academic Exchange Service (DAAD) for the 7. International Congress on Complementary Medicine Research, Portland, OR, USA
  • 2011 Conference Travel Grant, German Academic Exchange Service (DAAD) for the 6. International Congress on Complementary Medicine Research, Chengdu, VR China
  • 2010 Conference Travel Grant, German Academic Exchange Service (DAAD) for the 5. International Congress on Complementary Medicine Research, Tromsø,  Norway
  • 2009 Trainee Travel Award for the International Research Conference for Integrative Medicine and Health, Minneapolis, MN, USA
Image of Romy Lauche
Chancellor's Postdoctoral Research Fellow, Faculty of Health
Core Member, CHSP - Health Services and Practice
Dipl.-Psych., Dr. rer. medic.
 
Phone
+61 2 9514 4915

Research Interests

Romy’s research interests include the examination of complementary medicine, especially around mindfulness interventions such as yoga, Tai Chi, or meditation; manual therapies; and naturopathy. Her current research focuses on the use of self-care in the context of chronic illness such as depression and anxiety, chronic pain, and cardiovascular diseases.

Romy’s utilizes a broad range of methods from clinical trials, to systematic reviews and meta-analysis, and the analyses of large national and international population health datasets.

Can supervise: Yes

Conferences

Lauche, R., Stumpe, C., Fehr, J., Cramer, H., Cheng, Y.W., Wayne, P.M., Rampp, T., Langhorst, J. & Dobos, G. 2016, 'The effects of Tai Chi and neck exercises in the treatment of chronic non-specific neck pain – A randomized controlled trial', The Journal of Alternative and Complementary Medicine, The International Congress on Integrative Medicine & Health, Las Vegas, NV, USA, pp. A15-A15.
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Purpose: Tai Chi seems effective for many musculoskeletal conditions. This study aimed to test the efficacy of Tai Chi and neck exercises for treating chronic non-specific neck pain. Methods: Patients suffering from chronic non-specific neck pain were randomly assigned to 12 weeks of group Tai Chi or neck exercises, or usual care. Patients attended weekly sessions of 75–90 minutes, and were advised to practice 15 minutes daily. The primary outcome measure was pain intensity (visual analog scale). Secondary outcomes included pain on movement, functional disability, quality of life, psychological well-being and perceived stress, postural and interoceptive awareness, satisfaction and safety. Results: A total of 114 patients were included in this study (91 females, 49.4±11.7 years). After 12 weeks patients practicing Tai Chi reported significantly less pain compared to usual care (difference: 10.5; 95% CI: 20.3, 0.9; p=0.033). Significant effects were also found for pain on movement, functional disability and quality of life compared to usual care. No group differences were found for Tai Chi compared to neck exercises. Changes in pain intensity were predicted by age and baseline pain intensity, changes in postural awareness and the number of attended classes. Patients were satisfied with both active interventions and only minor side effects were observed. Conclusion: Twelve weeks of Tai Chi were more effective than usual care to improve pain, disability, quality of life and postural control in patients with chronic non-specific neck pain. Since Tai Chi was equally efficacious, it may be considered a suitable alternative for conventional neck exercises.
Lauche, R., Wayne, P.M., Dobos, G. & Cramer, H. 2016, 'Prevalence, Patterns, and Predictors of Tai Chi and Qigong Use in the US: Results From a Nationally Representative Survey', The Journal of Alternative and Complementary Medicine, The International Congress on Integrative Medicine and Health, Las Vegas, NV, USA, pp. A79-A80.
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Purpose: This study examined the prevalence, patterns, and predictors of Tai Chi and Qigong use in the US general population. Methods: Cross-sectional data from the 2012 National Health Interview Survey (NHIS) (n=34, 525), with weighted frequencies were used to analyze lifetime and 12-month prevalence and patterns of use. Independent predictors of practice were analyzed using logistic regression models. Analyzes were conducted in 2015. Results: The lifetime and 12-month prevalence of Tai Chi/Qigong practice were 3.1% and 1.2%, respectively. 12-month prevalence was associated with age above 30 years (PR 1.50–2.11); being African American (OR 1.56), Asian (OR 1.69) or of other ethnic origin (OR 2.36); living in the West, being college educated (OR 2.51), single and light to heavy alcohol consumer (OR 1.51–1.75). Among those practitioners, 38.6% attended formal classes. Tai Chi/Qigong was practiced for general wellness/disease prevention (74.2%), to improve energy (67.2%), immune function (40.5%), or athletic performance (40.6%) and memory/concentration (38.1%). Stress, arthritis and joint problems (each 13.3%) were the most frequent specific health problems for Tai Chi/Qigong practice. Conclusion: The 12-month prevalence of Tai Chi/Qigong practice only marginally increased over the past 10 years. Nowadays not only Asians, but also African Americans and those of other ethnic origin were now more likely to practice Tai Chi/Qigong. Given that minorities are less likely to participate in health promoting activities, Tai Chi and Qigong might be specifically attractive for this population. The analysis also highlighted gaps between clinical application and research in certain areas, where research does not match utilization patterns.
Cramer, H., Schaefer, M., Schoels, M., Koecke, J., Elsenbruch, S., Lauche, R., Engler, H., Dobos, G. & Langhorst, J. 2016, 'A Randomized Controlled Trial on Yoga for Ulcerative Colitis', Gastroenterology, Digestive Disease Week, San Diego, CA, USA, pp. S88-S88.
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Haller, H., Baumann, N., Lauche, R., Dobos, G. & Ostermann, T. 2016, 'Emotional Release in Manual Therapies: A Systematic Review and Meta-synthesis', Journal of Alternative and Complementary Medicine, International Congress on Integrative Medicine and Health, Mary Ann Liebert, Las Vegas, NV, USA, pp. A60-A61.
Lauche, R., Adams, J., Ostermann, T., Fuller, N.R., Sibbritt, D. & Cramer, H. 2016, 'Associations between yoga/meditation, body satisfaction and weight control in Australian mid-aged women', Abstract Book, Public Health Association of Australia 44th Annual and 20th Chronic Diseases Network Conference, Alice Springs, NT, Australia, pp. 37-37.
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Lauche, R., Adams, J., Sibbritt, D. & Cramer, H. 2016, 'The association between yoga/meditation practice and falls among older Australian women', Abstract Book, Public Health Association of Australia 44th Annual and 20th Chronic Diseases Network Conference, Alice Springs, NT, Australia, pp. 36-36.
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Langhorst, J., Klose, P., Lauche, R., Cramer, H. & Dobos, G. 2015, 'Mistletoe in the German medical AWMF S2-and S3-guidelines', PHYTOMEDICINE, Mistletoe in Tumor Therapy. Basic Research and Clinical Practice. 6th Mistletoe Symposium, Nonnweiler, Germany, pp. S7-S7.
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Langhorst, J., Lauche, R., Rasch, M., Cramer, H., Klose, P. & Dobos, G.J. 2015, 'Systemic Review with meta-analysis on Complementary and Alternative Medicine Treatments in hepatitis', Integrative Medicine Research, 10. International Congress on Complementary Medicine Research, Jeju, Korea, pp. 128-128.
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Lauche, R., Romeikat, N., Cramer, H., Al-Abtah, J., Saha, F. & Dobos, G. 2015, 'Efficacy of cabbage leaf wraps in treating symptomatic osteoarthritis of the knee – A randomized controlled trial', Integrative Medicine Research, 10. International Congress on Complementary Medicine Research, Jeju, Korea, pp. 16-16.
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Lauche, R., Schwahn, B., Spitzer, J., Cramer, H., Ostermann, T., Bernardy, K., Dobos, G. & Langhorst, J. 2015, 'Efficacy of cupping therapy in patients with the fibromyalgia syndrome – a randomized sham-controlled controlled trial', Integrative Medicine Research, 10. International Congress on Complementary Medicine Research, Jeju, Korea, pp. 20-20.
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Cramer, H., Rabilber, S., Lauche, R., Kümmel, S. & Dobos, G. 2015, 'Randomized controlled trial of yoga and meditation for menopausal symptoms in breast cancer survivors', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 3-4.
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Haller, H., Wang, T., Lauche, R., Choi, K.-.E., Voi, P., Felber, S., Pannenbäcker, J., Ataseven, B., Paul, A., Dobos, G. & Kümmel, S. 2015, 'Hypoglossal acupuncture for dysgeusia in cancer patients undergoing chemotherapy: Study protocol of a randomized sham-controlled trial', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 39-39.
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Lauche, R., Spitzer, J., Schwahn, B., Cramer, H., Ostermann, T., Bernardy, K., Dobos, G. & Langhorst, J. 2015, 'Efficacy of cupping therapy in patients with the fibromyalgia syndrome – A randomized sham controlled trial', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 13-13.
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Lauche, R., Romeikat, N., Cramer, H., Al-Abtah, J., Saha, F. & Dobos, G. 2015, 'Efficacy of cabbage leaf wraps in treating symptomatic osteoarthritis of the knee – A randomized controlled trial', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 12-12.
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Saha, F., Ostermann, T., Jacob, N., Cramer, H., Dobos, G. & Lauche, R. 2015, 'Effects of a mechanical needle stimulation pad on chronic low back pain – An observational trial', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 48-49.
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Haller, H., Lauche, R., Cramer, H., Rampp, T., Saha, F.J., Ostermann, T. & Dobos, G. 2015, 'Craniosacral therapy efficacy in chronic neck pain: A follow-up study', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 38-38.
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Haller, H., Cramer, H., Lauche, R., Dobos, G. & Berger, B. 2015, 'Asking the experts: A qualitative analysis of patient-centered outcomes for Craniosacral Therapy research', European Journal of Integrative Medicine, 7. European Congress for Integrative Medicine, Kopenhagen, Denmark, pp. 7-8.
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Cramer, H., Ward, L., Saper, R., Fishbein, D., Dobos, G. & Lauche, R. 2015, 'A systematic review and meta-analysis on the safety of yoga', Integrative Medicine Research, 10. International Congress on Complementary Medicine Research, Jeju, Korea, pp. 81-81.
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Haller, H., Cramer, H., Lauche, R., Dobos, G. & Berger, B. 2015, 'Patients' experiences of Craniosacral Therapy in the treatment of chronic neck pain: a qualitative analysis of health outcomes', Integrative Medicine Research, 10. International Congress on Complementary Medicine Research, Jeju, Korea, pp. 89-89.
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Azizi, H., Lauche, R., Dobos, G., Langhorst, J. & Cramer, H. 2015, 'Yoga for multiple sclerosis: a systematic review and meta-analysis', 1. International Congress of Complementary and Alternative Medicine, Mashad, Iran.
Langhorst, J., Boone, J.H., Lauche, R., Rueffer, A. & Dobos, G.J. 2014, 'Fecal Lactoferrin, Calprotectin, PMN-Elastase, CRP and White Blood Count As Indicator for Clinical Course of Disease and Mucosal Healing in Patients With Ulcerative Colitis: A Prospective 12-Month Monitoring Study', GASTROENTEROLOGY, Digestive Disease Week, Chicago, USA, pp. S234-S234.
Cramer, H., Pokhrel, B., Gass, F., Eisenmann, C., Lauche, R., Meier, B., Walz, M.K., Dobos, G. & Langhorst, J. 2014, 'Hatha Yoga for Patients with Colorectal Cancer: A Randomized Controlled Mixed-Methods Study', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, FL, USA, pp. A52-A53.
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Lauche, R., Janzen, A., Lüdtke, R., Cramer, H., Dobos, G. & Langhorst, J. 2014, 'Efficacy of Caraway Oil Poultices in Treating Irritable Bowel Syndrome: A Randomized Controlled Cross-Over Trial', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, FL, USA, pp. A81-A82.
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Lauche, R., Schuth, M., Schwickert, M., Lüdtke, R., Musial, F., Michalsen, A., Dobos, G. & Choi, K.-.E. 2014, 'Efficacy of Alexander Technique in the Treatment of Chronic Non-Specific Neck Pain: A Randomized Controlled Trial', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, FL, USA, pp. A59-A59.
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Lauche, R., Kumar, S., Kreppenhofer, J., Lüdtke, R., Rampp, T., Dobos, G. & Langhorst, J. 2014, 'Efficacy and Safety of Ayurvedic Herbs in Diarrhea-Predominant Irritable Bowel Syndrome – A Randomized Controlled Cross-Over Trial', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, USA, pp. A81-A81.
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Haller, H., Lauche, R., Cramer, H., Rampp, T., Saha, F.J., Ostermann, T. & Dobos, G.J. 2014, 'Craniosacral Therapy for the Treatment of Chronic Neck Pain: A Follow-up Study', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, USA, pp. A18-A18.
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Haller, H., Ostermann, T., Lauche, R., Cramer, H. & Dobos, G.J. 2014, 'Controlling for Placebo Effects in Clinical Trials of Craniosacral Therapy: Blinding Success and Credibility of a New Sham-Control Protocol', The Journal of Alternative and Complementary Medicine, 9. International Congress on Complementary Medicine Research, Miami, USA, pp. A130-A130.
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Langhorst, J., Lauche, R., Janzen, A., Lüdtke, R., Cramer, H. & Dobos, G.J. 2014, 'Efficacy of Caraway Oil Poultices in the Treatment of Irritable Bowel Syndrome -A Randomized Controlled Cross-Over Trial', Gastroenterology, Digestive Disease Week, Chicago, USA, pp. S192-S192.
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Abstract Sa1071
