1
|
Robertz AC, Törnhage CJ, Nilsson S, Nyman V, Kantzer AK. Positive effects of tactile massage for adolescents with Attention Deficit/Hyperactivity Disorder (ADHD) - A small scale study. Complement Ther Clin Pract 2024; 57:101909. [PMID: 39332064 DOI: 10.1016/j.ctcp.2024.101909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2024] [Revised: 09/20/2024] [Accepted: 09/20/2024] [Indexed: 09/29/2024]
Abstract
BACKGROUND AND PURPOSE Epidemiological studies show the prevalence of attention deficit hyperactivity disorder (ADHD) in adolescents is around 5 %. There is strong evidence for psychosocial interventions and medication for treatment of ADHD core symptoms, but these alone do not always reach a satisfactory outcome. The aim of this small-scale study was to evaluate the impact of tactile massage on ADHD core symptoms in adolescents in a clinical setting. Secondary outcome measures addressed pain perception, ability to fall asleep, and stress levels before, during, and after the intervention. MATERIALS AND METHODS Fourteen adolescents aged 15-17 and previously diagnosed with ADHD received tactile massage sessions in an experimental, single-subject ABA study combined with a group-based evaluation using descriptive statistics. The adolescents and their parents answered questionnaires to follow up on the primary and secondary outcomes. RESULTS The results showed a statistically significant reduction in hyperactivity/impulsivity and inattention, as well as oppositional defiant disorder (ODD). Participants reported that it was significantly easier to fall asleep. There was also a tendency to perceive less pain, but these results were not statistically significant. The compliance in this study was excellent. CONCLUSION In this study, tactile massage appears to have had a significantly positive impact on ADHD core symptoms and the ability to fall asleep. The absence of adverse physiological changes and the excellent compliance, coupled with positive results, supports the idea that tactile massage may be considered safe and beneficial for adolescents with ADHD. Our findings need to be further investigated in future research.
Collapse
Affiliation(s)
- Anna-Carin Robertz
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Child and Adolescent Psychiatry Clinic, NU Hospital Group, Trollhättan, Sweden.
| | - Carl-Johan Törnhage
- Sahlgrenska Academy, Institution for Clinical Science, University of Gothenburg, Sweden; Department of Paediatrics, Skaraborg Hospital, Skövde, Sweden
| | - Stefan Nilsson
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Viola Nyman
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Health Sciences, University West, Trollhättan, Sweden; Department of Research and Development NU-Hospital Group, Trollhättan, Sweden
| | - Anne-Katrin Kantzer
- Child and Adolescent Psychiatry Clinic, NU Hospital Group, Trollhättan, Sweden
| |
Collapse
|
2
|
Packheiser J, Hartmann H, Fredriksen K, Gazzola V, Keysers C, Michon F. A systematic review and multivariate meta-analysis of the physical and mental health benefits of touch interventions. Nat Hum Behav 2024; 8:1088-1107. [PMID: 38589702 PMCID: PMC11199149 DOI: 10.1038/s41562-024-01841-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 01/29/2024] [Indexed: 04/10/2024]
Abstract
Receiving touch is of critical importance, as many studies have shown that touch promotes mental and physical well-being. We conducted a pre-registered (PROSPERO: CRD42022304281) systematic review and multilevel meta-analysis encompassing 137 studies in the meta-analysis and 75 additional studies in the systematic review (n = 12,966 individuals, search via Google Scholar, PubMed and Web of Science until 1 October 2022) to identify critical factors moderating touch intervention efficacy. Included studies always featured a touch versus no touch control intervention with diverse health outcomes as dependent variables. Risk of bias was assessed via small study, randomization, sequencing, performance and attrition bias. Touch interventions were especially effective in regulating cortisol levels (Hedges' g = 0.78, 95% confidence interval (CI) 0.24 to 1.31) and increasing weight (0.65, 95% CI 0.37 to 0.94) in newborns as well as in reducing pain (0.69, 95% CI 0.48 to 0.89), feelings of depression (0.59, 95% CI 0.40 to 0.78) and state (0.64, 95% CI 0.44 to 0.84) or trait anxiety (0.59, 95% CI 0.40 to 0.77) for adults. Comparing touch interventions involving objects or robots resulted in similar physical (0.56, 95% CI 0.24 to 0.88 versus 0.51, 95% CI 0.38 to 0.64) but lower mental health benefits (0.34, 95% CI 0.19 to 0.49 versus 0.58, 95% CI 0.43 to 0.73). Adult clinical cohorts profited more strongly in mental health domains compared with healthy individuals (0.63, 95% CI 0.46 to 0.80 versus 0.37, 95% CI 0.20 to 0.55). We found no difference in health benefits in adults when comparing touch applied by a familiar person or a health care professional (0.51, 95% CI 0.29 to 0.73 versus 0.50, 95% CI 0.38 to 0.61), but parental touch was more beneficial in newborns (0.69, 95% CI 0.50 to 0.88 versus 0.39, 95% CI 0.18 to 0.61). Small but significant small study bias and the impossibility to blind experimental conditions need to be considered. Leveraging factors that influence touch intervention efficacy will help maximize the benefits of future interventions and focus research in this field.
Collapse
Affiliation(s)
- Julian Packheiser
- Social Neuroscience, Faculty of Medicine, Ruhr University Bochum, Bochum, Germany.
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands.
| | - Helena Hartmann
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands
- Center for Translational and Behavioral Neuroscience, University Hospital Essen, Essen, Germany
- Clinical Neurosciences, Department for Neurology, University Hospital Essen, Essen, Germany
| | - Kelly Fredriksen
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands
| | - Valeria Gazzola
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands
| | - Christian Keysers
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands
| | - Frédéric Michon
- Social Brain Lab, Netherlands Institute for Neuroscience, Royal Netherlands Academy of Art and Sciences, Amsterdam, the Netherlands
| |
Collapse
|
3
|
Sawada T, Okawara H, Nakashima D, Aoki K, Namba M, Iwabuchi S, Katsumata Y, Nakamura M, Nagura T. Local alternating heat and cold stimulation affects hemodynamics and oxygenation in fatigued muscle tissue and autonomic nervous activity: a single-arm interventional study. J Physiol Anthropol 2024; 43:11. [PMID: 38528599 DOI: 10.1186/s40101-024-00358-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 03/20/2024] [Indexed: 03/27/2024] Open
Abstract
BACKGROUND Local alternating heat and cold stimulation as an alternative to contrast bath may cause intermittent vasoconstriction and vasodilation, inducing a vascular pumping effect and consequently promoting increased tissue blood flow and oxygenation. This study aimed to examine the effects of local alternating heat and cold stimulation, using a wearable thermal device, on the hemodynamics of fatigued muscle tissue and autonomic nervous activity. METHODS Twenty healthy individuals experienced fatigue in the periarticular muscles of the shoulder joint due to a typing task. Local alternating heat and cold stimulations were then applied to the upper trapezius muscle. Muscle hardness was measured using a muscle hardness meter, and muscle tissue hemodynamics and oxygenation were evaluated using near-infrared spectroscopy before and after the stimulation. Autonomic nervous activity was also evaluated using heart rate variability. RESULTS Alternating heat and cold stimulation decreased muscle hardness of the fatigued trapezius muscle from 1.38 ± 0.15 to 1.31 ± 0.14 N (P < 0.01). The concentration of total hemoglobin in the trapezius muscle tissue increased from - 0.21 ± 1.36 to 2.29 ± 3.42 µmol/l (P < 0.01), and the tissue hemoglobin oxygen saturation also increased from 70.1 ± 5.4 to 71.1 ± 6.0% (P < 0.05). Additionally, the heart rate variability parameter, which is an index of sympathetic nervous activity, increased from 3.82 ± 2.96 to 6.86 ± 3.49 (P < 0.01). A correlation was found between increased tissue hemoglobin oxygen saturation and increased parameters of sympathetic nervous activity (r = 0.50, P < 0.05). CONCLUSIONS Local alternating heat and cold stimulation affected the hemodynamic response in fatigued muscle tissue and autonomic nervous activity. This stimulation is more efficient than conventional contrast baths in terms of mobility and temperature control and has potential as a new versatile therapeutic intervention for muscle fatigue. TRIAL REGISTRATION UMIN-CTR (UMIN000040087: registered on April 7, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045710 . UMIN000040620: registered on June 1, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046359 ).
Collapse
Affiliation(s)
- Tomonori Sawada
- Diagnosis and Treatment Division, Nagura Orthopedic Clinic, Chuo, Tokyo, Japan
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Hiroki Okawara
- Diagnosis and Treatment Division, Nagura Orthopedic Clinic, Chuo, Tokyo, Japan
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Daisuke Nakashima
- Diagnosis and Treatment Division, Nagura Orthopedic Clinic, Chuo, Tokyo, Japan.
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
- Department of Clinical Biomechanics, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
| | - Kentaro Aoki
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Mira Namba
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Shuhei Iwabuchi
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Yoshinori Katsumata
- Institute for Integrated Sports Medicine, Keio University School of Medicine, Shinjuku, Tokyo, Japan
- Department of Cardiology, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Masaya Nakamura
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Takeo Nagura
- Diagnosis and Treatment Division, Nagura Orthopedic Clinic, Chuo, Tokyo, Japan
- Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
- Department of Clinical Biomechanics, Keio University School of Medicine, Shinjuku, Tokyo, Japan
| |
Collapse
|
4
|
Zakeri MA, Aziz AR, Rahiminezhad E, Dehghan M. Effectiveness of massage and range of motion exercises on muscle strength and intensive care unit-acquired weakness in Iranian patients with COVID-19: a randomized parallel-controlled trial. Acute Crit Care 2024; 39:78-90. [PMID: 38148038 PMCID: PMC11002629 DOI: 10.4266/acc.2023.00416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 08/13/2023] [Accepted: 08/14/2023] [Indexed: 12/28/2023] Open
Abstract
BACKGROUND Muscle weakness is prevalent in intensive care patients. This study focused on comparing the effects of massage and range of motion (ROM) exercises on muscle strength and intensive care unit-acquired weakness (ICU-AW) among patients with coronavirus disease 2019 (COVID-19). METHODS This study was a randomized clinical trial that recruited patients (n=45) with COVID-19 admitted to the ICU and divided them into three groups (ROM exercises, massage, and control). We evaluated muscle strength and ICU-AW in the arms and legs using a hand dynamometer. The Medical Research Council sum score was determined before and after the intervention. RESULTS The study findings were that 0%, 20%, and 100% of the participants in the ROM exercises, massage, and control groups had ICU-AW on the 7th day of ICU admission. The ROM exercise group had greater muscle strength in the hands and legs than the massage and control groups, and the massage group had greater muscle strength than the control group. CONCLUSIONS Massage and ROM exercises could improve muscle strength and reduce ICU-AW in COVID-19 patients admitted to the ICU.
Collapse
Affiliation(s)
- Mohammad Ali Zakeri
- Pistachio Safety Research Center, Rafsanjan University of
Medical Sciences, Rafsanjan, Iran
- Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital,
Rafsanjan University of Medical Sciences, Rafsanjan,
Iran
| | | | - Elham Rahiminezhad
- Student Research Committee, Razi Faculty of Nursing and
Midwifery, Kerman University of Medical Sciences, Kerman,
Iran
| | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences,
Kerman, Iran
- Department of Critical Care, Faculty of Nursing and Midwifery,
Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
5
|
Bai Z, Lyu X, Tang Y, Wang M. Pediatric Tui Na for Feeding Intolerance in Premature Infants: Protocol for a Systematic Review and Meta-Analysis. JMIR Res Protoc 2023; 12:e46375. [PMID: 37843917 PMCID: PMC10616744 DOI: 10.2196/46375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 08/24/2023] [Accepted: 09/08/2023] [Indexed: 10/17/2023] Open
Abstract
BACKGROUND Feeding intolerance (FI), frequently resulting from gastrointestinal immaturity, is prevalent among premature infants. Current practices are gradually prioritizing nonpharmacological treatments, such as massage or "Tui na," considering the potential side effects of prolonged medication use. Pediatric Tui na, a specialized massage therapy based on traditional Chinese medicine, has been widely studied for treating FI in premature infants. However, to our knowledge, no systematic review specifically focusing on the effectiveness and safety of traditional Chinese medicine-based pediatric Tui na for FI in premature infants has been published yet. OBJECTIVE This study aims to develop a protocol for a systematic review and meta-analysis for evaluating the safety and efficacy of pediatric Tui na for premature infants with FI. METHODS We will perform a comprehensive search in the following databases: Springer, Cochrane Library, Embase, MEDLINE, Clarivate Analytics, Physiotherapy Evidence Database (PEDro), CINAHL, PubMed, Scopus, World Health Organization (WHO) International Clinical Trials Registry Platform, and Chinese biomedical databases (Wanfang database, the China National Knowledge Infrastructure, Chinese Scientific Journals Database, and Chinese Biomedical Literature Databases), limited to studies published in Chinese and English languages between January 2000 and January 2023. The search strategy will use MeSH (Medical Subject Headings) terms and database-specific keywords. A total of 2 independent reviewers will initially screen the studies based on titles and abstracts, followed by a full-text evaluation of the eligible studies. Studies will include any nonrandomized controlled trials, nonrandomized clinical studies, randomized controlled trials, and quasi-experimental studies wherein the treatment group involves premature infants with FI given pediatric Tui na. Primary outcomes will be necrotizing enterocolitis, gastric residual volume, emesis, and stool blood. Secondary outcomes will be abdominal distension weight gain, time to achieve full enteral feeding, any adverse effects associated with pediatric Tui na, and length of hospital stay. The Cochrane Collaboration Risk of Bias Tool will be used to assess the risk of bias and methodological quality. Funnel plots will be used for evaluating publication bias. Meta-analysis will be conducted using the Review Manager software (version 5.4; Cochrane Collaboration). Subgroup analyses will be considered according to treatment received, country or setting, sex, and birth weight of premature infants (if heterogeneity is high, I2≥50%). RESULTS This is a systematic review and meta-analysis protocol, so the results are not yet available. The protocol has been registered with PROSPERO (CRD42023390021). We are currently in the study selection phase. Results are expected to be completed by the end of 2023. CONCLUSIONS Following this protocol, a comprehensive and rigorous literature synthesis will be developed to assess the impact of pediatric Tui na treatment on premature infants with FI, enabling the determination of its efficacy and safety. TRIAL REGISTRATION PROSPERO CRD42023390021; https://tinyurl.com/bdf4kn23. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/46375.
Collapse
Affiliation(s)
- Zirong Bai
- Department of Rehabilitation, College of Acupuncture and Moxibustion and Massage Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, China
- Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia
| | - Xiaoxiao Lyu
- Department of Rehabilitation, Second People's Hospital of Tibet Autonomous Region, Tibet Autonomous Region, China
| | - Yichuan Tang
- Department of Rehabilitation, College of Acupuncture and Moxibustion and Massage Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, China
- Faculty of Medicine and Health, School of Health Sciences, University of Sydney, Sydney, Australia
| | - Meng Wang
- Department of Rehabilitation, College of Acupuncture and Moxibustion and Massage Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, China
| |
Collapse
|
6
|
Comparison of the effectiveness of connective tissue massage and myofascial release technique in young adult women with primary dysmenorrhea. JOURNAL OF SURGERY AND MEDICINE 2023. [DOI: 10.28982/josam.7503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Background/Aim: Dysmenorrhea can restrict daily living activities and the overall productivity of women, thereby negatively affecting quality of life and causing absenteeism in students and loss of workdays in working women. Medical treatment is frequently used in clinics, but alternative approaches are needed when currently available treatment options are not effective. The aim of this study is to investigate and compare the acute effects of two manipulative methods, connective tissue massage (CTM) and myofascial release technique (MRT), on menstrual pain, fatigue, pain threshold, and menstrual symptoms in young adult women with primary dysmenorrhea (PD).
Methods: Forty young adults diagnosed with PD and scoring ≥4 in menstrual pain intensity according to the Visual Analog Scale (VAS) were included in the study. Menstrual pain and fatigue severity was evaluated by using VAS, pain threshold by algometer device from six unique points, and menstrual symptom severity using the Menstrual Symptom Questionnaire. Participants were randomly divided into two groups and evaluated in their first menstrual cycles. In Group 1, 10 sessions of CTM were applied between the first and second menstrual cycles, and in Group 2, a single session of MRT was applied on the most painful day of the second menstrual cycle. After the application, all participants were re-evaluated on the most painful day of their second menstrual cycles.
Results: No statistically significant difference was found between the groups in terms of age, BMI, menarche age, menstrual cycle, and menstrual bleeding duration. In both groups, a significant decrease was found in pain, fatigue, and menstrual symptom severity, and a significant increase was found in pain threshold (P=0.001). MRT was found to be more effective at improving the pain threshold at all points except the first point (1st point P=0.098, 2nd point P=0.034, 3rd point P=0.037, 4th point P=0.041, 5th point P=0.009, 6th point P=0.001).
Conclusion: It was found that CTM and MRT were effective at improving pain, fatigue, pain threshold, and menstrual symptoms in PD, and MRT was found to be more effective at increasing pain thresholds compared to CTM.
Collapse
|
7
|
McParlin Z, Cerritelli F, Rossettini G, Friston KJ, Esteves JE. Therapeutic Alliance as Active Inference: The Role of Therapeutic Touch and Biobehavioural Synchrony in Musculoskeletal Care. Front Behav Neurosci 2022; 16:897247. [PMID: 35846789 PMCID: PMC9280207 DOI: 10.3389/fnbeh.2022.897247] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 05/24/2022] [Indexed: 12/05/2022] Open
Abstract
Touch is recognised as crucial for survival, fostering cooperative communication, accelerating recovery, reducing hospital stays, and promoting overall wellness and the therapeutic alliance. In this hypothesis and theory paper, we present an entwined model that combines touch for alignment and active inference to explain how the brain develops "priors" necessary for the health care provider to engage with the patient effectively. We appeal to active inference to explain the empirically integrative neurophysiological and behavioural mechanisms that underwrite synchronous relationships through touch. Specifically, we offer a formal framework for understanding - and explaining - the role of therapeutic touch and hands-on care in developing a therapeutic alliance and synchrony between health care providers and their patients in musculoskeletal care. We first review the crucial importance of therapeutic touch and its clinical role in facilitating the formation of a solid therapeutic alliance and in regulating allostasis. We then consider how touch is used clinically - to promote cooperative communication, demonstrate empathy, overcome uncertainty, and infer the mental states of others - through the lens of active inference. We conclude that touch plays a crucial role in achieving successful clinical outcomes and adapting previous priors to create intertwined beliefs. The ensuing framework may help healthcare providers in the field of musculoskeletal care to use hands-on care to strengthen the therapeutic alliance, minimise prediction errors (a.k.a., free energy), and thereby promote recovery from physical and psychological impairments.
Collapse
Affiliation(s)
- Zoe McParlin
- Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy
| | - Francesco Cerritelli
- Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy
| | | | - Karl J. Friston
- Institute of Neurology, Wellcome Centre for Human Neuroimaging, London, United Kingdom
| | - Jorge E. Esteves
- Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy
- Malta ICOM Educational, Gzira, Malta
- University College of Osteopathy, London, United Kingdom
| |
Collapse
|
8
|
Haynes AC, Lywood A, Crowe EM, Fielding JL, Rossiter JM, Kent C. A calming hug: Design and validation of a tactile aid to ease anxiety. PLoS One 2022; 17:e0259838. [PMID: 35263344 PMCID: PMC8906645 DOI: 10.1371/journal.pone.0259838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 10/27/2021] [Indexed: 11/19/2022] Open
Abstract
Anxiety disorders affect approximately one third of people during their lifetimes and are the ninth leading cause of global disability. Current treatments focus on therapy and pharmacological interventions. However, therapy is costly and pharmacological interventions often have undesirable side-effects. Healthy people also regularly suffer periods of anxiety. Therefore, a non-pharmacological, intuitive, home intervention would be complementary to other treatments and beneficial for non-clinical groups. Existing at-home anxiety aids, such as guided meditations, typically employ visual and/or audio stimuli to guide the user into a calmer state. However, the tactile sense has the potential to be a more natural modality to target in an anxiety-calming device. The tactile domain is relatively under-explored, but we suggest that there are manifold physiological and affective qualities of touch that lend it to the task. In this study we demonstrate that haptic technology can offer an enjoyable, effective and widely accessible alternative for easing state anxiety. We describe a novel huggable haptic interface that pneumatically simulates slow breathing. We discuss the development of this interface through a focus group evaluating five prototypes with embedded behaviours (‘breathing’, ‘purring’, ‘heartbeat’ and ‘illumination’). Ratings indicated that the ‘breathing’ prototype was most pleasant to interact with and participants described this prototype as ‘calming’ and ‘soothing’, reminding them of a person breathing. This prototype was developed into an ergonomic huggable cushion containing a pneumatic chamber powered by an external pump allowing the cushion to ‘breathe’. A mixed-design experiment (n = 129) inducing anxiety through a group mathematics test found that the device was effective at reducing pre-test anxiety compared to a control (no intervention) condition and that this reduction in anxiety was indistinguishable from that of a guided meditation. Our findings highlight the efficacy of this interface, demonstrating that haptic technologies can be effective at easing anxiety. We suggest that the field should be explored in more depth to capture the nuances of different modalities in relation to specific situations and trait characteristics.
Collapse
Affiliation(s)
- Alice C. Haynes
- Engineering Mathematics Department, University of Bristol, Bristol, United Kingdom
- Soft Robotics Group, Bristol Robotics Laboratory, Bristol, United Kingdom
- * E-mail:
| | | | - Emily M. Crowe
- Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, Netherlands
| | - Jessica L. Fielding
- School of Psychological Science, University of Bristol, Bristol, United Kingdom
| | - Jonathan M. Rossiter
- Engineering Mathematics Department, University of Bristol, Bristol, United Kingdom
- Soft Robotics Group, Bristol Robotics Laboratory, Bristol, United Kingdom
| | - Christopher Kent
- School of Psychological Science, University of Bristol, Bristol, United Kingdom
| |
Collapse
|
9
|
Nira Mat Isar NE, Zikri Abdul Halim MH, Ong MLY. Acute massage stimulates parasympathetic activation after a single exhaustive muscle contraction exercise. J Bodyw Mov Ther 2022; 30:105-111. [DOI: 10.1016/j.jbmt.2022.02.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 10/04/2021] [Accepted: 02/04/2022] [Indexed: 11/26/2022]
|
10
|
Koçyiğit BF, Akyol A, Usgu S. ROLE OF MANUAL THERAPY AND MASSAGE IN THE TREATMENT OF FIBROMYALGIA: TESTING THE HYPOTHESIS. CENTRAL ASIAN JOURNAL OF MEDICAL HYPOTHESES AND ETHICS 2021. [DOI: 10.47316/cajmhe.2021.2.4.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Fibromyalgia syndrome (FMS) is a chronic rheumatic disease in which pain is predominant and accompanied by fatigue, anxiety, depression, sleep disturbance and cognitive dysfunction. Although there are numerous pharmacological and non-pharmacological therapeutic alternatives, symptom control is frequently problematic. Manual therapy covers manipulating soft tissue and various joints using the hands. It is organized by mapping of soft tissue structures with rhythmically applied pressure to improve physical function, facilitate daily activities, promote rehabilitation procedures and decrease pain. Massage is generally accepted as an essential component of manual therapy. Stretching and mobilizations are also part of manual therapy. Although numerous beneficial effects of manual therapy and massage on the musculoskeletal system and pain have been proven, the data in FMS patients studies are inconclusive. We hypothesize that manual therapy and massage are beneficial therapeutic options for the control of symptoms of FMS patients. Furthermore, these strategies can be employed in conjunction with well-established and high-evidence therapeutic procedures. Future research should focus on establishing standardized protocols for manual therapy and massage, which is one of the major limitations. To ensure a high level of evidence, research studies with large sample sizes, long follow-up periods and methodologically complete are needed.
Collapse
|
11
|
Wilkerson M, Anderson C, Grosicki GJ, Flatt AA. Perceived Pain Responses to Foam Rolling Associate with Basal Heart Rate Variability. Int J Ther Massage Bodywork 2021; 14:14-21. [PMID: 34079600 PMCID: PMC8133875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/30/2022] Open
Abstract
BACKGROUND Foam rolling (FR) is a self-myofascial release technique with unclear effects on autonomic functioning, indexed by heart rate variability (HRV). FR can be perceived as painful or relaxing, which may explain interindividual HRV responses. PURPOSE To determine if acute FR alters resting HRV. A secondary aim was to determine if perceived pain during FR would predict HRV responses. SETTING Academic institution. METHODS In a randomized, crossover design, healthy adults (50% female) performed total body FR or control on separate days. Perceived pain ratings were obtained following FR of each muscle group and summed to generate an overall perceived pain rating. Seated measures of the mean RR interval and the natural logarithm of the root-mean square of successive RR interval differences (LnRMSSD, a parasympathetic HRV index) were obtained at 5-10 min pre-, 5-10 min post-, and 25-30 min post-FR. RESULTS No effects were observed for RR interval (p = .105-.561) or LnRMSSD (p = .110-.129). All effect sizes ranged from trivial-small (0.00-0.26). Changes in RR interval (r = 0.220-0.228, p = .433-.488) and LnRMSSD (r = 0.013-0.256, p = .376-.964) were not associated with pain scale sum. Baseline LnRMSSD was associated with pain scale sum (r = -0.663; p = .001). CONCLUSION FR did not systematically alter HRV, nor did perceived pain ratings predict HRV responses. Those with lower pre-FR HRV reported higher perceived pain during FR. Basal cardiac autonomic activity may, therefore, influence pain sensitivity to FR in healthy adults.
Collapse
Affiliation(s)
| | | | | | - Andrew A. Flatt
- Corresponding author: Andrew A. Flatt, PhD, Biodynamics and Human Performance Center, Department of Health Sciences and Kinesiology, Georgia Southern University (Armstrong Campus), 11935 Abercorn St., Savannah, Georgia 31419, USA,
| |
Collapse
|
12
|
Honguten A, Mekhora K, Pichaiyongwongdee S, Somprasong S. Effects of lymphatic drainage therapy on autonomic nervous system responses in healthy subjects: A single blind randomized controlled trial. J Bodyw Mov Ther 2021; 27:169-175. [PMID: 34391230 DOI: 10.1016/j.jbmt.2021.03.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 03/09/2021] [Accepted: 03/16/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES This study aimed to determine effects of lymphatic drainage therapy (LDT) on autonomic nervous system (ANS) responses by comparing including Hoffmann reflex (H reflex), heart rate variability (HRV), salivary alpha-amylase (sAA) and muscle tone (via straight leg raise (SLR)) in healthy participants. METHODS A single blind randomized controlled trial evaluating sixty-six healthy participants including 58 females and 8 males aged between 40 and 65 years. All participants were blinded and randomized to either experimental group (EXP: LDT) or control group (CT: rest). LDT was applied to participants 45 min in experimental group. The LDT is light movement applied by an experienced physical therapist, starting from neck, deep abdomen, and along to the leg. While for the control group, participants received 45 min supine on the treatment table. Tests for evaluating ANS such as Hoffmann reflex (H reflex), heart rate variability (HRV), salivary alpha-amylase (sAA) and straight leg raise (SLR) were assessed at pre and post intervention. RESULTS The findings demonstrated that H reflex decreased significantly after applying LDT; within and between groups (p < 0.05). Whereas, it increased significantly in control group. First tension (R1) indicated by participants during SLR significantly improved within both groups. However, there were no significant differences of HRV and sAA in either LDT or control groups. CONCLUSION This study demonstrated that LDT decreased autonomic activity via decreased spinal reflex excitability and tension in healthy participants.
Collapse
Affiliation(s)
- Agsipa Honguten
- Faculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Phuttamonthon, Nakhon Pathom, 73170, Thailand.
| | - Keerin Mekhora
- Faculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Phuttamonthon, Nakhon Pathom, 73170, Thailand.
| | - Sopa Pichaiyongwongdee
- Faculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Phuttamonthon, Nakhon Pathom, 73170, Thailand.
| | - Sirikarn Somprasong
- Faculty of Physical Therapy, Mahidol University, 999 Phuttamonthon 4 Road, Salaya, Phuttamonthon, Nakhon Pathom, 73170, Thailand.
| |
Collapse
|
13
|
Lu T, Yin L, Chen R, Zhang H, Cai J, Li M, Dai L, Zhu C, Zhang Y, Xiang F, Wang L, Li L, Wang L, Wu D. Chinese pediatric Tuina on children with acute diarrhea: a randomized sham-controlled trial. Health Qual Life Outcomes 2021; 19:4. [PMID: 33407547 PMCID: PMC7788799 DOI: 10.1186/s12955-020-01636-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 12/01/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Pediatric Tuina has been widely used in children with acute diarrhea in China. However, due to the lack of high-quality clinical evidence, the benefit of Tuina as a therapy is not clear. We aimed to assess the effect of pediatric Tuina compared with sham Tuina as an add-on therapy in addition to usual care for 0-6-year-old children with acute diarrhea. METHODS Eighty-six participants aged 0-6 years with acute diarrhea were randomized to receive pediatric Tuina plus usual care (n = 43) or sham Tuina plus usual care (n = 43). The primary outcomes were days of diarrhea from baseline and times of diarrhea on day 3. Secondary outcomes included a global change rating (GCR) and the number of days when the stool characteristics returned to normal. Adverse events were assessed. RESULTS Pediatric Tuina was associated with a reduction in times of diarrhea on day 3 compared with sham Tuina in both ITT (crude RR, 0.73 [95% CI, 0.59-0.91]) and PP analyses (crude RR, 0.66 [95% CI, 0.53-0.83]). However, the results were not significant when we adjusted for social demographic and clinical characteristics. No significant difference was found between groups in days of diarrhea, global change rating, or number of days when the stool characteristics returned to normal. CONCLUSIONS In children aged 0-6 years with acute diarrhea, pediatric Tuina showed significant effects in terms of reducing times of diarrhea compared with sham Tuina. Studies with larger sample sizes and adjusted trial designs are warranted to further evaluate the effect of pediatric Tuina therapy. TRIAL REGISTRATION Clinicaltrials.gov, Identifier: NCT03005821 , Data of registration: 2016-12-29.
Collapse
Affiliation(s)
- Taoying Lu
- State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
- Program for Outcome Assessment in TCM, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
- Health Construction Administration Center, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
| | - Lingjia Yin
- Program for Outcome Assessment in TCM, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Ruoqing Chen
- Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden
| | - Huiyan Zhang
- TCM-Integrated Hospital of Southern Medical University, Guangzhou, China
| | - Jianxiong Cai
- Program for Outcome Assessment in TCM, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
| | - Meiling Li
- Gastroenterology Department, Guangzhou Hospital of TCM, Guangzhou, China
| | - Lin Dai
- Acupuncture and Tuina Department, Wenzhou Hospital of Chinese Medicine, Wenzhou, China
| | - Conghao Zhu
- Pediatric Department, Dongguan Kanghua Hospital, Dongguan, China
| | - Yongping Zhang
- Pediatric Department, Dongguan Kanghua Hospital, Dongguan, China
| | - Feng Xiang
- Pediatric Department, Dongguan Kanghua Hospital, Dongguan, China
| | - Li Wang
- Pediatric Department, Dongguan Kanghua Hospital, Dongguan, China
| | - Lu Li
- Pediatric Department, Dongguan Kanghua Hospital, Dongguan, China
| | - Lixin Wang
- Department of Tuina, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China
| | - Darong Wu
- State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
- Program for Outcome Assessment in TCM, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, PO Box 510120, 111 Dade Road, Guangzhou, China
- Health Construction Administration Center, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
| |
Collapse
|
14
|
Shishido I, Konya I, Yano R. Effect on autonomic nervous activity of applying hot towels for 10 s to the back during bed baths. J Physiol Anthropol 2020; 39:35. [PMID: 33213514 PMCID: PMC7678055 DOI: 10.1186/s40101-020-00245-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 11/09/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Bed baths are a daily nursing activity to maintain patients' hygiene. Those may provide not only comfort but also relaxation. Notably, applying a hot towel to the skin for 10 s (AHT10s) during bed baths helped to reduce the risk of skin tears and provided comfort and warmth in previous studies. However, it is still unclear whether autonomic nervous system is affected by bed baths. Thus, this study investigated the effect on the autonomic nervous activity of applying hot towels for 10 s to the back during bed baths. METHODS This crossover study had 50 participants (25 men and women each; average age 22.2 ± 1.6 years; average body mass index 21.4 ± 2.2 kg/m2) who took bed baths with and without (control condition: CON) AHT10s on their back. Skin temperature, heart rate variability (HRV), and blood pressure (BP) were measured. Subjective evaluations and the State-Trait Anxiety Inventory in Japanese were also performed. RESULTS A significant interaction of time and bed bath type on skin surface temperature was observed (p < .001). Regarding the means of skin surface temperature at each measurement time point, those for AHT10s were significantly higher than those for CON. Although the total state-anxiety score significantly decreased in both the bed bath types after intervention, the mean values of comfort and warmth were higher for bed baths with AHT10s than for CON (p < .05) during bed baths; AHT10s was significantly higher in warmth than CON after 15 min (p = .032). The interaction and main effects of time on HRV and BP and that of bed bath type were not significant. CONCLUSION Bed baths that involved AHT10s caused participants to maintain a higher skin temperature and warmer feeling than under the wiping-only condition; they also provided comfort during the interventions. However, the bed baths with AHT10s did not allow participants to reach a relaxed state; moreover, there was no change in autonomic nerve activity. This may be due to participants' increased anxiety from skin exposure and the intervention being limited to one part of the body.
Collapse
Affiliation(s)
- Inaho Shishido
- Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan
| | - Issei Konya
- Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan
| | - Rika Yano
- Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan
| |
Collapse
|
15
|
Eckstein M, Mamaev I, Ditzen B, Sailer U. Calming Effects of Touch in Human, Animal, and Robotic Interaction-Scientific State-of-the-Art and Technical Advances. Front Psychiatry 2020; 11:555058. [PMID: 33329093 PMCID: PMC7672023 DOI: 10.3389/fpsyt.2020.555058] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 10/02/2020] [Indexed: 12/16/2022] Open
Abstract
Small everyday gestures such as a tap on the shoulder can affect the way humans feel and act. Touch can have a calming effect and alter the way stress is handled, thereby promoting mental and physical health. Due to current technical advances and the growing role of intelligent robots in households and healthcare, recent research also addressed the potential of robotic touch for stress reduction. In addition, touch by non-human agents such as animals or inanimate objects may have a calming effect. This conceptual article will review a selection of the most relevant studies reporting the physiological, hormonal, neural, and subjective effects of touch on stress, arousal, and negative affect. Robotic systems capable of non-social touch will be assessed together with control strategies and sensor technologies. Parallels and differences of human-to-human touch and human-to-non-human touch will be discussed. We propose that, under appropriate conditions, touch can act as (social) signal for safety, even when the interaction partner is an animal or a machine. We will also outline potential directions for future research and clinical relevance. Thereby, this review can provide a foundation for further investigations into the beneficial contribution of touch by different agents to regulate negative affect and arousal in humans.
Collapse
Affiliation(s)
- Monika Eckstein
- Institute of Medical Psychology, University Hospital Heidelberg, and Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Ilshat Mamaev
- Institute for Anthropomatics and Robotics, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Beate Ditzen
- Institute of Medical Psychology, University Hospital Heidelberg, and Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Uta Sailer
- Department of Behavioural Medicine, Faculty of Medicine, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
| |
Collapse
|
16
|
Kerr F, Wiechula R, Feo R, Schultz T, Kitson A. Neurophysiology of human touch and eye gaze in therapeutic relationships and healing: a scoping review. ACTA ACUST UNITED AC 2020; 17:209-247. [PMID: 30730854 PMCID: PMC6382052 DOI: 10.11124/jbisrir-2017-003549] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Objective: The primary objective of this scoping review was to examine and map the range of neurophysiological impacts of human touch and eye gaze, and consider their potential relevance to the therapeutic relationship and to healing. Introduction: Clinicians, and many patients and their relatives, have no doubt as to the efficacy of a positive therapeutic relationship; however, much evidence is based on self-reporting by the patient or observation by the researcher. There has been little formal exploration into what is happening in the body to elicit efficacious reactions in patients. There is, however, a growing body of work on the neurophysiological impact of human interaction. Physical touch and face-to-face interaction are two central elements of this interaction that produce neurophysiological effects on the body. Inclusion criteria: This scoping review considered studies that included cognitively intact human subjects in any setting. This review investigated the neurophysiology of human interaction including touch and eye gaze. It considered studies that have examined, in a variety of settings, the neurophysiological impacts of touch and eye gaze. Quantitative studies were included as the aim was to examine objective measures of neurophysiological changes as a result of human touch and gaze. Methods: An extensive search of multiple databases was undertaken to identify published research in the English language with no date restriction. Data extraction was undertaken using an extraction tool developed specifically for the scoping review objectives. Results: The results of the review are presented in narrative form supported by tables and concept maps. Sixty-four studies were included and the majority were related to touch with various types of massage predominating. Only seven studies investigated gaze with three of these utilizing both touch and gaze. Interventions were delivered by a variety of providers including nurses, significant others and masseuses. The main neurophysiological measures were cortisol, oxytocin and noradrenaline. Conclusions: The aim of this review was to map the neurophysiological impact of human touch and gaze. Although our interest was in studies that might have implications for the therapeutic relationship, we accepted studies that explored phenomena outside of the context of a nurse-patient relationship. This allowed exploration of the boundary of what might be relevant in any therapeutic relationship. Indeed, only a small number of studies included in the review involved clinicians (all nurses) and patients. There was sufficient consistency in trends evident across many studies in regard to the beneficial impact of touch and eye gaze to warrant further investigation in the clinical setting. There is a balance between tightly controlled studies conducted in an artificial (laboratory) setting and/or using artificial stimuli and those of a more pragmatic nature that are contextually closer to the reality of providing nursing care. The latter should be encouraged.
Collapse
Affiliation(s)
- Fiona Kerr
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,Faculty of the Professions, University of Adelaide, Adelaide, Australia.,The NeuroTech Institute Pty. Ltd., Adelaide, Australia.,South Australian Health and Medical Research Institute, Adelaide, Australia
| | - Rick Wiechula
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,Centre for Evidence-based Practice South Australia: a Joanna Briggs Institute Centre of Excellence
| | - Rebecca Feo
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,Centre for Evidence-based Practice South Australia: a Joanna Briggs Institute Centre of Excellence
| | - Tim Schultz
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,Centre for Evidence-based Practice South Australia: a Joanna Briggs Institute Centre of Excellence
| | - Alison Kitson
- Adelaide Nursing School, University of Adelaide, Adelaide, Australia.,Centre for Evidence-based Practice South Australia: a Joanna Briggs Institute Centre of Excellence
| |
Collapse
|
17
|
The Effect of Foot Massage on Pain of the Intensive Care Patients: A Parallel Randomized Single-Blind Controlled Trial. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2020; 2020:3450853. [PMID: 32617105 PMCID: PMC7306861 DOI: 10.1155/2020/3450853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 03/26/2020] [Accepted: 04/06/2020] [Indexed: 11/29/2022]
Abstract
Materials and Methods This randomized, parallel, single-blind controlled trial study was performed on 75 ICU patients. Patients were allocated into three groups (massage by a nurse, massage by the patient's family, and control group) by the minimization method. Swedish massage was provided for the patients in experimental groups (each foot for 5 minutes) once a day for six days. The pain was examined in all three groups before, immediately, and one week after the intervention. Results The mean scores of pain in the groups of foot massage by the patient's family and by a nurse showed a significant reduction at the end of the study (from 4.48 to 3.36 and 4.76 to 2.96, respectively). The control group had significantly more pain after the intervention than the family-based massage group and the nurse-based massage group (P < 0.05). Although significant difference was found in the mean scores of pain between the massage provided by a nurse and that provided by the patient's family immediately after the intervention (P < 0.05), it was not significant one week after the intervention (P > 0.05). Conclusion Using foot massage, by both nurses and family members can reduce the pain of ICU patients. This intervention may improve the nursing care quality with the least cost and complications.
Collapse
|
18
|
Heatley Tejada A, Dunbar RIM, Montero M. Physical Contact and Loneliness: Being Touched Reduces Perceptions of Loneliness. ADAPTIVE HUMAN BEHAVIOR AND PHYSIOLOGY 2020; 6:292-306. [PMID: 32837856 PMCID: PMC7250541 DOI: 10.1007/s40750-020-00138-0] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/26/2020] [Accepted: 04/30/2020] [Indexed: 01/27/2023]
Abstract
Objective This article addresses the connection between loneliness and physical contact. Evolutionary and psychological research has shown that touch is an important part of bond-building and emotion communication; loneliness is intimately related to these elements as well. In this paper, we ask whether physical contact reduces feelings of loneliness —which might derive from evolutionary ancient bonding mechanisms—despite a cultural context that is relatively non-tactile. Method An experimental study (40 participants, 13 males) tested for observable effects of touch on loneliness scores in a low-contact culture to analyse whether they respond positively to that stimulus despite cultural training against it. Results Participants exposed to physical contact reported significantly lower neglect scores from their close relationships in a short loneliness scale, thus suggesting that there is an underlying mechanism that persists despite enculturation. The effects were particularly strong among single people, which could mean that lower loneliness among married people might be partly explained by the regular availability of physical contact. Participants in the experimental condition also showed a faster reduction in heart rate, interpreted as a sign of physiological wellbeing. Conclusions These findings help to specify mechanisms within the evolutionary theoretical framework of loneliness that link internal feelings to environmental cues. This article aims at contributing to a more complex discussion on the interactions between emotions, cultural practices and psychological well-being.
Collapse
Affiliation(s)
- A Heatley Tejada
- Inter-American Conference on Social Security, San Ramón s/n, Col. San Jerónimo Lídice, 10200 CDMX, Mexico
| | - R I M Dunbar
- University of Oxford, New Radcliffe Building, Oxford, OX2 6GG UK
| | - M Montero
- Universidad Nacional Autónoma de México, Facultad de Psicología, Ciudad Universitaria, 04510 CDMX, Mexico
| |
Collapse
|
19
|
Casals-Gutiérrez S, Abbey H. Interoception, mindfulness and touch: A meta-review of functional MRI studies. INT J OSTEOPATH MED 2020. [DOI: 10.1016/j.ijosm.2019.10.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
|
20
|
Bertheaux C, Toscano R, Fortunier R, Roux JC, Charier D, Borg C. Emotion Measurements Through the Touch of Materials Surfaces. Front Hum Neurosci 2020; 13:455. [PMID: 32009917 PMCID: PMC6978750 DOI: 10.3389/fnhum.2019.00455] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Accepted: 12/12/2019] [Indexed: 11/20/2022] Open
Abstract
The emotion generated by the touch of materials is studied via a protocol based on blind assessment of various stimuli. The human emotional reaction felt toward a material is estimated through (i) explicit measurements, using a questionnaire collecting valence and intensity, and (ii) implicit measurements of the activity of the autonomic nervous system, via a pupillometry equipment. A panel of 25 university students (13 women, 12 men), aged from 18 to 27, tested blind twelve materials such as polymers, sandpapers, wood, velvet and fur, randomly ordered. After measuring the initial pupil diameter, taken as a reference, its variation during the tactile exploration was recorded. After each touch, the participants were asked to quantify the emotional value of the material. The results show that the pupil size variation follows the emotional intensity. It is significantly larger during the touch of materials considered as pleasant or unpleasant, than with the touch of neutral materials. Moreover, after a time period of about 0.5 s following the stimulus, the results reveal significant differences between pleasant and unpleasant stimuli, as well as differences according to gender, i.e., higher pupil dilatation of women than men. These results suggest (i) that the autonomic nervous system is initially sensitive to high arousing stimulation, and (ii) that, after a certain period, the pupil size changes according to the cognitive interest induced and the emotional regulation adopted. This research shows the interest of the emotional characterization of materials for product design.
Collapse
Affiliation(s)
- Cyril Bertheaux
- Université de Lyon, ENISE, LTDS, UMR 5513 CNRS, Saint-Étienne, France
| | - Rosario Toscano
- Université de Lyon, ENISE, LTDS, UMR 5513 CNRS, Saint-Étienne, France
| | - Roland Fortunier
- Université de Lyon, ENISE, LTDS, UMR 5513 CNRS, Saint-Étienne, France
- ISAE-ENSMA, Chasseneuil-du-Poitou, France
| | | | - David Charier
- University Hospital of Saint-Étienne, SNA-EPI Laboratory, EA 4607, CHU, Université de Lyon, Saint-Priest-en-Jarez, France
| | - Céline Borg
- University Hospital of Saint-Étienne, CMRR Neuropsychology, Department of Neurology, Université de Lyon, Saint-Priest-en-Jarez, France
| |
Collapse
|
21
|
Naruse SM, Moss M. Effects of couples positive massage programme on wellbeing, perceived stress and coping, and relation satisfaction. Health Psychol Behav Med 2019; 7:328-347. [PMID: 34040854 PMCID: PMC8114367 DOI: 10.1080/21642850.2019.1682586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 10/09/2019] [Indexed: 10/28/2022] Open
Abstract
Objectives: Although supporting preventative self-regulation and self-care activity for daily stress is important as dyadic coping, there seems a paucity of exploration of non-verbal interventions such as tactile communication. This preliminary experimental study assessed the efficacy of a short educational massage programme for healthy but stressed couples. The study aimed to investigate if the educational mutual massage (Positive Massage) programme has any acute and sustained effects on wellbeing, perceived stress and coping, and relationship satisfaction among couples. Design: A pseudo randomised two group design employing a delayed treatment element assessed the effects of the Positive Massage programme and subsequent at-home application. Thirty-eight participants completed a three-week massage course. Main Outcome Measures: Measurements of the Warwick-Edinburgh Mental Well-being Scale, the Rhode Island Stress and Coping Inventory, and the Positive Feelings Questionnaire were collected online using Qualtrics at three time points (the start, the end, and three weeks after the course). Data were analysed with mixed ANOVAs. Results: Mental wellbeing, and perceived stress and coping significantly improved from before to after the Positive Massage programme. There was no significant decline after the cessation of the massage programme. Relationship satisfaction did not show significant changes from the initial assessment. Conclusions: The overall effects of the Positive Massage programme indicate the importance of developing further large scale studies of mutual massage as a safe and beneficial self-care activity. This innovative study has laid the groundwork for future studies into the possibility of mutual massage as a self-regulation dyadic coping strategy for home use to improve overall wellbeing.
Collapse
Affiliation(s)
- Sayuri M. Naruse
- Department of Psychology, Northumbria University, Newcastle upon Tyne, UK
| | - Mark Moss
- Department of Psychology, Northumbria University, Newcastle upon Tyne, UK
| |
Collapse
|
22
|
Lu WP, Tsai WH, Lin LY, Hong RB, Hwang YS. The Beneficial Effects of Massage on Motor Development and Sensory Processing in Young Children with Developmental Delay: A Randomized Control Trial Study. Dev Neurorehabil 2019; 22:487-495. [PMID: 30376388 DOI: 10.1080/17518423.2018.1537317] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Purpose: We investigated the effects of massage on young children with developmental delay but no clear diagnosis (e.g., cerebral palsy, genetic diseases, or autism). Methods: Thirty-six children with DD, at 1-3 years of age, were randomly assigned to the massage (n = 18) or control group (n = 18) after being stratified by age and motor developmental quotient. The two groups continued to receive routine rehabilitation intervention, whereas the massage group additionally received 20 min of massage twice a week for 12 weeks. The Comprehensive Development Inventory for Infants and Toddlers - Diagnostic Test, the Infant/Toddler Sensory Profile - Chinese version, anthropometric measures, and a sleep questionnaire were administrated before and after the massage intervention. Results: The results of analysis of covariance revealed that the massage group exhibited a greater improvement in the total motor score (p = 0.023), gross motor score (p = 0.047), and sensory sensitivity behavior (p = 0.042). Conclusion: These findings suggest that massage can effectively enhance motor and sensory processing in children with DD.
Collapse
Affiliation(s)
- Wei-Peng Lu
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University , Tainan , Taiwan.,Department of Rehabilitation, Kaohsiung Chang Gung Memorial Hospital , Kaohsiung , Taiwan
| | - Wen-Hui Tsai
- Division of Neonatology, Department of Paediatrics, Chi Mei Medical Centre , Tainan , Taiwan.,Graduate Institute of Medical Sciences, College of Health Sciences, Chang Jung Christian University , Tainan , Taiwan
| | - Ling-Yi Lin
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University , Tainan , Taiwan
| | - Rong-Bin Hong
- Department of Physical Medicine and Rehabilitation, Chi Mei Medical Centre , Tainan , Taiwan
| | - Yea-Shwu Hwang
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University , Tainan , Taiwan
| |
Collapse
|
23
|
Akbaş E, Ünver B, Erdem E. Acute Effects of Connective Tissue Manipulation on Autonomic Function in Healthy Young Women. Complement Med Res 2019; 26:250-257. [DOI: 10.1159/000497618] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 02/05/2019] [Indexed: 11/19/2022]
Abstract
Background: Connective tissue manipulation (CTM) has therapeutic effects on diseases with autonomic imbalance, yet its mechanisms of action are not clearly identified. Objective: The aim of this study was to investigate acute autonomic responses to CTM in healthy young women with various physical activity levels. Method: The study was designed as a nonrandomized, controlled single-center study. Healthy women aged between 18 and 25 years were assigned to a connective tissue manipulation group (CTMG) (n = 150) or a control group (CG) (n = 60). CTM was applied to the CTMG while the CG did not receive any intervention. Respiratory rate (RR), heart rate, systolic/diastolic blood pressures (SP/DP), oxygen saturation (OS) and body temperature were measured. The International Physical Activity Questionnaire short form was used to determine physical activity levels. Results: Analysis revealed significant reduction in SP and DP and an increment in RR in the CTMG (p < 0.05). RR increased and SP decreased among inactive, SP decreased among moderately active, and SP and OS decreased among highly active participants in the CTMG (p < 0.05). There were no significant alterations in the CG (p > 0.05). Conclusions: CTM has an immediate reducing effect on sympathetic activity in healthy young women independently from the physical activity level. Future studies are needed to clarify long-term effects of CTM on autonomic functions in healthy individuals.
Collapse
|
24
|
Social touch during development: Long-term effects on brain and behavior. Neurosci Biobehav Rev 2018; 95:202-219. [PMID: 30278194 DOI: 10.1016/j.neubiorev.2018.09.019] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 09/25/2018] [Accepted: 09/25/2018] [Indexed: 01/07/2023]
Abstract
In this paper, our goal is to explore what is known about the role of social touch during development. We first address the neural substrates of social touch and the role of tactile experience in neural development. We discuss natural variation in early exposure to social touch, followed by a discussion on experimental manipulations of social touch during development and "natural experiments", such as early institutionalization. We then consider the role of other developmental and experiential variables that predict social touch in adults. Throughout, we propose and consider new theoretical models of the role of social touch during development on later behavior and neurobiology.
Collapse
|
25
|
Edwards DJ, Young H, Cutis A, Johnston R. The Immediate Effect of Therapeutic Touch and Deep Touch Pressure on Range of Motion, Interoceptive Accuracy and Heart Rate Variability: A Randomized Controlled Trial With Moderation Analysis. Front Integr Neurosci 2018; 12:41. [PMID: 30297988 PMCID: PMC6160827 DOI: 10.3389/fnint.2018.00041] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 09/06/2018] [Indexed: 12/20/2022] Open
Abstract
Background: There is paucity in the literature regarding the role of the interoceptive pathway through the insular cortex (IC), as well as heart rate variability (HRV) in relation to Osteopathic Manipulative Therapy (OMT) and deep-touch. Aims: The present study investigated whether both OMT treatment and deep-touch (a newly hypothesized treatment option) was effective at altering the interoceptive pathway and HRV, whilst OMT was only expected to be effective for increasing Range of Motion (ROM). Methods: Thirty-five healthy volunteers were randomly allocated into three conditions in a repeated measures crossover design; a control (laying supine on a plinth); deep-touch (head cradling); and an osteopathic mobilization therapeutic technique on the temporomandibular joint (TMJ). Interoceptive accuracy (IAc), HRV, as well as range of motion (ROM) for the TMJ area as well as the cervical spine (Csp) right and left measures were taken pre and post each condition setting. Results: Significant condition effects emerged from the deep-touch and mobilization interventions for IAc where increases were identified through planned comparisons. For the HRV measure (RMSSD), a significant effect emerged in the deep-touch condition (increase) but not in the mobilization or control conditions. ROM did not increase for any condition. IAc correlated with post-ROM outcomes in many cases and HRV moderated some of these relations. Conclusion: These results are discussed in the context of clinical practice, where cranial deep-touch maybe an effective treatment and modulator of the parasympathetic nervous systems, as well as the interoceptive system.
Collapse
Affiliation(s)
- Darren J Edwards
- Department of Interprofessional Health Studies, Swansea University, