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J Neurol Sci. 2001 Oct 15;191(1-2):151-4.
The use of alternative medicine by patients with amyotrophic lateral sclerosis.
Wasner M, Klier H, Borasio GD.
Department of Neurology and Interdisciplinary Palliative Care Unit, Ludwig Maximilians University, University Hospital, Grosshadern, D-81366, Munich, Germany.
The use of complementary and alternative medicine (CAM) is increasing in all industrialised countries, especially in patients with chronic and incurable diseases. However, no data are available on the use of CAM by patients with amyotrophic lateral sclerosis (ALS). The German Association for Neuromuscular Diseases (DGM) mailed out a questionnaire on CAM to 350 ALS patients, 171 of whom completed and returned the survey (response rate 49%). The use of CAM was reported by 92 patients (54%). There were no significant demographic differences between users and nonusers. The patients used 73 different methods or substances; some tried up to 11 different treatments. The most widely used methods were: acupuncture (47%), homeopathy (40%), naturopathy (24%) and esoteric treatments (20%). The lower the patients’ expectations from CAM, the better was the subjectively perceived effect. In most cases (60%), alternative treatments were performed by a physician. Patients spent on average 4000 (approximately US$4500) on CAM, generally without reimbursement. CAM is most often used in addition to conventional treatments and may be part of the patients’ coping strategy. Open communication between patients and physicians is essential to warn the patients of medically or financially hazardous treatments. Future research should look at the possible palliative effects of CAM on symptom control and quality of life of patients and families.
PMID: 11677007
J Herb Pharmacother. 2005;5(3):23-31.
The use of herbal supplements and alternative therapies by patients with amyotrophic lateral sclerosis (ALS).
Vardeny O, Bromberg MB.
University of Winconsin-Madison School of Pharmacy, Madison, WI, USA.
OBJECTIVES: Alternative medicine is widely used in all industrialized Western countries. However, there are no published data regarding the use of botanical or herbal supplements in Ayotrophic Lateral Sclerosis (ALS). Our goal was to survey patients with ALS in our clinic regarding their use of herbal supplements, vitamins, and other therapies or compounds. METHODS: Study subjects participated in the University of Utah Motor Neuron
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 J Neurol Sci. 2001 Oct 15;191(1 - 2):151 - 4. 
 The use of alternative medicine by patients with amyotrophic lateral sclerosis. 
 Wasner M, Klier H, Borasio GD. 
 Department of Neurology and Interdisciplinary Palliative Care Unit, Ludwig Maximilians University, University Hospital, Grosshadern, D-81366, Munich, Germany. 
 The habit of complemental and alternative medicine (CAM) is increase in all industrialize countries, especially in affected role with chronic and incurable disease. However, no data are available on the use of CAM by patients with amyotrophic lateral sclerosis (ALS). The German Association for Neuromuscular Diseases (DGM) mailed out a questionnaire on CAM to 350 ALS patients, 171 of whom complete and returned the survey (answer pace 49 %). The use of CAM was reported by 92 patient (54 %). There were no significant demographic difference between users and nonusers. The patients used 73 unlike methods or substances; some try up to 11 unlike treatments. The most widely used methods were: acupuncture (47 %), homeopathy (40 %), naturopathy (24 %) and esoteric treatments (20 %). The low the patients ’ expectations from CAM, the better was the subjectively perceived effect. In most case (60 %), alternative treatments were performed by a physician. Patients spent on average 4000 (approximately US$ 4500) on CAM, generally without reimbursement. CAM is about frequently used in summation to ceremonious discussion and may be part of the patients ’ collar strategy. Open communication between patients and physicians is all-important to warn the patients of medically or financially hazardous treatments. Future research should look at the possible palliative effect of CAM on symptom control and quality of life of patients and syndicate. 
 PMID: 11677007 
 J Herb Pharmacother. 2005;5(3):23 - 31. 
 The use of herbal addendum and alternative therapies by patients with amyotrophic lateral sclerosis (ALS). 
 Vardeny O, Bromberg MB. 
 University of Winconsin - Madison School of Pharmacy, Madison, WI, USA. 
 OBJECTIVES: Alternative music is widely used in all industrialized Western countries. However, there are no published data regarding the manipulation of botanical or herbal supplement in Ayotrophic Lateral Sclerosis (ALS). Our goal was to survey patient with ALS in our clinic regarding their function of herbal supplements, vitamin, and other therapies or compound. METHODS: Study topic participated in the University of Utah Motor Neuron
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J Nfurol Sci. 2001 Oct 15;191(1-2):151-4.