Langhorst, J., Boone, J., Lauche, R., Rueffer, A. & Dobos, G. 2014, 'Fecal Lactoferrin, Calprotectin, PMN-Elastase, CRP and white blood count as indicators for mucosal healing and clinical course in patients with ulcerative colitis – a prospective 12-month monitoring study', Journal of Crohn's and Colitis, United European Gastroenterology Week, Oxford University Press (OUP): Policy C - Option B, Vienna, Austria, pp. S269-S269.
Lauche, R., Materdey, S., Cramer, H., Haller, H., Stange, R., Dobos, G. & Rampp, T. 2013, 'The effect of a 3 months home use of cupping massage on chronic non-specific neck pain', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 29-29.
Schmidt, S., Cramer, H. & Lauche, R. 2013, 'Mindfulness-based stress reduction for the treatment of fibromyalgia – a systematic review and meta-analysis', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 104-104.
Cramer, H., Lauche, R., Hohmann, C., Langhorst, J. & Dobos, G. 2013, 'Long-term effectiveness of yoga for chronic neck pain', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 61-62.
Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2013, 'A systematic review and meta-analysis of yoga for depression', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 19-19.
Cramer, H., Lauche, R., Langhorst, J., MIchalsen, A. & Dobos, G. 2013, 'Characteristics of yoga users among internistic patients', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 62-62.
Cramer, H., Lauche, R., Moebus, S., Michalsen, A., Langhorst, J., Paul, A. & Dobos, G. 2013, 'Motivational and psychological factors predicting lifestyle changes after an integrative medicine inpatient program', Forschende, 8. International Congress on Complementary Medicine Research, London, GB, pp. 19-19.
Haller, H., Cramer, H., Lauche, R., Gass, F., Rampp, T., Saha, F. & Dobos, G. 2013, 'Craniosacral Therapy in chronic neck pain – a randomized sham-controlled trial', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 73-73.
Müller, M., Lauche, R., Schleenbecker, H., Lüdtke, R., Lengsfeld, M., Dobos, G., Michalsen, A. & Musial, F. 2013, 'Treatment of knee osteoarthritis utilising hirudo medicinalis – effects on clinical pain and mechanical sensory thresholds', Forschende Komplementarmedizin, 8. International Congress on Complementary Medicine Research, London, GB, pp. 33-34.
Cramer, H., Lauche, R., Hohmann, C., Langhorst, J. & Dobos, G. 2013, 'A 12-month follow-up of yoga for chronic neck pain', Forschende Komplementärmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany.
Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2013, 'Efficacy of yoga for treating depression: a systematic review and meta-analysis', Forschende Komplementärmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany, pp. 48-48.
Cramer, H., Lauche, R., Langhorst, J., Kümmel, S. & Dobos, G. 2013, 'Hypnosis in breast cancer care - a systematic review of randomized-controlled trials', Forschende Komplementärmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany, pp. 31-31.
Lauche, R., Cramer, H., Häuser, W., Dobos, G. & Langhorst, J. 2013, 'A systematic review and meta-analysis of Qigong for the fibromyalgia syndrome', Forschende Komplementarmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany, pp. 6-6.
Lauche, R., Cramer, H., Langhorst, J., Dobos, G. & Schmidt, S. 2013, 'Mindfulness-based stress reduction for fibromyalgia - a systematic review of randomized-controlled trials', Forschende Komplementarmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany, pp. 15-15.
Lauche, R., Materdey, S., Cramer, H., Haller, H., Stange, R., Dobos, G. & Rampp, T. 2013, 'The effect of a 3 months home use of cupping massage on chronic non-specific neck pain', Forschende Komplementarmedizin, 6. European Congress for Integrative Medicine, Berlin, Germany, pp. 6-6.
Lauche, R., Cramer, H., Häuser, W., Dobos, G. & Langhorst, J. 2013, 'Die Wirksamkeit von Qigong in der Behandlung der Fibromyalgie - ein systematischer Review mit Metaanalyse', Der Schmerz, Schmerzkongress, Springer Verlag (Germany), Hamburg, Germany, pp. 73-73.
Lauche, R., Cramer, H., Langhorst, J., Dobos, G. & Schmidt, S. 2013, 'Die Wirksamkeit der achtsamkeitsbasierten Stressreduktion bei Fibromyalgie - ein systematischer Review mit Metaanalyse', Der Schmerz, Schmerzkongress, Springer Verlag (Germany), Hamburg, Germany, pp. 73-74.
Lauche, R., Cramer, H., Paul, A. & Dobos, G. 2012, 'Effectiveness of mindfulness-based stress reduction (MBSR) for breast cancer – a systematic review and meta-analysis', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 126-127.
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Lauche, R., Langhorst, J., Dobos, G. & Cramer, H. 2012, 'Tai chi for osteoarthritis of the knee – a systematic review and meta-analysis', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 136-136.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2012, 'Efficacy of preoperative hypnosis in breast cancer surgery – a systematic review and meta-analysis', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 127-127.
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Paul, A., Lauche, R., Cramer, H., Altner, N., Langhorst, J. & Dobos, G. 2012, 'The Integrative Day-Care Clinic for chronically ill patients: concept presentation and case report', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 122-122.
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Lauche, R., Cramer, H., Moebus, S., Paul, A., Langhorst, J. & Dobos, G. 2012, 'Effects of a 14-day inpatient stay at a clinic for internal and integrative medicine – an observational trial', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 196-197.
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Cramer, H., Lauche, R., Haller, H., Langhorst, J. & Dobos, G. 2012, 'Efficacy of yoga and of mindfulness-based stress reduction in low back pain–systematic reviews with meta-analyses', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 26-26.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2012, 'Efficacy of yoga and of mindfulness-based stress reduction for menopausal symptoms – systematic reviews and meta-analyses', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 148-149.
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Lauche, R., Cramer, H., Langhorst, J. & Dobos, G. 2012, 'Efficacy of medicinal leech therapy in osteoarthritis of the knee–a systematic review and meta-analysis', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 26-26.
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Cramer, H., Lauche, R., Moebus, S., Paul, A., Langhorst, J. & Dobos, G. 2012, 'Effects of lifestyle behaviour change after a 14-day integrative medicine hospital inpatient stay', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 78-78.
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Haller, H., Lauche, R., Cramer, H., Gass, F., Rampp, T., Saha, F. & Dobos, G. 2012, 'Craniosacral therapy in chronic neck pain patients–a randomised sham-controlled trial', European Journal of Integrative Medicine, 5. European Congress for Integrative Medicine, Florence, Italy, pp. 28-29.
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Lauche, R., Cramer, H., Vasmer, J., Paul, A., Dobos, G. & Rampp, T. 2012, 'Integrative integrated migraine care - preliminary evaluation', BMC Complementary and Alternative Medicine, 7. International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 76-76.
Lauche, R., Dobos, G. & Cramer, H. 2012, 'Clinically meaningful differences in pain and disability after cupping treatment for chronic neck pain – a reanalysis of 4 randomized controlled trials', BMC Complementary and Alternative Medicine, 7. International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 39-39.
Cramer, H., Lauche, R., Paul, A. & Dobos, G. 2012, 'Mindfulness-based stress reduction (MBSR) for breast cancer – A systematic review of randomized controlled trials', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 81-81.
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Cramer, H., Lauche, R., Haller, H., Dobos, G. & Berger, B. 2012, 'Becoming aware of your body - A qualitative study on yoga for chronic neck pain patients', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 127-128.
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Franzel, B., Schwiegershausen, M., Lauche, R., Heusser, P. & Berger, B. 2012, 'Meta-Ethnography: Concepts of integrative and person-centred medicine from the perspectives of patients using complementary therapies', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 130-130.
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Langhorst, J., Lauche, R., Wulfert, H., Bäcker, M., Klose, P. & Dobos, G. 2012, 'Qualitative Systematic Review on Complementary and Alternative Medicine Treatments in inflammatory Bowel diseases', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 68-68.
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Rasche, M., Lauche, R., Lüdtke, R., von Hein, S., Saha, F., Rampp, T., Langhorst, J., Dobos, G. & Musial, F. 2012, 'Schematic Body Drawings (mSBD) as an outcome measure for CAM interventions in Chronic Back and Neck Pain', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 86-86.
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Schumann, S., Lauche, R., Irmisch, G., Hohmann, C., Rolke, R., Saha, F., Cramer, H., Choi, K.E., Langhorst, J., Rampp, T., Dobos, G. & Musial, F. 2012, 'The effects of 5 sessions of cupping massage on chronic non-specific neck pain: A randomized controlled pilot study', BMC Complementary and Alternative Medicine, 7th International Congress on Complementary Medicine Research, BioMed Central, Portland, OR, USA, pp. 80-80.
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Haller, H., Lauche, R., Cramer, H., Gass, F., Rampp, T., Saha, F. & Dobos, G. 2012, 'Craniosacrale Therapie zur Behandlung chronischer Nackenschmer¬zen – eine randomisierte Sham-kontrollierte Evaluationsstudie', Der Schmerz: Konzepte, Klinik und Forschung, Deutscher Schmerzkongress, Springer Verlag (Germany), Mannheim, Germany, pp. 118-118.
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Lauche, R., Cramer, H., Haller, H., Musial, F., Langhorst, J., Dobos, G. & Berger, B. 2012, 'Mein Rücken schrumpft: Der Einfluss des traditionellen Schröpfens auf die Körperwahrnehmung bei Patienten mit chronischen unspezifischen Nackenschmerzen.', Der Schmerz: Konzepte, Klinik und Forschung, Deutscher Schmerzkongress, Springer Verlag (Germany), Mannheim, Germany, pp. 81-82.
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Lauche, R., Cramer, H., Hohmann, C., Choi, K.E., Rampp, T., Saha, F., Musial, F., Langhorst, J. & Dobos, G. 2012, 'Die Wirksamkeit einer einmaligen Behandlung mit traditionellem Schröpfen bei Patienten mit chronischen unspezifischen Nackenschmerzen', Der Schmerz: Konzepte, Klinik und Forschung, Deutscher Schmerzkongress, Springer Verlag (Germany), Mannheim, Germany, pp. 83-83.
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Lauche, R., Cramer, H., Langhorst, J. & Dobos, G. 2012, 'Wirksamkeit der Blutegeltherapie bei Kniearthrose – eine systematische Übersichtsarbeit und Metaanalyse', Der Schmerz: Konzepte, Klinik und Forschung, Deutscher Schmerzkongress, Springer Verlag (Germany), Mannheim, Germany, pp. 84-84.
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Lauche, R., Cramer, H., Haller, H., Musial, F., Langhorst, J., Dobos, G. & Berger, B. 2011, 'My body shrinks – the influence of traditional cupping on the body image in patients with chronic non-specific neck pain', Journal of Traditional Chinese Medicine, 6. International Congress on Complementary Medicine Research, Chengdu, VR China, pp. 46-46.
Lauche, R., Cramer, H., Hohmann, C., Rampp, T., Saha, F., Musial, F. & Dobos, G. 2011, 'A single application of traditional cupping and its effects on chronic neck pain and mechanical thresholds– a randomised controlled pilot study', Journal of Traditional Chinese Medicine, 6. International Congress on Complementary Medicine Research, Chengdu, VR China, pp. 45-46.
Cramer, H., Hohmann, C., Lauche, R., Haller, H., Lüdtke, R., Michalsen, A., Langhorst, J., Musial, F. & Dobos, G. 2011, 'Randomized controlled trial of Iyengar yoga for chronic neck pain', Journal of Traditional Chinese Medicine, 6th International Congress on Complementary Medicine Research, Chengdu, China, pp. 17-17.
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Cramer, H., Lauche, R., Hohmann, C., Rampp, T., Langhorst, J., Dobos, G. & Musial, F. 2011, 'Pneumatic pulsation therapy for treating chronic neck pain - a randomized controlled trial on a new cupping technique using a pulsating vacuum', Journal of Traditional Chinese Medicine, 6th International Congress on Complementary Medicine Research, Chengdu, China, pp. 17-18.
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Lauche, R. 2010, 'The influence of a series of 5 dry cupping treatments on neck pain and mechanical thresholds - a randomized controlled pilot study', ICCMR 2010 Abstract book revised version, 5. International Congress on Complementary Medicine Research, Tromsø, Norway, pp. 34-34.
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Musial, F., Hohmann, C., Ulrich, I., Lauche, R., Choi, K.E., Lüdtke, R., Rampp, T., Michalsen, A. & Dobos, G. 2010, 'The effect of an acupressure pad on chronic neck and lower back pain and mechanical sensory thresholds - two randomized controlled pilot studies', ICCMR 2010 Abstract book, revised version, 5th International Congress on Complementary Medicine Research, Tromsø, Norway, pp. 34-34.
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Lauche, R., Wübbeling, K., Rampp, T., Michalsen, A., Dobos, G. & Musial, F. 2009, 'Randomized controlled pilot study: quantitative sensory testing in patients with back pain before and after Gua Sha massage', Alternative Therapies in Health and Medicine, 4. International Congress on Complementary Medicine Research, InnoVision Health Media, Minneapolis, MN, USA, pp. S112-S113.
Kolassa, I.T., Musial, F., Lauche, R., Buchmann, A., Trippe, R.H. & Miltner, W.H.R. 2006, 'Behavioral and electrophysiological responses to a series of schematic spider/flower pictures in spider phobic individuals, spider aficionados and social phobic and nonphobic control persons', JOURNAL OF PSYCHOPHYSIOLOGY, Annual Meeting of the German Society of Psychophysiology, Dresden, Germany, pp. 130-130.
Musial, F., Kolassa, I.T., Trippe, R.H., Riske, S., Lauche, R. & Miltner, W.H.R. 2005, '"A smile is just a smile": Valence and arousal ratings, reaction times and ERPs in response to schematic faces in social phobics', JOURNAL OF PSYCHOPHYSIOLOGY, Annual Meeting of the German Society of Psychophysiology, Bochum, Germany, pp. 134-134.

