Complementary and integrative medicine for the treatment of tourette’s syndrome

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dc.authorid0000-0002-8229-8431
dc.authorid0000-0002-6921-9567
dc.authorid0000-0002-8584-5488
dc.authorid0000-0002-9245-6878
dc.authorid0000-0002-7340-1660
dc.authorid0000-0001-6914-9223
dc.contributor.authorPringsheim, Tamara
dc.contributor.authorDeans, Catherine
dc.contributor.authorAnis, Saar
dc.contributor.authorBhatia, Poonam
dc.contributor.authorBlack, Kevin
dc.contributor.authorDeğirmenci, Yıldız
dc.contributor.authorGilbert, Donald
dc.contributor.authorHartmann, Andreas
dc.contributor.authorHull, Mariam
dc.contributor.authorMalaty, Irene
dc.date.accessioned2026-01-22T17:33:18Z
dc.date.available2026-01-22T17:33:18Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.description.abstractBackground: There is widespread interest in complementary and integrative medicine (CIM) among people with Tourette's syndrome (TS). Objective: To perform a systematic review of evidence on the use of CIM to reduce tics and improve tic-related quality of life. Methods: We included clinical studies of CIM in children, adolescents and adults with TS and chronic tic disorders, and assessed the change in tic severity and/or tic-related quality of life using validated scales. Risk of bias of randomized controlled trials was assessed using the risk of bias tool of the American Academy of Neurology, which classifies studies into Class I, II, III or IV based on quality criteria. Results: 49 clinical studies and three systematic reviews were included. Most studies were rated Class IV and therefore at high risk of bias. Class I studies demonstrated efficacy of functional MRI neurofeedback, 5-Ling granule, Jingxin Zhidong formula, and Ningdong granule in reducing tic severity. Class II studies suggest efficacy of mindfulness-based intervention for tics, acupuncture combined with atlantoaxial joint bone setting therapy, and art therapy. Systematic reviews summarizing the Chinese literature on acupuncture, acupuncture with herbal medicine and massage therapy suggest greater reduction in tics compared to conventional treatments but there is low confidence in the evidence due to poor methodological quality of included studies. Conclusions: Evidence to support the use of complementary and integrative medicine for TS is limited in methodological quality and widespread applicability. These limitations prohibit evidence-based recommendations for general use among individuals with TS.
dc.identifier.citationPringsheim, T., Deans, C., Anis, S., Bhatia, P., Black, K., Değirmenci, Y., Gilbert, D., Hartmann, A., Hull, M., & Malaty, I. (2025). Complementary and integrative medicine for the treatment of tourette’s syndrome. Movement Disorders Clinical Practice, pp. 1-14. https://doi.org/10.1002/mdc3.70464
dc.identifier.doi10.1002/mdc3.70464
dc.identifier.endpage14
dc.identifier.issn2330-1619
dc.identifier.pmidPMID: 41334637
dc.identifier.scopus2-s2.0-105023901466
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/mdc3.70464
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1265
dc.identifier.wosWOS:001629459400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorDeğirmenci, Yıldız
dc.institutionauthorid0000-0002-8584-5488
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofMovement Disorders Clinical Practice
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleComplementary and integrative medicine for the treatment of tourette’s syndrome
dc.typeReview Article
dspace.entity.typePublication

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