title: Complementary therapies in hemifacial spasm and comparison with other movement disorders.
abstract: OBJECTIVE
  We determined the prevalence, range and factors influencing the use of complementary therapy among hemifacial spasm patients and compared the patterns of use of complementary therapies across different movement disorders in a systematic pooled analysis of published literature.
  
  
  METHODS
  A structured questionnaire was administered to 96 hemifacial spasm patients evaluating frequency of complementary therapy use, and factors influencing patients' decision to seek these therapies. We also performed a PubMed search of epidemiology studies on use of complementary therapies in movement disorders.
  
  
  RESULTS
  Fifty-one per cent of patients had tried complementary therapies, of which 47% reported some perceived benefit and 4.1% informed their doctor. Acupuncture (71.4%) and facial massage (17.6%) were most commonly used. Complementary therapy use was associated with greater HFS severity. The mean cost of treatment was about $78 per month. We identified eight articles on use of complementary therapies in movement disorders; Parkinson's disease (5), Tourette syndrome (2) and dystonia (1). Twenty-five to 88% of patient had tried complementary therapies, of which 32-70% reported some benefit. Trials of acupuncture (2-63%) and massage (7-38%) were reported across the spectrum of movement disorders studied. Mean cost of complementary therapies varied from 43 to 102 USD per month.
  
  
  CONCLUSIONS
  Complementary therapies are used by over 50% of HFS patients, and the use is correlated with severity of disease. Despite differences in race, culture and population demographics, acupuncture and massage are used by patients across the spectrum of movement disorders.
authors.affiliation: Department of Neurology, Singapore General Hospital, Singapore.
authors.forename: T
authors.initials: T
authors.lastname: Peeraully
authors.forename: S
authors.initials: S
authors.lastname: Hameed
authors.forename: P T
authors.initials: PT
authors.lastname: Cheong
authors.forename: R
authors.initials: R
authors.lastname: Pavanni
authors.forename: K
authors.initials: K
authors.lastname: Hussein
authors.forename: S M C
authors.initials: SM
authors.lastname: Fook-Chong
authors.forename: E-K
authors.initials: EK
authors.lastname: Tan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000529:Complementary Therapies / Q000191:economics / Q000706:statistics & numerical data; D003365:Costs and Cost Analysis; D005260:Female; D019569:Hemifacial Spasm / Q000191:economics / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000191:economics / Q000628:therapy; D012846:Singapore; D061665:Time-to-Treatment