Journal articles

Ostermann, T., Lauche, R., Cramer, H. & Dobos, G. 2017, 'Comparative cost analysis of inpatient integrative medicine-Results of a pilot study', Complementary Therapies in Medicine.
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© 2016 Elsevier Ltd.Background: Costs of integrative treatment alone and in comparison with other treatment approaches have scarcely been reported in the past. This study presents results of a comparative cost analysis of an inpatient integrative medicine treatment costs. Methods: Data from 2006 for inpatients referred to a Department of Integrative Medicine in Germany were used. Case-related treatment costs were calculated, and transformed into Casemix-Indices and revenues per DRG. Costs were compared between departments at the same hospital and between different hospitals using univariate statistics and Chi-Square tests. Results: In total 1253 inpatients (81.4% female, 61.1. ±. 14.4. years) were included in the current analysis. Most patients were treated for diseases of the musculoskeletal system (57.2%), followed by diseases of the digestive system (11.4%), and diseases of the nervous system (10.4%). The department received an additional payment for most of the patients (88.0%), which led to an effective appreciation of 10.8% per case compared to the standardized Casemix-Index. In-house comparisons with other departments found the department in close vicinity to the departments of Internal medicine with regards to CMI and mean revenue, however the Patient Clinical Complexity Level was significantly lower in the Integrative medicine department. The interhospital comparison revealed comparable Casemix-Index and DRG-revenue, however the additional payment increased the mean revenue significantly. Conclusion: Modern integrative in-patient treatment is mostly cost-equivalent to conventional treatment. Cost effectiveness studies should be considered to further investigate the potential of integrative in patient treatment.
Anheyer, D., Lauche, R., Schumann, D., Dobos, G. & Cramer, H. 2017, 'Herbal medicines in children with attention deficit hyperactivity disorder (ADHD): A systematic review', Complementary Therapies in Medicine, vol. 30, pp. 14-23.
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© 2016 Elsevier LtdObjective The purpose of this review is to identify evidence in herbal therapy in the treatment of ADHD concerning effectiveness and drug tolerability. Method For this Medline/PubMed, Scopus and the Cochrane Central Register of Controlled Trials (Central) were searched from their inception to 15 July 2016. Only randomized controlled trails (RCT) with children (0–18 years) suffering from ADHD were included in this review. Results Nine RCTs with 464 patients comparing herbal pharmaceuticals to placebo or active control were included. Seven different herbs were tested in the treatment of ADHD symptoms. Low evidence could be found for Melissa officinalis, Valeriana officinalis and Passiflora incarnata. Limited evidence could be found for pine bark extract and Gingko biloba. The other herbal preparations showed no efficacy in the treatment of ADHD symptoms. Conclusion While there is still a lack of sufficient numbers of RCTs no concrete recommendations for use can be made so far.
Adams, J., Lauche, R., Peng, W., Steel, A., Moore, C., Amorin-Woods, L.G. & Sibbritt, D. 2017, 'A workforce survey of Australian chiropractic: the profile and practice features of a nationally representative sample of 2,005 chiropractors.', BMC Complement Altern Med, vol. 17, no. 1, p. 14.
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BACKGROUND: This paper reports the profile of the Australian chiropractic workforce and characteristics of chiropractic care from a large nationally-representative sample of practitioners. METHODS: A 21-item questionnaire examining practitioner, practice and clinical management characteristics was distributed to all registered chiropractors (n=4,684) in Australia in 2015 via both online and hard copy mail out. RESULTS: The survey attracted a response rate of 43% (n=2,005), and the sample is largely representative of the national chiropractic workforce on a number of key indicators. The average age of the chiropractors was 42.1 years, nearly two-thirds are male, and the vast majority hold a bachelor degree or higher qualification. Australian chiropractors are focused upon treating people across a wide age range who mainly present with musculoskeletal conditions. Australian chiropractors have referral relationships with a range of conventional, allied health and complementary medicine (CAM) providers. CONCLUSION: The chiropractic profession represents a substantial component of the contemporary Australian health care system with chiropractors managing an estimated 21.3 million patient visits per year. While the Australian chiropractic workforce is well educated, research engagement and research capacity remains sub-optimal and there is much room for further capacity building to help chiropractic reach full potential as a key integrated profession within an evidence-based health care system. Further rich, in-depth research is warranted to improve our understanding of the role of chiropractic within the Australian health care system.
Cramer, H., Lauche, R., Klose, P., Lange, S., Langhorst, J. & Dobos, G.J. 2017, 'Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer', Cochrane Database of Systematic Reviews, vol. 2017, no. 1.
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© 2017 The Cochrane Collaboration.Background: Breast cancer is the cancer most frequently diagnosed in women worldwide. Even though survival rates are continually increasing, breast cancer is often associated with long-term psychological distress, chronic pain, fatigue and impaired quality of life. Yoga comprises advice for an ethical lifestyle, spiritual practice, physical activity, breathing exercises and meditation. It is a complementary therapy that is commonly recommended for breast cancer-related impairments and has been shown to improve physical and mental health in people with different cancer types. Objectives: To assess effects of yoga on health-related quality of life, mental health and cancer-related symptoms among women with a diagnosis of breast cancer who are receiving active treatment or have completed treatment. Search methods: We searched the Cochrane Breast Cancer Specialised Register, MEDLINE (via PubMed), Embase, the Cochrane Central Register of Controlled Trials (CENTRAL; 2016, Issue 1), Indexing of Indian Medical Journals (IndMED), the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal and Clinicaltrials.gov on 29 January 2016. We also searched reference lists of identified relevant trials or reviews, as well as conference proceedings of the International Congress on Complementary Medicine Research (ICCMR), the European Congress for Integrative Medicine (ECIM) and the American Society of Clinical Oncology (ASCO). We applied no language restrictions. Selection criteria: Randomised controlled trials were eligible when they (1) compared yoga interventions versus no therapy or versus any other active therapy in women with a diagnosis of non-metastatic or metastatic breast cancer, and (2) assessed at least one of the primary outcomes on patient-reported instruments, including health-related quality of life, depression, anxiety, fatigue or sleep disturbances. Data collection and analysis: Two rev...
Lauche, R., Wayne, P.M., Fehr, J., Stumpe, C., Dobos, G. & Cramer, H. 2017, 'Does Postural Awareness Contribute to Exercise-induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises', Spine.
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STUDY DESIGN: Secondary analysis of a randomized controlled trial OBJECTIVE.: This secondary analysis aims to examine associations of improvement of chronic neck pain with patients' and intervention-related characteristics. SUMMARY OF BACKGROUND DATA: Previous research has found that Tai Chi and neck exercises significantly improved chronic non-specific neck pain; however the factors for treatment success remain unclear. METHODS: Subjects with chronic non-specific neck pain were randomly assigned to 12 weeks of group Tai Chi or conventional neck exercises, and they attended 12 weekly sessions of 60-90 minutes. The interventions included exercises to improve body awareness, i.e. interoceptive and postural awareness. A linear forward stepwise regression analysis was conducted to examine associations with improvements in neck pain intensity. Potential predictor variables included baseline pain, age, gender, the type of intervention, attendance rate and home practice duration, and changes in psychological well-being, perceived stress, postural and interoceptive awareness during the study. RESULTS: Overall 75 patients were randomized into Tai Chi or conventional exercises, with the majority being female (78.7%). Participants reported an average pain intensity of 50.7&plusmn;20.4mm VAS at baseline, and the average reduction of pain intensity in both groups was 21.4&plusmn;21.3mm VAS. Regression analysis revealed that reductions in pain intensity from baseline to 12 weeks were predicted by higher pain intensity at baseline (r=0.226, p<0.001), a decrease in anxiety (r=0.102, p=0.001), and an increase in postural awareness (r=0.078, p=0.0033), explaining a total of 40.6% of variance. CONCLUSIONS: Neck pain improvement was significantly associated with changes in postural awareness in subject with chronic non-specific neck pain independent of treatment characteristics. Training of postural awareness might be an important mechanism of action of different exercise-ba...
Cramer, H., Anheyer, D., Lauche, R. & Dobos, G. 2017, 'A systematic review of yoga for major depressive disorder', Journal of Affective Disorders, vol. 213, pp. 70-77.
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&copy; 2017 Elsevier B.V.Background The purpose of this review was to investigate the efficacy and safety of yoga interventions in treating patients with major depressive disorder. Methods MEDLINE, Scopus, and the Cochrane Library were screened through December 2016. Randomized controlled trials (RCTs) comparing yoga to inactive or active comparators in patients with major depressive disorder were eligible. Primary outcomes included remission rates and severity of depression. Anxiety and adverse events were secondary outcomes. Risk of bias was assessed using the Cochrane tool. Results Seven RCTs with 240 participants were included. Risk of bias was unclear for most RCTs. Compared to aerobic exercise, no short- or medium-term group differences in depression severity was found. Higher short-term depression severity was found for yoga compared to electro-convulsive therapy; remission rates did not differ between groups. No short-term group differences occurred when yoga was compared to antidepressant medication. Conflicting evidence was found when yoga was compared to attention-control interventions, or when yoga as an add-on to antidepressant medication was compared to medication alone. Only two RCTs assessed adverse events and reported that no treatment-related adverse events were reported. Limitations Few RCTs with low sample size. Conclusions This review found some evidence for positive effects beyond placebo and comparable effects compared to evidence-based interventions. However, methodological problems and the unclear risk-benefit ratio preclude definitive recommendations for or against yoga as an adjunct treatment for major depressive disorder. Larger and adequately powered RCTs using non-inferiority designs are needed.
Saha, F.J., Schumann, S., Cramer, H., Hohmann, C., Choi, K.E., Rolke, R., Langhorst, J., Rampp, T., Dobos, G. & Lauche, R. 2017, 'The Effects of Cupping Massage in Patients with Chronic Neck Pain - A Randomised Controlled Trial', Complementary Medicine Research, vol. 24, no. 1.
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Background: Chronic neck pain is a major public health burden with only limited evidence for the effectiveness of complementary therapies. This study aimed to test the efficacy of cupping massage in patients with neck pain. Patients and Methods: Patients with chronic non-specific neck pain were randomly assigned to cupping massage or a wait list control. The intervention group received 5 cupping massages on a twice-weekly basis while the control patients continued their usual treatments. The primary outcome measure was neck pain intensity (0&#8211;100 mm visual analogue scale (VAS)) after 3 weeks. Secondary outcomes included pain on movement, functional disability, health-related quality of life, mechanical detection and pain thresholds and adverse events. Results: 50 patients (52.6 &plusmn; 10.3 years, 92% female) were randomised to either cupping massage or a wait list (N = 25 each). Patients in the cupping group reported significantly less neck pain post intervention (difference per protocol &#8211;14.3 mm, 95% confidence interval (CI) &#8211;27.7 to &#8211;1.0, p = 0.037; difference intention-to-treat &#8211;10.8 mm, 95% CI &#8211;21.5 to &#8211;0.1, p = 0.047). Significant group differences in favour of the intervention were further found for pain on movement (p = 0.019) and functional disability (p < 0.001), the quality-of-life subscales pain (p = 0.002) and mental health (p = 0.003) and the mental component summary (p = 0.036). Changes were also found for pressure pain sensitivity at the site of maximal pain (p = 0.022). Five adverse events were reported. Conclusions: Cupping massage appears to be effective in reducing pain and increasing function and quality of life in patients with chronic non-specific neck pain. More rigorous studies are needed to confirm and extend these results.
Cramer, H., Schäfer, M., Schöls, M., Köcke, J., Elsenbruch, S., Lauche, R., Engler, H., Dobos, G. & Langhorst, J. 2017, 'Randomised clinical trial: yoga vs written self-care advice for ulcerative colitis', Alimentary Pharmacology and Therapeutics.
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BACKGROUND: Perceived stress seems to be a risk factor for exacerbation of ulcerative colitis. Yoga has been shown to reduce perceived stress. AIMS: To assess the efficacy and safety of yoga for improving quality of life in patients with ulcerative colitis. METHODS: A total of 77 patients (75% women; 45.5 &plusmn; 11.9 years) with ulcerative colitis in clinical remission but impaired quality of life were randomly assigned to yoga (12 supervised weekly sessions of 90 min; n = 39) or written self-care advice (n = 38). Primary outcome was disease-specific quality of life (Inflammatory Bowel Disease Questionnaire). Secondary outcomes included disease activity (Rachmilewitz clinical activity index) and safety. Outcomes were assessed at weeks 12 and 24 by blinded outcome assessors. RESULTS: The yoga group had significantly higher disease-specific quality of life compared to the self-care group after 12 weeks ( = 14.6; 95% confidence interval=2.6-26.7; P = 0.018) and after 24 weeks ( = 16.4; 95% confidence interval=2.5-30.3; P = 0.022). Twenty-one and 12 patients in the yoga group and in the self-care group, respectively, reached a clinical relevant increase in quality of life at week 12 (P = 0.048); and 27 and 17 patients at week 24 (P = 0.030). Disease activity was lower in the yoga group compared to the self-care group after 24 weeks ( = -1.2; 95% confidence interval=-0.1-[-2.3]; P = 0.029). Three and one patient in the yoga group and in the self-care group, respectively, experienced serious adverse events (P = 0.317); and seven and eight patients experienced nonserious adverse events (P = 0.731). CONCLUSIONS: Yoga can be considered as a safe and effective ancillary intervention for patients with ulcerative colitis and impaired quality of life.
Anheyer, D., Haller, H., Barth, J., Lauche, R., Dobos, G. & Cramer, H. 2017, 'Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis', Annals of Internal Medicine.
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Background: Mindfulness-based stress reduction (MBSR) is frequently used to treat pain-related conditions, but its effects on low back pain are uncertain. Purpose: To assess the efficacy and safety of MBSR in patients with low back pain. Data Sources: Searches of MEDLINE/PubMed, Scopus, the Cochrane Library, and PsycINFO to 15 June 2016. Study Selection: Randomized controlled trials (RCTs) that compared MBSR with usual care or an active comparator and assessed pain intensity or pain-related disability as a primary outcome in patients with low back pain. Data Extraction: Two reviewers independently extracted data on study characteristics, patients, interventions, outcome measures, and results at short- and long-term follow-up. Risk of bias was assessed using the Cochrane risk-of-bias tool. Data Synthesis: Seven RCTs involving 864 patients with low back pain were eligible for review. Compared with usual care, MBSR was associated with short-term improvements in pain intensity (4 RCTs; mean difference [MD], 0.96 point on a numerical rating scale [95% CI, 1.64 to 0.34 point]; standardized mean difference [SMD], 0.48 point [CI, 0.82 to 0.14 point]) and physical functioning (2 RCTs; MD, 2.50 [CI, 0.90 to 4.10 point]; SMD, 0.25 [CI, 0.09 to 0.41 point]) that were not sustained in the long term. Between-group differences in disability, mental health, pain acceptance, and mindfulness were not significant at short- or long-term follow-up. Compared with an active comparator, MBSR was not associated with significant differences in short- or long-term outcomes. No serious adverse events were reported. Limitation: The number of eligible RCTs was limited; only 3 evaluated MBSR against an active comparator. Conclusion: Mindfulness-based stress reduction may be associated with short-term effects on pain intensity and physical functioning. Long-term RCTs that compare MBSR versus active treatments are needed in order to best understand the role of MBSR in the ma...
Adams, J., Peng, W., Cramer, H., Sundberg, T., Moore, C., Amorin-Woods, L., Sibbritt, D., Lauche, R. & Masters of Clinical Trials Research 2017, 'The prevalence, patterns, and predictors of chiropractic use among US adults: Results from the 2012 National Health Interview Survey.', Spine (Phila Pa 1976).
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STUDY DESIGN: Secondary analysis of a national survey. OBJECTIVE: To investigate the prevalence, patterns, and predictors of chiropractic utilization in the US general population. SUMMARY OF BACKGROUND DATA: Chiropractic is one of the largest manual therapy professions in the US and internationally. Very few details have been reported about the use of chiropractic care in the US in recent years. METHODS: Cross-sectional data from the 2012 National Health Interview Survey (n=34,525) were analyzed to examine the lifetime and 12-month prevalence and utilization patterns of chiropractic use, profile of chiropractic users and health-related predictors of chiropractic consultations. RESULTS: Lifetime and 12-month prevalence of chiropractic use were 24.0% and 8.4%, respectively. There is a growing trend of chiropractic use amongst US adults from 2002 to 2012. Back pain (63.0%) and neck pain (30.2%) were the most prevalent health problems for chiropractic consultations and the majority of users reported chiropractic helping a great deal with their health problem and improving overall health or well-being. A substantial number of chiropractic users had received prescription (23.0%) and/or over-the-counter medications (35.0%) for the same health problem for which chiropractic was sought and 63.8% reported chiropractic care combined with medical treatment as helpful. Both adults older than 30 years (compared to younger adults), and those diagnosed with spinal pain (compared to those without spinal pain) were more likely to have consulted a chiropractor in the past 12 months. CONCLUSIONS: A substantial proportion of US adults utilized chiropractic services over the past 12 months and reported associated positive outcomes for overall well-being and/or specific health problems for which concurrent conventional care was common. Studies on the current patient integration of chiropractic and conventional health services are warranted. LEVEL OF EVIDENCE: 3.
Hall, H., Lauche, R., Adams, J., Steel, A., Broom, A. & Sibbritt, D. 2016, 'Healthcare utilisation of pregnant women who experience sciatica, leg cramps and/or varicose veins: A cross-sectional survey of 1835 pregnant women', Women and Birth, vol. 29, no. 1, pp. 35-40.
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Lauche, R., Hall, H., Adams, J., Steel, A., Broom, A. & Sibbritt, D. 2016, 'Health-care utilisation amongst pregnant women who experience sleeping problems and/or tiredness or fatigue: secondary analysis of a cross-sectional survey of 1835 pregnant women.', Sleep & breathing = Schlaf & Atmung, vol. 20, no. 1, pp. 355-362.
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Sleeping problems and fatigue in pregnancy are often accepted as a normal part of pregnancy; however, these conditions can be linked to serious consequences for both the mother and child. Despite established links between sleeping disturbance and a wide range of pregnancy complications, little is known about the health-care utilisation of women experiencing sleeping problems and fatigue. This study addresses the existing gap in the literature by examining cross-sectional data to identify health service utilisation patterns of pregnant women experiencing sleeping problems and/or tiredness or fatigue.In 2010, a sub-study of the Australian Longitudinal Study on Women's Health was conducted as a cross-sectional survey of 2445 women who had recently given birth. Associations between reported symptoms of sleeplessness and/or tiredness or fatigue and health service utilisation were determined using logistic regression analysis.During their pregnancy, 15.2&nbsp;% of women experienced sleeping problems while 35.4&nbsp;% experienced tiredness or fatigue. Women most commonly consulted with an obstetrician (n=96) or a general practitioner (GP) (n=74) for their tiredness or fatigue rather than a midwife (n=56). A substantial number of women sought help from a complementary and alternative medicine (CAM) practitioner for sleeping problems (33&nbsp;%) or tiredness/fatigue (28&nbsp;%).Sleeping problems and/or tiredness or fatigue is reported by a reasonable percentage of pregnant women, and women obtain assistance from conventional and CAM practitioners for their symptoms, but not all seek help. Given the serious implications of untreated sleep- and fatigue-related symptoms for mother and baby, this area of research deserves and requires more attention.
Cramer, H., Ward, L., Steel, A., Lauche, R., Dobos, G. & Zhang, Y. 2016, 'Prevalence, Patterns, and Predictors of Yoga Use Results of a US Nationally Representative Survey', AMERICAN JOURNAL OF PREVENTIVE MEDICINE, vol. 50, no. 2, pp. 230-235.
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Cramer, H., Sibbritt, D., Adams, J. & Lauche, R. 2016, 'The association between regular yoga and meditation practice and falls and injuries: Results of a national cross-sectional survey among Australian women', Maturitas, vol. 84, pp. 38-41.
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Haller, H., Lauche, R., Cramer, H., Rampp, T., Saha, F.J., Ostermann, T. & Dobos, G. 2016, 'Craniosacral Therapy for the Treatment of Chronic Neck Pain: A Randomized Sham-controlled Trial.', The Clinical journal of pain, vol. 32, no. 5, pp. 441-449.
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With growing evidence for Craniosacral Therapy (CST) effectiveness for pain management, the question about CST efficacy remained unclear. This study therefore aimed at investigating CST in comparison to sham treatment in chronic non-specific neck pain patients.54 blinded patients were randomized to either 8 weekly units of CST or light touch sham treatment. Outcomes were assessed before and after treatment (week 8) and a further 3 months later (week 20). The primary outcome was pain intensity on a visual analogue scale; secondary outcomes included pain on movement, pressure pain sensitivity, functional disability, health-related quality of life, well-being, anxiety, depression, stress perception, pain acceptance, body awareness, patients' global impression of improvement and safety.In comparison to sham, CST patients reported significant and clinically relevant effects on pain intensity at week 8 (-21mm; 95%-CI: [-32.6|-9.4]; P=0.001; d=1.02) as well as at week 20 (-16.8mm; 95%-CI: [-27.5|-6.1]; P=0.003; d=0.88). Minimal clinically important differences in pain intensity at week 20 were reported by 78% of the CST patients, while 48% even had substantial clinical benefit. Significant differences at week 8 and 20 were also found for pain on movement, functional disability, physical quality of life and patients' global improvement. Pressure pain sensitivity and body awareness were significantly improved only at week 8; anxiety only at week 20. No serious adverse events were reported.CST was both specifically effective and safe in reducing neck pain intensity and may improve functional disability and quality of life up to 3 months post intervention.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.or...
Lauche, R., Romeikat, N., Cramer, H., Al-Abtah, J., Dobos, G. & Saha, F.J. 2016, 'Efficacy of Cabbage Leaf Wraps in the Treatment of Symptomatic Osteoarthritis of the Knee: A Randomized Controlled Trial.', The Clinical journal of pain, vol. 32, no. 11, pp. 961-971.
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Osteoarthritis of the knee is one of the most common chronic diseases among older adults. This study aimed to test the effects of cabbage leaf wraps (CLWs) in the treatment of symptomatic osteoarthritis.Patients with osteoarthritis of the knee at stages II to III (Kellgren-Lawrence) were randomly assigned to 4 weeks of treatment with CLWs (daily 2 h min), topical pain gel (TPG) (10 mg diclofenac/g, once daily min), or usual care (UC). The primary outcome measure was pain intensity (VAS) after 4 weeks. Secondary outcomes included functional disability (WOMAC), quality of life (SF-36), self-efficacy (ASES-D), physical function (30 s CST), pressure pain sensitivity (PPT), satisfaction, and safety after 4 and 12 weeks.In total, 81 patients were included in this study (42 women, 65.9&plusmn;10.3 y). After 4 weeks patients in the CLW group reported significantly less pain compared with those in the UC group (difference, -12.1; 95% [confidence interval] CI, -23.1, -1.0; P=0.033) but not when compared with the TPG group (difference, -8.6; 95% CI, -21.5, 4.4; P=0.190). Significant effects were also found in WOMAC, SF-36, 30-second CST, and PPT scores in the CLW group compared with the UC group. Compared with TPG, effects from CLW were found for WOMAC after 4 weeks and for quality of life after 12 weeks. Patients were satisfied with both active interventions, and except for 2 adverse events in both groups the applications were well tolerated.CLWs are more effective for knee osteoarthritis than UC, but not compared with diclofenac gel. Therefore, they might be recommended for patients with osteoarthritis of the knee. Further research is warranted.
Lauche, R., Schuth, M., Schwickert, M., Luedtke, R., Musial, F., Michalsen, A., Dobos, G. & Choi, K.-.E. 2016, 'Efficacy of the Alexander Technique in treating chronic non-specific neck pain: a randomized controlled trial', CLINICAL REHABILITATION, vol. 30, no. 3, pp. 247-258.
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Langhorst, J., Boone, J., Lauche, R., Rueffer, A. & Dobos, G. 2016, 'Faecal Lactoferrin, Calprotectin, PMN-elastase, CRP, and White Blood Cell Count as Indicators for Mucosal Healing and Clinical Course of Disease in Patients with Mild to Moderate Ulcerative Colitis: Post Hoc Analysis of a Prospective Clinical Trial', JOURNAL OF CROHNS & COLITIS, vol. 10, no. 7, pp. 786-794.
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Lau, C.H.Y., Wu, X., Chung, V.C.H., Liu, X., Hui, E.P., Cramer, H., Lauche, R., Wong, S.Y.S., Lau, A.Y.L., Sit, R.S.T., Ziea, E.T.C., Ng, B.F.L. & Wu, J.C.Y. 2016, 'Acupuncture and Related Therapies for Symptom Management in Palliative Cancer Care Systematic Review and Meta-Analysis', MEDICINE, vol. 95, no. 9.
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Cramer, H., Lauche, R., Haller, H., Langhorst, J. & Dobos, G. 2016, 'Mindfulness- and Acceptance-based Interventions for Psychosis: A Systematic Review and Meta-analysis.', Global advances in health and medicine : improving healthcare outcomes worldwide, vol. 5, no. 1, pp. 30-43.
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Mindfulness- and acceptance-based interventions are increasingly studied as a potential treatment for a variety of mental conditions.To assess the effects of mindfulness- and acceptance-based interventions on psychotic symptoms and hospitalization in patients with psychosis.MEDLINE/PubMed, Embase, the Cochrane Library, and PsycINFO were screened from inception through April 2015. Randomized controlled trials (RCTs) were analyzed when they assessed psychotic symptoms or hospitalization in patients with psychosis; affect, acceptance, mindfulness, and safety were defined as secondary outcomes.Eight RCTs with a total of 434 patients comparing mindfulness-based (4 RCTs) or acceptance-based interventions (4 RCTs) to treatment as usual or attention control were included. Six RCTs had low risk of bias. Moderate evidence was found for short-term effects on total psychotic symptoms, positive symptoms, hospitalization rates, duration of hospitalization, and mindfulness and for long-term effects on total psychotic symptoms and duration of hospitalization. No evidence was found for effects on negative symptoms, affect, or acceptance. No serious adverse events were reported.Mindfulness- and acceptance-based interventions can be recommended as an additional treatment for patients with psychosis.
Lauche, R., Wayne, P.M., Dobos, G. & Cramer, H. 2016, 'Prevalence, Patterns, and Predictors of T'ai Chi and Qigong Use in the United States: Results of a Nationally Representative Survey', JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, vol. 22, no. 4, pp. 336-342.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2016, 'Is one yoga style better than another? A systematic review of associations of yoga style and conclusions in randomized yoga trials', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 25, pp. 178-187.
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Lauche, R., Kumar, S., Hallmann, J., Luedtke, R., Rampp, T., Dobos, G. & Langhorst, J. 2016, 'Efficacy and safety of Ayurvedic herbs in diarrhoea-predominant irritable bowel syndrome: A randomised controlled crossover trial', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 26, pp. 171-177.
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Lauche, R., Langhorst, J., Lee, M.S., Dobos, G. & Cramer, H. 2016, 'A systematic review and meta-analysis on the effects of yoga on weight-related outcomes', Preventive Medicine, vol. 87, pp. 213-232.
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&copy; 2016 Elsevier Inc. Introduction: Overweight and obesity are among the most important modifiable risk factors for chronic diseases and premature death. The aim of this review was to systematically assess and analyze the effects of yoga on weight-related outcomes. Methods: Medline/PubMed, Scopus, and the Cochrane Library were screened through March 2015 for randomized controlled trials on yoga for weight-related outcomes in the general population or overweight/obese individuals. Risk of bias was assessed using the Cochrane risk of bias tool on the following domains: selection bias, performance bias, detection bias, attrition bias, reporting bias, and other bias. Results: Out of 445 records identified during literature search, 30 trials with a total of 2173 participants were included. No effects on weight, body mass index, body fat percentage or waist circumference were found. In studies with healthy adult participants an effect of yoga compared to usual care was found regarding waist/hip ratio (SMD. =--1.00; 95% CI. =--1.44, -0.55; p. <. 0.001). In studies with overweight/obese participants only, effects relative to usual care were found for body mass index (SMD = -0.99; 95% CI = -1.67, -0.31; p = 0.004). Effects however were not robust against selection bias; and publication bias could not be ruled out. No intervention-related adverse events were reported. Conclusions: Despite methodological drawbacks, yoga can be preliminarily considered a safe and effective intervention to reduce body mass index in overweight or obese individuals.
Schumann, D., Anheyer, D., Lauche, R., Dobos, G., Langhorst, J. & Cramer, H. 2016, 'Effect of Yoga in the therapy of Irritable Bowel Syndrome: A Systematic Review', Clin Gastroenterol Hepatol.
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BACKGROUND: This review aims to systematically survey the effects of yoga on symptoms of irritable bowel syndrome (IBS), pain, quality of life, mood, stress and safety in IBS patients. METHODS: MEDLINE/Pubmed, Scopus, the Cochrane Library, CAM-QUEST, CAMbase, and IndMED were screened through November 2015. Randomized controlled trials (RCTs) comparing yoga to usual care, non-pharmacological or pharmacological interventions were analyzed for patients with IBS. Primary outcomes included gastrointestinal symptoms, quality of life and pain. Anxiety, mood and safety were defined as secondary outcomes. Risk of bias was assessed according to the Cochrane Collaboration recommendations. RESULTS: Six RCTs with a total of 273 patients were included in the qualitative analysis. There was evidence for a beneficial effect of a yogic intervention over conventional treatment in IBS, with significantly decreased bowel symptoms, IBS severity and anxiety. Further, there were significant improvements in quality of life, global improvement and physical functioning after yoga compared to no treatment. Two RCTs reported safety data stating that no adverse events occurred. Overall, risk of bias of the included studies was unclear. CONCLUSIONS: The findings of this systematic review suggest that Yoga might be a feasible and safe adjunctive treatment for people with IBS. Nevertheless no recommendation can be made regarding yoga as a routine intervention for IBS patients due to major flaws in study methods. More research is needed with respect to a high quality study design and consensus in clinical outcome measurements in IBS.