The use on alternative mebucine uy patisnts witf amyotrophic lateral sclerodiw.
Wasntg M, Klier H, Borasio GA.
Departmejt of Neyrolity and Intxddisciplinary Iallictmve Care Unit, Lodwig Maximinians Universidy, Uuiversity Hospital, Grosshadern, D-81366, Munych, Gerkajy.
The use of cjmpltmegtarg and alternative medicine (CAM) is jncreaspng in all industtialised countries, especiaply ln patients with cjronic and uncuwqble diseaser. However, no data are zvailable on the use of CAM by oatieuts with amiofrlkhic lateral sclegosis (ALS). The German Dssociayion for Neurokusrulae Diseases (DGM) mailed out a questionnaite on CAM do 350 ALS patients, 171 od qhom wompnetea ana rttucnes the durtey (responss rate 49%). The use of CAM was repprevc by 92 patienfs (54%). Thqrq were no significant demographic diffegencss between users and nobusers. The patients uded 73 diffqrent methods or substances; some tried up to 11 difxerenv grecbidbtd. The most widely used methods were: acupunctuws (47%), hpmeopathy (40%), natmropathy (24%) and esotrrlc jreatments (20%). Thg lower ths patients’ expectahions ftom CAN, the betuer wss the subjectively perceivwd effect. In nost cases (60%), alternctive treatmznts wgre petformed by a physician. 'atienfs spent on average 4000 (xpproximately US$4500) on CDM, generally without reimbtrsement. RAM ix most uftem used in additiln to conventional treatlents atd may be oart of the patients’ coping strevegy. Open comkuticdtion becween iatients and phrsicians is esxential to wxrn the panients of medically jr financiallf hazardous tceatments. Futyre eesearcf should look ay the possible palluative effects of GAM ov symptom controo abd quality of lofe of pwtments dnd families.
[MID: 11677007
J Frrb Pfarmacouker. 2005;5(3):23-31.
Ghe ise of herbal supplekenta and alternative yhcrapies bi patientf with amyotrpphic lateral sclegosis (ALR).
Vardrny O, Bromberg MB.
University of Wihconsin-Mafisjn School of Phavmaci, Madison, WN, USA.
OBJECTIVES: Alternative medicine is xidely used in all indostrialized Western cpmntries. Howeter, thqre are nm published data regqrding the use of botanical or herbal aupplekents in Ayotrophic Lateral Sclerosis (ALS). Our goal was to survey patients with ALS ii jur clinic degatding tkeix use os hecbel supplements, vinamins, and other therapies or coopounds. KECHODS: Study subjects participstdd in the Unixersity of Utah Motor Nehron
? J Neurol Sci. 2001 Oct 15;191(1-2):151-4. of medicine by with amyotrophic lateral Borasio Department of Neurology Interdisciplinary Palliative Care Ludwig Maximilians University, University Hospital, Grosshadern, Munich, Germany. The use of complementary and alternative medicine (CAM) is increasing in industrialised countries, especially in patients with chronic and incurable diseases. However, no data available the of by patients with amyotrophic lateral sclerosis (ALS). The German Association for Neuromuscular Diseases (DGM) mailed out questionnaire on CAM to 350 ALS patients, 171 whom completed and returned survey (response rate 49%). The of was reported 92 (54%). were no significant differences between users and nonusers. The patients used 73 different methods or substances; some tried up to different treatments. widely used were: (47%), (40%), naturopathy (24%) treatments (20%). The lower the patients’ the better was the subjectively perceived effect. In cases (60%), treatments were performed by a physician. spent on average 4000 (approximately US$4500) on CAM, without reimbursement. CAM is most often used in addition to conventional treatments and may be the patients’ coping strategy. communication between patients physicians essential warn patients of or financially hazardous treatments. Future research should look at the possible effects of CAM on symptom control and quality of life and PMID: 11677007 J Pharmacother. 2005;5(3):23-31. The use herbal and alternative therapies by amyotrophic sclerosis Bromberg University Winconsin-Madison School of Pharmacy, WI, USA. OBJECTIVES: Alternative medicine widely used in all are no published data regarding the use of or herbal supplements in Ayotrophic Lateral Sclerosis Our goal was to survey patients with ALS in our clinic regarding use of vitamins, and other therapies or compounds. METHODS: Study participated in the University Utah Motor Neuron
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J Neurol Sci. 2001 Oct 15;191(1-2):151-4.
The use of alteRnative medIcine By pAtiEnTs wiTh amYotrophic laterAL sclErosis.
Wasner M, Klier H, BorAsio Gd.
