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Energy medicine is becoming more frequently used in supporting patients to attain optimal health. The concept of energy medicine as a holistic practice is introduced and its relationship to physical medicine is discussed. In addition, descriptions of energy systems and modalities that are commonly used are also offered.

Background: The influence of water immersion on neuromuscular function is of importance to a number of disciplines; however, the reliability of surface electromyography (SEMG) following water immersion is not known. This study examined the reliability of SEMG amplitude during maximal voluntary isometric contractions (MVICs) of the vastus lateralis following water immersion. Methods: Using a Biodex isokinetic dynamometer and in a randomized order, 12 healthy male subjects performed four MVICs at 60° knee flexion on both the dominant and nondominant kicking legs, and the SEMG was recorded. Each subject's dominant and nondominant kicking leg was then randomly assigned to have SEMG electrodes removed or covered during 15 min of water immersion (20°C–25°C). Following water immersion, subjects performed a further four MVICs. Results: Intraclass correlation coefficient (ICC) and the relative standard error of measurement (%SEM) of SEMG amplitude showed moderate to high trial-to-trial reliability when electrodes were covered (0.93% and 2.79%) and removed (0.95% and 2.10%, respectively). Conclusions: The results of the this study indicate that SEMG amplitude of the vastus lateralis may be accurately determined during maximal voluntary contractions following water immersion if electrodes are either removed or covered with water-resistive tape during the immersion.

Purpose: The study compared the efficacy of hydrotherapy and land-based exercises in the management of chronic low back pain (CLBP). Methods: Twelve patients diagnosed with CLBP were randomly assigned into either hydrotherapy or land-based exercise groups. Similar exercises were prescribed for both groups throughout the 6-week program. The treatment outcome measures were Visual Analog Scale (VAS), Modified Schober Flexion Technique (MSFT) and Modified Schober Extension Technique (MSET). Participants were assessed at baseline and after six weeks by an independent assessor. Paired t-test was used to compare within group scores whilst between-group comparison of post-treatment outcomes was analyzed using unpaired t-test. Alpha level was set at p < 0.05. Results: The mean (standard deviation) duration of symptoms for land-based and hydrotherapy groups were 48.5 (37.39) months and 66.0 (48.45) months, respectively. There were significant differences (p < 0.05) between the pre-treatment and post-treatment VAS, MSFT and MSET for the hydrotherapy groups. Whilst the VAS and MSET scores were significantly different (p < 0.05) from baseline scores in land group, the MSET failed to show any significant difference. Comparison of both groups showed hydrotherapy group scoring significantly higher (p < 0.05) only on MSFT than land group. Conclusion: The two exercise media were relevant in the management of CLBP, though hydrotherapy seems to be better for spinal flexibility, thus serving as a better alternative in clinical practice.

Purpose: To assess and compare the effect of aquatic and conventional physical therapy, two well-known non-operative therapeutic options in patients with lumbar spinal stenosis (LSS). Methods: 50 patients with low back pain and the diagnosis of LSS were recruited in this prospective parallel randomized controlled trial. Patients in group one were enrolled in aquatic therapy program and those in group two attended physical therapy sessions through application of physical modalities and receiving a home-based exercise program. Pain and walking ability were measured in each group before therapy, immediately after therapy and three months later. Results: Patients in both groups improved regarding pain either assessed immediately after therapy (repeated measure test, p < 0.001) or three months later (Wilcoxon test, p < 0.001 for group one and p = 0.005 for group two). Functioning improved in both groups (repeated measure test, p < 0.001) but this advantage did not remain significant after three months follow up in group two (repeated measure test, p = 0.002 in group one and p = 0.181 in group two). Patients in group one had significantly more favorable outcome than group two regarding functioning (independent samples t-test, p = 0.02) and pain (Mann–Whitney test, p = 0.001); however, this superiority didn't sustain in long term follow up. Conclusion: Aquatic therapy can provide greater short term improvement in pain and functioning than conventional physical therapy in patients with LSS especially those with limited capability for exercise on land.

Now growing at a rate of over 5% per annum, the $3 billion ‘alternative health therapies’ business is now positioned in the top ten growth industries in Australia. With poor regulation of both therapeutic goods and the unregistered therapists who promote them, cancer patients may well be putting their health at risk when they place their faith in many so-called ‘natural’ or ‘traditional’ treatments. With a focus on what complementary therapists refer to as ‘energy medicine’ and ‘nutritional medicine’, this chapter explores the risks and benefits of some of the more popular alternative health-care choices. While investigating their histories, it outlines what influences cancer patients to try these unproven therapies, and the conflict and contrast in information relating to the claims made for them and the conclusions of evidence-based research. Although there are a number of complementary therapies that are of benefit to some patients, both during and after their cancer treatments, ‘natural’ does not always equal ‘safe’, may be expensive and may even compromise their health. More patients now want a greater say in their choices of treatment, and selecting complementary therapies that may help is another of the many challenges faced in trying to make informed choices, as we navigate along our individual roads on our journeys to recovery.