Frawley, J., Peng, W., Sibbritt, D., Ward, L., Lauche, R., Zhang, Y. & Adams, J. 2016, 'Is there an association between women's consultations with a massage therapist and health-related quality of life? Analyses of 1800 women aged 56-61 years.', J Bodyw Mov Ther, vol. 20, no. 4, pp. 734-739.
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BACKGROUND: The use of complementary and alternative medicine (CAM) is commonplace in Australia with massage being a popular CAM modality. METHODS: This is a sub-study from the Australian Longitudinal Study on Women's Health (ALSWH). A total of 2120 mid-age (56-61 year old) women who consulted a CAM practitioner were invited to participate in this study. The Short-Form (SF-36) questionnaire was used to measure women's health-related quality of life. RESULTS: A total of 1800 women returned the questionnaire generating a response rate of 85.0%. Overall, 912 (50.7%) women visited a massage therapist in the previous 12 months. Women with lower quality of life scores in terms of bodily pain (p&nbsp;=&nbsp;0.012) and/or emotional health (p&nbsp;=&nbsp;0.029) were more likely to consult a massage therapist than those with higher scores. CONCLUSION: The implications of these associations are important for informing healthcare providers in providing effective and coordinated care for patients with pain and mood symptoms.
Kong, L.J., Lauche, R., Klose, P., Bu, J.H., Yang, X.C., Guo, C.Q., Dobos, G. & Cheng, Y.W. 2016, 'Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials', SCIENTIFIC REPORTS, vol. 6.
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Lauche, R., Stumpe, C., Fehr, J., Cramer, H., Cheng, Y.W., Wayne, P.M., Rampp, T., Langhorst, J. & Dobos, G. 2016, 'The effects of Tai Chi and neck exercises in the treatment of chronic non-specific neck pain: A randomized controlled trial', Journal of Pain, vol. 17, no. 9, pp. 1013-1027.
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This study aimed to test the efficacy of Tai Chi for treating chronic neck pain. Subjects with chronic non-specific neck pain were randomly assigned to 12 weeks of group Tai Chi or conventional neck exercises with weekly sessions of 75-90 minutes, or a wait-list control. The primary outcome measure was pain intensity (visual analog scale, VAS). Secondary outcomes included pain on movement, functional disability, quality of life, well-being and perceived stress, postural and interoceptive awareness, satisfaction and safety. Altogether, 114 participants were included (91 females, 49.4&plusmn;11.7 years). After 12 weeks Tai Chi participants reported significantly less pain compared to the wait list (average difference in mm VAS: -10.5; 95%CI:-20.3,-0.9;p=0.033). Group differences were also found for pain on movement, functional disability and quality of life compared to wait list. No differences were found for Tai Chi compared to neck exercises. Patients' satisfaction with both exercise interventions was high, and only minor side effects were observed. Tai Chi was more effective than no treatment in improving pain in subjects with chronic non-specific neck pain. Since Tai Chi is probably as effective as neck exercises it may be considered a suitable alternative to conventional exercises for those with a preference towards Tai Chi.
Lauche, R., Fathi, I., Saddat, C., Klose, P., Al-Abtah, J., Büssing, A., Rampp, T., Dobos, G. & Cramer, H. 2016, 'The effects of Ramadan fasting on physical and mental health in healthy adult Muslims - Study protocol for a randomised controlled trial', Advances in Integrative Medicine, vol. 3, no. 1, pp. 26-30.
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Introduction Fasting during the month of Ramadan is considered one of the five pillars of the Islamic religion, and Muslims must abstain from food and drink between dusk and dawn. Research has found that fasting during Ramadan may affect the health of Muslims. Results of those studies however are often contradictory, with quantity and composition of meals during Ramadan being potential influencing factors. In order to determine its influence on the outcomes after Ramadan fasting, this study aims to determine whether a modified healthy fasting regimen is beneficial for physical and mental health among adult Muslims. Design, methods and analysis This is a randomised controlled trial with two parallel groups testing the superiority a modified fasting regimen compared to usual fasting during Ramadan. Healthy adult Muslims between 18 and 60 years of age, who plan to participate in Ramadan fasting, will be randomly allocated to one of two groups with a 1:1 allocation ratio. The intervention group will receive additional health advice regarding behavioural and nutritional modifications during Ramadan, the control group will conduct the Ramadan fasting as usual. Before, at the end of the Ramadan period and 12 weeks later data will be collected on participants mental and physical well-being, including quality of life (WHO-5, primary outcome), sleep quality, spirituality, mindfulness, body constitution (weight, body mass index, body fat, waist circumference, hip circumference), blood pressure and heart rate, blood lipid and glucose levels, liver enzymes', uric acid and creatinine, and adverse events. Discussion The trial will provide evidence if and to what extend behavioural and nutritional modifications might be beneficial for healthy Muslims undergoing Ramadan fasting. If successful this intervention might provide a valuable approach to improve the health and well-being during Ramadan fasting. Ethics and trial registration The trial protocol has been reviewed and app...
Klose, P., Kraft, K., Lauche, R., Cramer, H., Dobos, G. & Langhorst, J. 2016, 'Berucksichtigung von Wechsel- und Nebenwirkungen bei pflanzlichen Arzneimitteln in deutschen S3-Leitlinien der AWMF', Forschende Komplementarmedizin (2006), vol. 23, no. 3, pp. 154-164.
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Herbal remedies have a long history in the medical care of the German-speaking regions but they are rarely taken into account in the development of medical guidelines. In a prestudy, our working group analyzed as to how far herbal remedies were taken into consideration in the current interdisciplinary evidence- and consensus-based S3 medical guidelines established by the Association of the Scientific Medical Societies (AWMF) in Germany. The aim of this study was to analyze to what extent possible side effects and interactions of herbal remedies are mentioned in the S3 medical guidelines. In January 2015, 134 S3 guidelines were counted and analyzed. 27.6% (n = 37) of them show 194 statements summarized under the term 'phytotherapy'. References to side effects and interactions can be found in 28.4% of the statements (n = 55); 13.9% (n = 27) of these references are backed by the literature. 14 of the statements deal with nutritional supplements, 11 are statements about phytotherapy in general, and 7 summarize at least 2 medical plants in 1 statement. Hence, only 23 statements pay attention to side effects and interactions of individual medical plants; 14 of these are backed by the literature. These results do not correspond to the standards required by the AWMF, which is due to imprecise terms as well as to the insufficiently systematic approach in the search for scientific evidence for the safety of medical plants. Here, the Association for Phytotherapy may achieve an important contribution to quality improvement.
Cramer, H., Haller, H., Dobos, G. & Lauche, R. 2016, 'A Systematic Review and Meta-Analysis Estimating the Expected Dropout Rates in Randomized Controlled Trials on Yoga Interventions.', Evidence-based complementary and alternative medicine : eCAM, vol. 2016, pp. 1-7.
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A reasonable estimation of expected dropout rates is vital for adequate sample size calculations in randomized controlled trials (RCTs). Underestimating expected dropouts rates increases the risk of false negative results while overestimating rates results in overly large sample sizes, raising both ethical and economic issues. To estimate expected dropout rates in RCTs on yoga interventions, MEDLINE/PubMed, Scopus, IndMED, and the Cochrane Library were searched through February 2014; a total of 168 RCTs were meta-analyzed. Overall dropout rate was 11.42% (95% confidence interval [CI] = 10.11%, 12.73%) in the yoga groups; rates were comparable in usual care and psychological control groups and were slightly higher in exercise control groups (rate = 14.53%; 95% CI = 11.56%, 17.50%; odds ratio = 0.82; 95% CI = 0.68, 0.98; p = 0.03). For RCTs with durations above 12 weeks, dropout rates in yoga groups increased to 15.23% (95% CI = 11.79%, 18.68%). The upper border of 95% CIs for dropout rates commonly was below 20% regardless of study origin, health condition, gender, age groups, and intervention characteristics; however, it exceeded 40% for studies on HIV patients or heterogeneous age groups. In conclusion, dropout rates can be expected to be less than 15 to 20% for most RCTs on yoga interventions. Yet dropout rates beyond 40% are possible depending on the participants' sociodemographic and health condition.
Saha, F.J., Bruening, A., Barcelona, C., Buessing, A., Langhorst, J., Dobos, G., Lauche, R. & Cramer, H. 2016, 'Integrative medicine for chronic pain A cohort study using a process-outcome design in the context of a department for internal and integrative medicine', MEDICINE, vol. 95, no. 27.
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Cramer, H., Langhorst, J., Dobos, G. & Lauche, R. 2016, 'Yoga for metabolic syndrome: A systematic review and meta-analysis', European Journal of Preventive Cardiology, vol. 23, no. 18, pp. 1982-1993.
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Background Metabolic syndrome is the most important risk factor for developing cardiovascular disease and type 2 diabetes. The aim of this review was to systematically assess and perform a meta-analysis of the effects of yoga on the parameters of metabolic syndrome. Methods MEDLINE/PubMed, Scopus, the Cochrane Central Register of Controlled Trials and IndMED were searched and screened from their inception through to 8 March 2016 for randomised controlled trials on yoga for patients with metabolic syndrome. Risk of bias was assessed using the Cochrane risk of bias tool. Results Seven trials with a total of 794 participants were included. No effects of yoga on resolution of metabolic syndrome, diastolic blood pressure, triglycerides, high-density lipoprotein cholesterol and fasting plasma glucose were found, but yoga was superior to usual care for waist circumference (standardised mean difference (SMD)=0.35; 95% confidence interval (CI)=0.57 to 0.13; p<0.01) and systolic blood pressure (SMD=0.29; 95% CI=0.51 to 0.07; p=0.01). However, these effects were not robust against selection bias. No intervention-related adverse events were reported. Conclusion Based on the results of this meta-analysis, no recommendation can be made for or against yoga in order to influence the parameters of metabolic syndrome. Despite methodological drawbacks, and until further research is undertaken, yoga can be preliminarily considered as a safe and effective intervention for reducing waist circumference and systolic blood pressure in individuals with metabolic syndrome who are not adhering to conventional forms of exercise.
Saha, F.J., Ostermann, T., Jacob, N., Cramer, H., Dobos, G. & Lauche, R. 2016, 'Effects of a mechanical acupressure needle stimulation pad on chronic low back pain - prospective, single-armed trial', European Journal of Integrative Medicine, vol. 8, no. 4, pp. 368-372.
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&copy; 2016 Elsevier GmbH.Introduction: The needle stimulation mat, also known as fakirs mat or acupressure pad has regularly been advertised as an effective means to reduce chronic back pain, however little is known about the effectiveness of such device. This study aimed to test the effects of the needle stimulation pad for chronic or recurrent low back pain. Methods: In this prospective, single-armed trial patients with non-specific chronic or recurrent low back pain were selected from a health insurance company database and advised to use the pad daily for two weeks; outcomes were assessed at baseline, weeks 2 and 14. Primary outcome measure was pain intensity at week 2; secondary outcome measures included disability, health-related quality of life, fear avoidance beliefs, analgesic medication and safety. Results: 91 patients were included (50 males, 52.3. &plusmn;. 10.5years). No significant differences were found for pain intensity between weeks 0, 2 and 14, however immediate pain relief was detected after the application (p. <. 0.001). Significant decreases were found for disability at weeks 2 (-4.6%,95%CI-6.6;-2.6;p. <. 0.001) and 14 (-4.3,95%CI-6.4;-2.2;p = 0.008). For quality of life the physical component summary, physical functioning and vitality changed significantly. Medication consumption significantly decreased. No further changes were observed. Concerning safety, eight patients perceived the intervention as too painful to continue, and one patient reported transient itching and skin reddening after use. Conclusions: The needle stimulation pad provided immediate non-persistent pain relief in patients with chronic low back pain, but nearly 10% of participants reported adverse reactions discouraging them from further use. Further methodologically rigorous trials are warranted.
Hall, H., Cramer, H., Sundberg, T., Ward, L., Adams, J., Moore, C., Sibbritt, D. & Lauche, R. 2016, 'The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain: A systematic review with meta-analysis', MEDICINE, vol. 95, no. 38.
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Sibbritt, D., Lauche, R., Sundberg, T., Peng, W., Moore, C., Broom, A., Kirby, E. & Adams, J. 2016, 'Severity of back pain may influence choice and order of practitioner consultations across conventional, allied and complementary health care: a cross-sectional study of 1851 mid-age Australian women', BMC Musculoskeletal Disorders, vol. 17, no. 1.
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BACKGROUND: Back pain is a common, disabling and costly disorder for which patients often consult with a wide range of health practitioners. Unfortunately, no research to date has directly examined the association between the severity of back pain and back pain sufferers' choice of whom and in what order to consult different health practitioners. METHODS: This is a sub-study of the large nationally representative Australian Longitudinal Study on Women's Health (ALSWH). The mid-age cohort women (born 1946-51, n=13,715) of the ALSWH were recruited from the Australian national Medicare database in 1996. These women have been surveyed six time, with survey 6 being conducted in 2010 (n=10,011). Mid-age women (n=1851) who in 2010 had sought help from a health care practitioner for their back pain were mailed a self-report questionnaire targeting their previous 12 months of health services utilisation, health status and their levels of back pain intensity. RESULTS: A total of 1620 women were deemed eligible and 1310 (80.9 %) returned completed questionnaires. Mid-age women with back pain visited various conventional, allied health and CAM practitioners for care: 75.6 % consulted a CAM practitioner; 58.4 % consulted a medical doctor; and 54.2 % consulted an allied health practitioner. Women with the most severe back pain sought conventional care from a general practitioner, and those who consulted a general practitioner first had more severe back pain than those who consulted another practitioner first. Following the general practitioner visit, the women with more severe back pain were more likely to be referred to a conventional specialist, and those with less severe back pain were more likely to be referred to a physiotherapist. CONCLUSIONS: Our findings suggest that women with more severe back pain are likely to visit a conventional practitioner first, whereas women with less severe back pain are likely to explore a range of treatment options including CA...
Lauche, R., Sibbritt, D., Ostermann, T., Fuller, N.R., Adams, J. & Cramer, H. 2016, 'Associations between yoga/meditation use, body satisfaction and weight management methods: Results of a national cross-sectional survey of 8009 Australian Women', Nutrition, vol. 34, pp. 58-64.
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Objectives To analyse whether yoga use is associated with body (dis)satisfaction and weight control methods in Australian women. Research Methods & Procedures Women aged 34-39 years from the Australian Longitudinal Study on Women's Health (ALSWH) were surveyed regarding body satisfaction, weight control behaviours, and yoga practice. Associations of body satisfaction and weight control methods with yoga practice were analysed using chi-squared tests and multiple logistic regression modelling. Results Of the 8009 women, 49% were overweight or obese. Sixty-five percent of women with normal BMI and approximately 95% of women with overweight/obesity wanted to lose weight. At least one in four women with normal BMI was dissatisfied with body weight and shape, as were more than two in three women with overweight/obesity. The most common weight control methods included exercising (82.7%), cutting down meal sizes (76.8%), and cutting down sugars or fats (71.9%). Yoga was practiced frequently by 688 (8.6%) and occasionally by 1176 (14.7%) women. Yoga users with normal BMI were less likely dissatisfied with body weight and shape. All yoga users more likely exercised, followed a low glycaemic diet or diet books; and women with obesity occasionally using yoga also more likely used fasting or smoking to lose weight. Conclusion Yoga users with normal BMI appear to be more satisfied with their body weight and shape than non-yoga users. While women with normal BMI or overweight tend to rely on healthy weight control methods, women with obesity occasional using yoga may more likely utilise unhealthy weight control methods.
Cramer, H., Thoms, M.S., Anheyer, D., Lauche, R. & Dobos, G. 2016, 'Yoga for abdominal obese women – a randomized controlled trial', Deutsches Arzteblatt International, vol. 113, no. 39, pp. 645-652.
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Background: Abdominal obesity is a major risk factor for morbidity and mortality. The aim of this study was to investigate the effect of yoga on waist circumference and other anthropometric and self-reported variables in women with abdominal obesity. Methods: 60 women with abdominal obesity (waist circumference 88 cm; body-mass index [BMI] 25) were randomly allocated in a 2:1 ratio to either a 12-week yoga intervention (n = 40) or a waiting list (n = 20). The waist circumference was the primary endpoint. Secondary (exploratory) endpoints included the waist/hip ratio, body weight, BMI, body fat percentage, body muscle mass percentage, blood pressure, health-related quality of life, self-esteem, subjective stress, body awareness, and body responsiveness, and the safety of the intervention. The persons assessing the outcomes were blinded to the group to which the patients belonged. Results: The patients in the yoga group participated in a mean of 30.2&plusmn;9.2 (maximum, 42) hours of supervised yoga practice. Their abdominal circum - ference was significantly reduced in comparison to the participants on the waiting list, with an intergroup difference of &#8211;3.8 cm (95% confidence interval [6.1; &#8211;1,.5]; p = 0.001). There were further, moderate intergroup differences in the waist/hip ratio, body weight, BMI, body fat percentage, body muscle mass percentage, mental and physical well-being, self-esteem, subjective stress, body awareness, and trust in bodily sensations (all p<0.05). There were no serious adverse events. None of the participants embarked on a low-calorie diet while participating in the study. Conclusion: The 12-week yoga intervention had moderately strong positive effects on anthropometric and self-reported variables in women with abdominal obesity. Yoga is safe in this population and can be recommended as a technique for combating abdominal obesity in women.
Steel, A., Cramer, H., Leung, B., Lauche, R., Adams, J., Langhorst, J. & Dobos, G. 2016, 'Characteristics of Homeopathy Users among Internal Medicine Patients in Germany', Forschende Komplementaermedizin: Wissenschaft Praxis Perspektiven, vol. 23, no. 5, pp. 284-289.
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Background Homeopathy use continues to grow in many European countries, and some studies have examined the characteristics of patients using homeopathy within the general population. The aim of this study was to identify predictors for homeopathy use among internal medicine patients. Patients and Methods A cross-sectional analysis was conducted among all patients being referred to the Department of Internal and Integrative Medicine at Essen, Germany, over a 3-year period. The analysis examined whether patients had used homeopathy for their primary medical complaint before, the perceived benefit, and the perceived harm of homeopathy use. Odds ratios with 95% confidence intervals were calculated using multiple logistic regression analysis. Results Of 2,045 respondents, 715 (35.0%) reported having used homeopathy for their primary medical complaint (diagnosis according to the International Statistical Classification of Diseases and Related Health Problems), with 359 (50.2%) reporting perceived benefits and 15 (2.1%) reporting harm. Homeopathy use was positively associated with female gender, high school level education, suffering from fibromyalgia or subthreshold depression, and being fast food abstinent, while patients with osteoarthritis, spinal or other pain, smokers, and patients with a high externalsocial health locus of control were less likely to use homeopathy. Conclusion Personal characteristics and health status may impact on the use and the perceived helpfulness of homeopathy.
Cramer, H., Hall, H., Leach, M., Frawley, J., Zhang, Y., Leung, B., Adams, J. & Lauche, R. 2016, 'Prevalence, patterns, and predictors of meditation use among US adults: A nationally representative survey', SCIENTIFIC REPORTS, vol. 6.
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Lauche, R., Spitzer, J., Schwahn, B., Ostermann, T., Bernardy, K., Cramer, H., Dobos, G. & Langhorst, J. 2016, 'Efficacy of cupping therapy in patients with the fibromyalgia syndrome-a randomised placebo controlled trial', SCIENTIFIC REPORTS, vol. 6.
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Langhorst, J., Lauche, R. & Koch, A.K. 2016, 'Myrrhe, Kamille und Kaffeekohle in der Therapie von Patienten mit Colitis ulcerosa. Eine retrospektive Kohortenstudie mit 5-Jahres-Follow-up', Zeitschrift für Phytotherapie, vol. 37, no. 6, pp. 249-253.
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Cramer, H., Chung, V.C.H., Lauche, R., Zhang, Y., Zhang, A., Langhorst, J. & Dobos, G. 2015, 'Characteristics of acupuncture users among internal medicine patients in Germany', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 23, no. 3, pp. 423-429.
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Cramer, H., Ward, L., Saper, R., Fishbein, D., Dobos, G. & Lauche, R. 2015, 'The Safety of Yoga: A Systematic Review and Meta-Analysis of Randomized Controlled Trials', AMERICAN JOURNAL OF EPIDEMIOLOGY, vol. 182, no. 4, pp. 281-293.
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Cramer, H., Rabsilber, S., Lauche, R., Kuemmel, S. & Dobos, G. 2015, 'Yoga and meditation for menopausal symptoms in breast cancer survivorsA randomized controlled trial', CANCER, vol. 121, no. 13, pp. 2175-2184.
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Langhorst, J., Wulfert, H., Lauche, R., Klose, P., Cramer, H., Dobos, G.J. & Korzenik, J. 2015, 'Systematic Review of Complementary and Alternative Medicine Treatments in Inflammatory Bowel Diseases', JOURNAL OF CROHNS & COLITIS, vol. 9, no. 1, pp. 86-106.
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Cramer, H., Lauche, R., Paul, A., Langhorst, J., Michalsen, A. & Dobos, G. 2015, 'Mind-Body Medicine in the Secondary Prevention of Coronary Heart Disease A Systematic Review and Meta-analysis', DEUTSCHES ARZTEBLATT INTERNATIONAL, vol. 112, no. 45, pp. 759-767.
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Lauche, R., Cramer, H., Haeuser, W., Dobos, G. & Langhorst, J. 2015, 'A Systematic Overview of Reviews for Complementary and Alternative Therapies in the Treatment of the Fibromyalgia Syndrome', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Lauche, R., Janzen, A., Luedtke, R., Cramer, H., Dobos, G. & Langhorst, J. 2015, 'Efficacy of Caraway Oil Poultices in Treating Irritable Bowel Syndrome - A Randomized Controlled Cross-Over Trial', DIGESTION, vol. 92, no. 1, pp. 22-31.
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Haller, H., Cramer, H., Lauche, R. & Dobos, G. 2015, 'Somatoform Disorders and Medically Unexplained Symptoms in Primary Care', DEUTSCHES ARZTEBLATT INTERNATIONAL, vol. 112, no. 16, pp. 279-287.
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Lauche, R., Klose, P., Radbruch, L., Welsch, P. & Haeuser, W. 2015, 'Opioids in chronic noncancer pain-are opioids different? A systematic review and meta-analysis of efficacy, tolerability and safety in randomized head-to-head comparisons of opioids of at least four week's duration', SCHMERZ, vol. 29, no. 1, pp. 73-84.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2015, 'Are Indian yoga trials more likely to be positive than those from other countries? A systematic review of randomized controlled trials', CONTEMPORARY CLINICAL TRIALS, vol. 41, pp. 269-272.
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Cramer, H., Lauche, R., Haller, H., Dobos, G. & Michalsen, A. 2015, 'A systematic review of yoga for heart disease', EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, vol. 22, no. 3, pp. 284-295.
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Cramer, H., Lauche, R., Paul, A., Langhorst, J., Kuemmel, S. & Dobos, G.J. 2015, 'Hypnosis in Breast Cancer Care: A Systematic Review of Randomized Controlled Trials', INTEGRATIVE CANCER THERAPIES, vol. 14, no. 1, pp. 5-15.
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Wagner, L., Cramer, H., Klose, P., Lauche, R., Gass, F., Dobos, G. & Langhorst, J. 2015, 'Herbal Medicine for Cough: a Systematic Review and Meta-Analysis', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 22, no. 6, pp. 359-368.
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Cramer, H., Langhorst, J., Dobos, G. & Lauche, R. 2015, 'Associated Factors and Consequences of Risk of Bias in Randomized Controlled Trials of Yoga: A Systematic Review', PLOS ONE, vol. 10, no. 12.
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Lauche, R. & Langhorst, J. 2015, 'Study on the efficacy of caraway oil poultices in treating irritable bowel syndrome', Zeitschrift fur Phytotherapie, vol. 36, no. 6, pp. 244-246.
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Summary Study on the efficacy of caraway oil poultices in treating irritable bowel syndrome A major focus of the integrative treatment of chronic diseases lies in the promotion of so-called self care techniques, such as caraway oil poultices for gastro-intestinal disorders. The present study was carried out with the aim of examining the effectiveness of these poultices in patients with irritable bowel disorders, because they are a simple and inexpensive method in complaint management in clinical practice.
Lauche, R. & Langhorst, J. 2015, 'An examination of the efficacy of cabbage leaf wraps in treating symptomatic osteoarthritis of the knee', Zeitschrift fur Phytotherapie, vol. 36, no. 6, pp. 241-243.
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An examination of the efficacy of cabbage leaf wraps in treating symptomatic osteoarthritis of the knee A variety of home remedies, among others cabbage leaf wraps, are available for the patient for the treatment of knee osteoarthritis. The wraps have proved effective in practice in the reduction of swelling, pain and movement restrictions. For the first time, the present scientific study offers proof of the effectiveness of cabbage wraps in treating disorders related to knee osteoarthritis.
Lauche, R., Cramer, H., Klose, P., Dobos, G. & Langhorst, J. 2015, 'Complementary Therapies in the Guidelines for Treatment of Irritable Bowel Syndrome', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 22, no. 1, pp. 5-7.
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Klose, P., Kraft, K., Cramer, H., Lauche, R., Dobos, G. & Langhorst, J. 2014, 'Phytotherapy in the German Medical AWMF S3 Guidelines a Systematic Overview', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 21, no. 6, pp. 388-400.
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Haller, H., Ostermann, T., Lauche, R., Cramer, H. & Dobos, G. 2014, 'Credibility of a comparative sham control intervention for Craniosacral Therapy in patients with chronic neck pain', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 22, no. 6, pp. 1053-1059.
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Lauche, R., Langhorst, J., Paul, A., Dobos, G. & Cramer, H. 2014, 'Self-reported health and satisfaction of patients with chronic diseases who meditate: a case-control study', QUALITY OF LIFE RESEARCH, vol. 23, no. 9, pp. 2639-2644.
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Lauche, R., Cramer, H., Langhorst, J., Michalsen, A. & Dobos, G.J. 2014, 'Reliability and Validity of the Pain on Movement Questionnaire (POM) in Chronic Neck Pain', PAIN MEDICINE, vol. 15, no. 11, pp. 1850-1856.
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Cramer, H., Lauche, R., Azizi, H., Dobos, G. & Langhorst, J. 2014, 'Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis', PLOS ONE, vol. 9, no. 11.
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Lauche, R., Cramer, H., Langhorst, J., Dobos, G. & Gerdle, B. 2014, 'NECK PAIN INTENSITY DOES NOT PREDICT PRESSURE PAIN HYPERALGESIA: RE-ANALYSIS OF SEVEN RANDOMIZED CONTROLLED TRIALS', JOURNAL OF REHABILITATION MEDICINE, vol. 46, no. 6, pp. 553-560.
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Cramer, H., Lauche, R. & Dobos, G. 2014, 'Characteristics of randomized controlled trials of yoga: a bibliometric analysis', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 14.
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Cramer, H., Haller, H., Lauche, R., Steckhan, N., Michalsen, A. & Dobos, G. 2014, 'A Systematic Review and Meta-Analysis of Yoga for Hypertension', AMERICAN JOURNAL OF HYPERTENSION, vol. 27, no. 9, pp. 1146-1151.
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Lauche, R. 2014, 'Commentary', Deutsche Zeitschrift fur Akupunktur, vol. 57, no. 3, pp. 25-26.
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Boehm, K., Raak, C., Cramer, H., Lauche, R. & Ostermann, T. 2014, 'Homeopathy in the treatment of fibromyalgia-A comprehensive literature-review and meta-analysis', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 22, no. 4, pp. 731-742.
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Gareus, I., Rampp, T., Tan, L., Luedtke, R., Niggemeier, C., Lauche, R., Klose, P. & Dobos, G. 2014, 'Introducing a Computer-Assisted, Digital Tongue-Imaging Device for Standardization of Traditional Tongue Diagnosis', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 21, no. 3, pp. 190-196.
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Cramer, H., Lauche, R., Moebus, S., Michalsen, A., Langhorst, J., Dobos, G. & Paul, A. 2014, 'Predictors of Health Behavior Change After an Integrative Medicine Inpatient Program', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, vol. 21, no. 5, pp. 775-783.
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Haller, H., Cramer, H., Lauche, R., Gass, F. & Dobos, G.J. 2014, 'The prevalence and burden of subthreshold generalized anxiety disorder: a systematic review', BMC PSYCHIATRY, vol. 14.
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Berrill, J.W. & Cramer, H. 2014, 'Mindfulnessbased therapy for inflammatory bowel disease patients with functional abdominal symptoms or high perceived stress levels', Forschende Komplementarmedizin, vol. 21, no. 2, pp. 130-131.
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Cramer, H., Lauche, R., Langhorst, J., Dobos, G.J. & Michalsen, A. 2014, 'Validation of the German version of the Neck Disability Index (NDI)', BMC MUSCULOSKELETAL DISORDERS, vol. 15.
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Cramer, H., Lauche, R., Haller, H., Steckhan, N., Michalsen, A. & Dobos, G. 2014, 'Effects of yoga on cardiovascular disease risk factors: A systematic review and meta-analysis', INTERNATIONAL JOURNAL OF CARDIOLOGY, vol. 173, no. 2, pp. 170-183.
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Cramer, H., Lauche, R., Klose, P., Dobos, G. & Langhorst, J. 2014, 'Complementary, alternative and integrative Therapies in the medical Guidelines - the Guideline "Diagnosis and Treatment of ulcerative Colitis" as an Example of successful Integration', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 21, no. 1, pp. 4-6.
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Langhorst, J. & Lauche, R. 2014, 'It Is about Time - Tailoring of an Individualized Multimodal Treatment Approach in Ulcerative Colitis', DIGESTION, vol. 89, no. 2, pp. 139-141.
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Langhorst, J., Haeuser, W., Lauche, R., Perrot, S., Alegre, C. & Puttini, P.C.S. 2014, 'Complementary and Alternative Medicine for the Treatment of Fibromyalgia', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Cramer, H., Lauche, R., Klose, P., Dobos, G. & Langhorst, J. 2014, 'A systematic review and meta-analysis of exercise interventions for colorectal cancer patients', EUROPEAN JOURNAL OF CANCER CARE, vol. 23, no. 1, pp. 3-14.
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Lauche, R., Cramer, H., Langhorst, J. & Dobos, G. 2014, 'A Systematic Review and Meta-Analysis of Medical Leech Therapy for Osteoarthritis of the Knee', CLINICAL JOURNAL OF PAIN, vol. 30, no. 1, pp. 63-72.
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Moser, G. & Lauche, R. 2014, 'Moser G, Tragner S, Gajowniczek EE, Mikulits A, Michalski M, Kazemi-Shirazi L, Kulnigg-Dabsch S, Fuhrer M, Ponocny-Seliger E, Dejaco C, Miehsler W: Long-term success of GUT-directed group hypnosis for patients with refractory irritable bowel syndrome: a randomized controlled trial. Am J Gastroenterol 2013;108:602-609', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 21, no. 2, pp. 131-133.
Langhorst, J., Boone, J.H., Lauche, R., Rueffer, A. & Dobos, G.J. 2014, 'Fecal lactoferrin, calprotectin, PMN-elastase, CRP and white blood count as indicator for clinical course of disease and mucosal healing in patients with ulcerative colitis: A prospective 12-month monitoring study', JOURNAL OF CROHNS & COLITIS, vol. 8, pp. S269-S269.
Lauche, R., cramer, H., Klose, P., Kraft, K., Dobos, G. & Langhorst, J. 2014, 'Herbal medicines for the treatment of inflammatory bowel disease (Protocol)', Cochrane Database of Systematic Reviews, vol. 2014, no. 7.
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This is the protocol for a review and there is no abstract. The objectives are as follows: The primary objectives are to assess the efficacy and safety of herbal medicines for the treatment of patients with IBD.
Lauche, R., Häuser, W., Jung, E., Erbslöh-Möller, B., Gesmann, M., Kühn-Becker, H., Petermann, F., Weiss, T., Thoma, R., Winkelmann, A. & Langhorst, J. 2013, 'Patient-related predictors of treatment satisfaction of patients with fibromyalgia syndrome: Results of a cross-sectional survey', Clinical and Experimental Rheumatology, vol. 31, no. SUPPL.79, pp. 34-40.
Objectives. This study aimed to determine patient-related predictors of treatment satisfaction in fibromyalgia syndrome (FMS)-patients. Methods. In a cross-sectional survey, participants with self-reported diagnosis of FMS were recruited by FMS-self help organisations and clinical institutions. The patients answered demographic and medical questionnaires, the Fibromyalgia Survey Questionnaire (FSQ) including the Somatic Severity Score (SSS) and Widespread Pain Index (WPI), the Patient Health Questionnaire (PHQ-4), and rated their treatment satisfaction on an 11-point Likert scale. The impact of patient-related variables (age, gender, partnership, educational level, time since onset of pain, time since FMS-diagnosis, health status since diagnosis, membership in FMS self-help organisations, polysymptomatic distress, anxiety and depression) and types of treatment on treatment satisfaction were tested by a multiple regression analysis. Results. The study sample (n=1651 patients) was composed mainly of middle-aged women with a long disease history, and 83.9% fulfilled the American College of Rheumatology diagnostic criteria of 2010. There was considerate variety regarding treatment satisfaction in FMS-patients, 14.8% reported no, 31.7% low, 40.8% moderate and 12.7% high satisfaction. Higher satisfaction was predicted by longer time since FMS diagnosis (p=0.03), improved health status since FMS-diagnosis (p<0.0001), lower depression score (p=0.005) and higher amount of active therapies (p<0.0001). Other sociodemographic (age, gender etc.) and disease-related variables (polysymptomatic distress intensity) did not influence treatment satisfaction. Conclusion. The results of the study illustrate the influence of patient-related factors on treatment satisfaction. Treating comorbid depression and enabling patients to actively cope with the disease might prove successful in improving treatment satisfaction of FMS-patients. &copy; Clinical and Experimental Rheumatology 2013.
Lauche, R., Cramer, H., Haeuser, W., Dobos, G. & Langhorst, J. 2013, 'A Systematic Review and Meta-Analysis of Qigong for the Fibromyalgia Syndrome', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Lauche, R., Cramer, H., Dobos, G., Langhorst, J. & Schmidt, S. 2013, 'A systematic review and meta-analysis of mindfulness-based stress reduction for the fibromyalgia syndrome', JOURNAL OF PSYCHOSOMATIC RESEARCH, vol. 75, no. 6, pp. 500-510.
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Lauche, R., Cramer, H., Langhorst, J. & Dobos, G. 2013, 'Cupping for Chronic Nonspecific Neck Pain: A 2-Year Follow-Up', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 20, no. 5, pp. 328-333.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2013, 'YOGA FOR DEPRESSION: A SYSTEMATIC REVIEW AND META-ANALYSIS', DEPRESSION AND ANXIETY, vol. 30, no. 11, pp. 1068-1083.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2013, 'Yoga for rheumatic diseases: a systematic review', RHEUMATOLOGY, vol. 52, no. 11, pp. 2025-2030.
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Paul, A., Cramer, H., Lauche, R., Altner, N., Langhorst, J. & Dobos, G.J. 2013, 'An Oncology Mind-Body Medicine Day Care Clinic: Concept and Case Presentation', INTEGRATIVE CANCER THERAPIES, vol. 12, no. 6, pp. 503-507.
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Cramer, H., Lauche, R., Langhorst, J., Dobos, G. & Paul, A. 2013, 'Characteristics of patients with internal diseases who use relaxation techniques as a coping strategy', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 21, no. 5, pp. 481-486.
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Lauche, R., Langhorst, J., Dobos, G.J. & Cramer, H. 2013, 'Clinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain - A reanalysis of 4 randomized controlled trials of cupping therapy', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 21, no. 4, pp. 342-347.
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Lauche, R., Langhorst, J., Dobos, G. & Cramer, H. 2013, 'A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee', COMPLEMENTARY THERAPIES IN MEDICINE, vol. 21, no. 4, pp. 396-406.
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Cramer, H., Lauche, R., Langhorst, J., Paul, A., Michalsen, A. & Dobos, G. 2013, 'Predictors of yoga use among internal medicine patients', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 13.
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Cramer, H., Lauche, R., Langhorst, J., Dobos, G. & Paul, A. 2013, 'Quality of Life and Mental Health in Patients with Chronic Diseases Who Regularly Practice Yoga and Those Who Do Not: A Case-Control Study', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Cramer, H., Lauche, R., Haller, H., Langhorst, J., Dobos, G. & Berger, B. 2013, '"I'm More in Balance": A Qualitative Study of Yoga for Patients with Chronic Neck Pain', JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, vol. 19, no. 6, pp. 536-542.
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Lauche, R., Materdey, S., Cramer, H., Haller, H., Stange, R., Dobos, G. & Rampp, T. 2013, 'Effectiveness of Home-Based Cupping Massage Compared to Progressive Muscle Relaxation in Patients with Chronic Neck Pain-A Randomized Controlled Trial', PLOS ONE, vol. 8, no. 6.
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Lauche, R., Lange, S., Cramer, H., Wagner, K., Esch, T., Langhorst, J., Dobos, G. & Paul, A. 2013, 'Changes in chronically ill patients' self-management skills and resources following 14 days of inpatient treatment in a Department for Integrative Medicine: An observational pilot study', EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE, vol. 5, no. 2, pp. 165-170.
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Cramer, H., Lauche, R., Haller, H. & Dobos, G. 2013, 'A Systematic Review and Meta-analysis of Yoga for Low Back Pain', CLINICAL JOURNAL OF PAIN, vol. 29, no. 5, pp. 450-460.
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Cramer, H., Lauche, R., Hohmann, C., Langhorst, J. & Dobos, G. 2013, 'Yoga for Chronic Neck Pain: A 12-Month Follow-Up', PAIN MEDICINE, vol. 14, no. 4, pp. 541-548.
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Lauche, R. 2013, 'Comment', Deutsche Zeitschrift fur Akupunktur, vol. 56, no. 1, pp. 25-26.
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Cramer, H., Lauche, R., Hohmann, C., Luedtke, R., Haller, H., Michalsen, A., Langhorst, J. & Dobos, G. 2013, 'Randomized-controlled Trial Comparing Yoga and Home-based Exercise for Chronic Neck Pain', CLINICAL JOURNAL OF PAIN, vol. 29, no. 3, pp. 216-223.
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Cramer, H., Lauche, R., Klose, P., Langhorst, J. & Dobos, G. 2013, 'Yoga for schizophrenia: a systematic review and meta-analysis', BMC PSYCHIATRY, vol. 13.
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Lauche, R., Häuser, W., Jung, E., Erbslöh-Möller, B., Gesmann, M., Kühn-Becker, H., Petermann, F., Weiss, T., Thoma, R., Winkelmann, A. & Langhorst, J. 2013, 'Patient-related predictors of treatment satisfaction of patients with fibromyalgia syndrome: results of a cross-sectional survey.', Clinical and experimental rheumatology, vol. 31, no. 6 Suppl 79, pp. S34-S40.
OBJECTIVES: This study aimed to determine patient-related predictors of treatment satisfaction in fibromyalgia syndrome (FMS)-patients. METHODS: In a cross-sectional survey, participants with self-reported diagnosis of FMS were recruited by FMS-self help organisations and clinical institutions. The patients answered demographic and medical questionnaires, the Fibromyalgia Survey Questionnaire (FSQ) including the Somatic Severity Score (SSS) and Widespread Pain Index (WPI), the Patient Health Questionnaire (PHQ-4), and rated their treatment satisfaction on an 11-point Likert scale. The impact of patient-related variables (age, gender, partnership, educational level, time since onset of pain, time since FMS-diagnosis, health status since diagnosis, membership in FMS self-help organisations, polysymptomatic distress, anxiety and depression) and types of treatment on treatment satisfaction were tested by a multiple regression analysis. RESULTS: The study sample (n=1651 patients) was composed mainly of middle-aged women with a long disease history, and 83.9% fulfilled the American College of Rheumatology diagnostic criteria of 2010. There was considerate variety regarding treatment satisfaction in FMS-patients, 14.8% reported no, 31.7% low, 40.8% moderate and 12.7% high satisfaction. Higher satisfaction was predicted by longer time since FMS diagnosis (p=0.03), improved health status since FMS-diagnosis (p<0.0001), lower depression score (p=0.005) and higher amount of active therapies (p<0.0001). Other sociodemographic (age, gender etc.) and disease-related variables (polysymptomatic distress intensity) did not influence treatment satisfaction. CONCLUSIONS: The results of the study illustrate the influence of patient-related factors on treatment satisfaction. Treating comorbid depression and enabling patients to actively cope with the disease might prove successful in improving treatment satisfaction of FMS-patients.
Lauche, R., Haeuser, W., Jung, E., Erbsloeh-Moeller, B., Gesmann, M., Kuehn-Becker, H., Petermann, F., Weiss, T., Thoma, R., Winkelmann, A. & Langhorst, J. 2013, 'Patient-related predictors of treatment satisfaction of patients with fibromyalgia syndrome: results of a cross-sectional survey', CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, vol. 31, no. 6, pp. S34-S40.
Cramer, H., Lauche, R., Klose, P., Lange, S., Langhorst, J. & Dobos, G. 2013, 'Yoga for women diagnosed with breast cancer (Protocol)', Cochrane Database of Systematic Reviews, vol. 2013, no. 10.
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Lauche, R. & Häuser, W. 2013, 'Fibromyalgiesyndrom: Definition und Differen zialdiagnosen', Zeitschrift für Komplementärmedizin, vol. 2013, no. 01, pp. 46-49.
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Lauche, R., Cramer, H., Klose, P., Dobos, G. & Langhorst, J. 2012, 'Complementary Therapies in the German Guidelines for the Treatment of Fibromyalgia Syndrome - Update 2012', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 19, no. 6, pp. 280-283.
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Cramer, H., Baumgarten, C., Choi, K.-.E., Lauche, R., Saha, F.J., Musial, F. & Dobos, G. 2012, 'Thermotherapy self-treatment for neck pain relief-A randomized controlled trial', EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE, vol. 4, no. 4, pp. E371-E378.
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Paul, A., Lauche, R., Cramer, H., Altner, N., Langhorst, J. & Dobos, G.J. 2012, 'An Integrative Day Care Clinic for chronically ill patients: Concept and case presentation', EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE, vol. 4, no. 4, pp. E455-E459.
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Lauche, R., Cramer, H., Moebus, S., Paul, A., Michalsen, A., Langhorst, J. & Dobos, G. 2012, 'Results of a 2-Week Inpatient Stay at the Department for Internal and Integrative Medicine: An Observational Study', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Hohmann, C., Ullrich, I., Lauche, R., Choi, K.-.E., Luedtke, R., Rolke, R., Cramer, H., Saha, F.J., Rampp, T., Michalsen, A., Langhorst, J., Dobos, G. & Musial, F. 2012, 'The Benefit of a Mechanical Needle Stimulation Pad in Patients with Chronic Neck and Lower Back Pain: Two Randomized Controlled Pilot Studies', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Cramer, H., Lauche, R., Langhorst, J. & Dobos, G. 2012, 'Effectiveness of Yoga for Menopausal Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials', Evidence-Based Complementary and Alternative Medicine, vol. 2012.
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Cramer, H., Lauche, R., Paul, A. & Dobos, G. 2012, 'Mindfulness-based stress reduction for breast cancer-a systematic review and meta-analysis', CURRENT ONCOLOGY, vol. 19, no. 5, pp. E343-E352.
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Cramer, H., Haller, H., Lauche, R. & Dobos, G. 2012, 'Mindfulness-based stress reduction for low back pain. A systematic review', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 12.
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Schumann, S., Lauche, R., Hohmann, C., Zirbes, T., Dobos, G. & Saha, F.J. 2012, 'Development of Lipoma Following a Single Cupping Massage - a Case Report', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 19, no. 4, pp. 202-205.
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Lauche, R., Wuebbeling, K., Luedtke, R., Cramer, H., Choi, K.-.E., Rampp, T., Michalsen, A., Langhorst, J. & Dobos, G.J. 2012, 'Randomized Controlled Pilot Study: Pain Intensity and Pressure Pain Thresholds in Patients with Neck and Low Back Pain Before and After Traditional East Asian "Gua Sha" Therapy', AMERICAN JOURNAL OF CHINESE MEDICINE, vol. 40, no. 5, pp. 905-917.
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Lauche, R., Cramer, H., Haller, H., Musial, F., Langhorst, J., Dobos, G.J. & Berger, B. 2012, 'My Back Has Shrunk: The Influence of Traditional Cupping on Body Image in Patients with Chronic Non-Specific Neck Pain', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 19, no. 2, pp. 68-74.
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Lauche, R., Cramer, H., Paul, A., Dobos, G.J. & Rampp, T. 2012, 'Introducing integrative integrated migraine care (IIMC): A model and case presentation', EUROPEAN JOURNAL OF INTEGRATIVE MEDICINE, vol. 4, no. 1, pp. E37-E40.
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Lauche, R., Cramer, H., Hohmann, C., Choi, K.-.E., Rampp, T., Saha, F.J., Musial, F., Langhorst, J. & Dobos, G. 2012, 'The Effect of Traditional Cupping on Pain and Mechanical Thresholds in Patients with Chronic Nonspecific Neck Pain: A Randomised Controlled Pilot Study', EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE.
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Lauche, R., Cramer, H., Choi, K.-.E., Rampp, T., Saha, F.J., Dobos, G.J. & Musial, F. 2011, 'The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain - a randomised controlled pilot study', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 11.
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Cramer, H., Lauche, R., Hohmann, C., Choi, K.-.E., Rampp, T., Musial, F., Langhorst, J. & Dobos, G. 2011, 'Randomized Controlled Trial of Pulsating Cupping (Pneumatic Pulsation Therapy) for Chronic Neck Pain', FORSCHENDE KOMPLEMENTARMEDIZIN, vol. 18, no. 6, pp. 327-334.
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Kolassa, I.-.T., Kolassa, S., Bergmann, S., Lauche, R., Dilger, S., Miltner, W.H.R. & Musial, F. 2009, 'Interpretive bias in social phobia: An ERP study with morphed emotional schematic faces', COGNITION & EMOTION, vol. 23, no. 1, pp. 69-95.
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Kolassa, I.-.T., Buchmann, A., Lauche, R., Kolassa, S., Partchev, I., Miltner, W.H.R. & Musial, F. 2007, 'Spider phobics more easily see a spider in morphed schematic pictures', BEHAVIORAL AND BRAIN FUNCTIONS, vol. 3.
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Other

Lauche, R. 2015, 'Forever Young(er): Potential age-defying effects of long-term meditation on gray matter atrophy', pp. 30-31.
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Moser, G., Trägner, S., Gajowniczek, E.E., Mikulits, A., Michalski, M., Kazemi-Shirazi, L., Kulnigg-Dabsch, S., Führer, M., Ponocny-Seliger, E., Dejaco, C., Miehsler, W. & Lauche, R. 2014, 'Mindfulness-based interventions and hypnosis in the treatment of gastrointestinal diseases - Arguments for a personalized multimodal treatment approach with salutogenic elements', pp. 131-133.

Prof Dr Gustav Dobos
Prof Dr Jost Langhorst
Dr Holger Cramer

University of Duisburg-Essen, Germany

Prof Dr Thomas Ostermann
Prof Dr Arndt Büssing

University of Witten/Herdecke, Germany

Prof Dr Andreas Michalsen
Dr. Rainer Stange

Charité Medical University Berlin, Germany

Dr Kathrin Bernardy
Ruhr University Bochum, Germany

Prof Dr Stefan Schmidt
Freiburg Medical Hospital, Gemany

PD Dr Winfried Häuser
University of the Saarland, Germany

Dr Felicity Bishop
University of Southampton, UK

Dr Caragh Brosnan
University of Newcastle, Australia

Dr Vincent Chung
Chinese University of Hong Kong

Dr Helen Hall
Monash University, Australia

Dr Matthew Leach
University of South Australia, Australia

Dr Brenda Leung
University of Lethbridge, Canada

Dr Tobias Sundberg
Karolinska Institute, Sweden

Dr Lesley Ward
University of Otago, New Zealand
Oxford University, UK

Dr Tony Zhang
RMIT University Melbourne, Australia

Dr Yan Zhang
Texas Tech University, US