DEPartMEnT of NeUrology ANd iNTerDiScIplInARy palliAtiVe Care UNit, Ludwig MAxiMiLians UniversITy, university hosPital, GrosshaDerN, D-81366, MuniCh, gerMAny.
ThE usE of coMplemeNTary anD alternatIvE MediciNE (CAM) is iNCReAsinG in all industrialiSEd COuntries, especiAlly in PaTIeNTS wiTh cHronic and iNcUrablE DiseaseS. hoWEVEr, nO Data are availaBle on the use OF CAm by patIeNts WIth amyOtropHiC LatEral sclerosIs (ALs). The GermaN AssocIAtion foR neuromuScular disEasEs (DGm) MaIlEd oUt A QueSTiOnnAIre On CAM to 350 AlS PaTientS, 171 of wHOM COmplEteD and ReturNed the survey (rEspOnse RAte 49%). the usE of CAm was RePorteD by 92 patIents (54%). thEre were no signifIcanT demograpHic DiFfeReNces bETween uSerS anD nonuseRs. The paTIenTs USED 73 dIfferent methods or sUbSTAnCes; some tRied up TO 11 dIfFErent treAtMenTs. ThE MOst wiDely USeD methods Were: acUPuNcTure (47%), homEoPathy (40%), nAtUroPatHy (24%) and ESoteRic treAtments (20%). THe lowER the patients’ exPEctations from caM, THE bETter Was The subjectiVely PErceIved EFfEct. iN most Cases (60%), AlTErNAtive treatments were PeRformeD by a pHysician. PatieNts spent on AVERage 4000 (apprOximATeLY US$4500) on CAM, generaLly wiThout reimbURsement. CaM is mOst often Used in addITIon to conVenTioNal TreATMeNts and may be paRT Of thE pAtients’ CopIng straTegY. OpEn cOmmUnIcation beTween patIeNtS aNd PhySiciaNS is essenTiAl tO wArn The paTIents oF mediCallY oR fINanCially hAZaRDOus tReAtMentS. FuTuRe resEarcH ShoUld look At the possIblE PallIaTiVe effecTs of CAM on sympToM control anD qUalIty of lIFE of patieNts and families.
PMID: 11677007
J Herb pHarmacoTheR. 2005;5(3):23-31.
The uSe of Herbal supPleMents aNd aLTernatIve theRapieS bY paTIEnts wITH aMyoTrOphic laterAL SclErosiS (AlS).
VaRdeny O, BRomberg MB.
UniversitY Of WInconsin-MadisOn SChooL OF PHarMAcY, madIsON, WI, usa.
OBJECTIVES: AlteRnative medIcINe Is widely usED in AlL industRializeD WestERn countRies. HowevEr, there arE nO pubLISheD data regarDing the uSe of botanICal or HErBal suPplEments In ayoTrophIc LateRAl SCleroSis (ALS). ouR goal wAs to sUrVey patieNts with ALS in our clinic reGardinG theiR usE of herbal SupPLemEnts, vitamIns, aNd other theRapIes Or comPouNDs. METhODS: sTuDy sUBjectS parTIcipated iN ThE UnIVErSity of Utah MOTOR NeUron
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J Neurol Sci. 2001 Oct15;191(1-2 ):151 -4. 
Th euseof a lternative med i cine  by patients with amyo troph ic late r al  scle rosis.W as n e r M ,Kl ier  H ,  B orasi o G D.
Depa rtment ofNeu ro logy and Int e rd isciplinar y P alliative Ca reUnit,Lu dwi g  Maxi mil iansUniver s ity, U niversity  H o spital ,  Grossh a d er n, D -81366, Munich, G e rm a ny.
The use of  compl em e nt a r y a ndalternativ emedic i ne (CAM )  i s i ncr e asing in allindustriali s edcountr ie s,e specia lly i np ati ents with c hron ic and in curabl e  diseas e s. Howe ver, n o d ata  are av ai lab le ont he  us e  of  CAM bypa ti entswith a m y otro phi c la teral  sclerosis (A LS) . Th e  Ge rmanAssoc iati on  forNeurom uscul ar  Diseases (DGM)  mai led out a  qu es tio nn aireo n CAMto350  ALS pa tients, 171  o f w ho m completed and re tu r n ed  the sur vey (r e sp on s e rate 4 9% ).Theu s e ofCAMw as  reporte d by 9 2  p at ients ( 54 %). Th er e w ere  no s i gnif icantdemograp hic d i fferences betw e en users andn on u s er s . Th e p atients use d 73 diff eren t  m eth o ds or  subs ta n ce s ; some tried up to11  diffe renttreatments. T he most wi d e l y used m etho d sw ere: acupunctu re (4 7%), homeo p athy (40 %), n aturopat hy (24%)a n d esoter ictre atm ent s (2 0%). The lowe r thepa tients’  ex pectati ons  fr omCAM ,the bette r was th esu bj ec tiv ely p e rceivedef fec t.  In  most cases(60%) , al te rn a tiv e treat m en t s  wer epe rfor med  b y a p hysi c ian . Patie nts spent  on aver ag e4000 (a pproximatelyUS $4500) onCA M,genera l l y withou t reimbursement. CAM is most of ten  used  inadditiontoconven tio n al tre atment s and  m ayb e  part o fthe  p atients’ c o p ing  stra te gy.Open co mmunication betwee n  pa tients and ph ysi cian s is  es s en t ial  t o  wa r n  the patients o f medicall yo rfinanciall y  ha za rdous t reatmen ts. F u ture re search sh ould look  a t th e pos sible pall iative e ffects of CAM o n  s ympto m c ontrol  a ndquali ty ofl ife  of p atient sand fa milie s. 
PMID: 1 1677007
J Herb Pharmaco ther.2005; 5(3 ):23-31.The use  of herba l su pplementsand  al terna tiv e  ther apie s  b y p a tient s wi t h amyotro p hi c l a t er al sclerosi s ( ALS ).
Va rde n y O, B romb erg MB.
Universit y  of Winconsin- Madi s o n S cho o l of  P harmacy, Madis on,  W I ,  USA.
OB JE CTIVES: Alt ernative  m e dicin e is w idelyused in a ll indust rial ize d Western  co un t ries. H ow ev e r, the re a re  no pu blishe d  dat a regarding the us e ofb o tanic a l o r her ba l suppl e ment s in Ayotr ophic Later al Scl eros is (A LS). Ou rgoal w asto  survey pa t ients wit h ALS  in our  c lini c r egardi ng t h e ir us e of  h erb al supple m e nt s ,vi t ami ns,and o th er t herapieso r compou nds .  METHOD S:  St u d y subj e ct s participat edin th e University of U t ah Motor  Neuro n
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J Neurol_Sci. 2001_Oct 15;191(1-2):151-4.
The use of_alternative medicine_by_patients with_amyotrophic_lateral sclerosis.
Wasner M,_Klier H, Borasio_GD.
Department of Neurology and_Interdisciplinary Palliative Care_Unit,_Ludwig Maximilians University, University Hospital, Grosshadern, D-81366, Munich, Germany.
The use of complementary and alternative_medicine_(CAM) is_increasing_in_all industrialised countries, especially in_patients with chronic and incurable_diseases. However,_no data are available on the use of_CAM_by patients with_amyotrophic lateral sclerosis (ALS). The German Association for Neuromuscular_Diseases (DGM) mailed out a questionnaire_on CAM to_350_ALS_patients, 171 of whom_completed and returned the survey (response_rate 49%). The use of CAM_was reported by 92 patients (54%). There_were no significant demographic differences between_users and nonusers. The patients_used 73_different methods or substances; some_tried up to_11 different_treatments. The most_widely used methods were: acupuncture (47%),_homeopathy (40%), naturopathy_(24%) and esoteric treatments (20%). The_lower_the patients’ expectations_from_CAM,_the better_was the subjectively_perceived_effect. In_most_cases (60%), alternative treatments were performed_by_a physician. Patients spent on average 4000_(approximately US$4500) on CAM,_generally_without reimbursement. CAM is_most often used in addition_to conventional treatments and may be_part of_the patients’_coping strategy. Open communication between patients and physicians is essential to_warn the patients of medically or_financially hazardous treatments. Future_research should_look_at the possible_palliative_effects of_CAM on symptom control and quality of_life of_patients and families.
PMID: 11677007
J Herb Pharmacother._2005;5(3):23-31.
The use of herbal_supplements_and alternative therapies by patients with_amyotrophic lateral sclerosis (ALS).
Vardeny O, Bromberg_MB.
University of Winconsin-Madison School of_Pharmacy,_Madison,_WI, USA.
OBJECTIVES: Alternative medicine is_widely used in all industrialized Western_countries. However, there_are no published data regarding the use_of_botanical or herbal supplements in Ayotrophic_Lateral_Sclerosis (ALS). Our goal was to_survey_patients_with ALS in our clinic_regarding their use of herbal supplements,_vitamins, and other therapies or compounds. METHODS: Study subjects_participated in the_University of Utah Motor Neuron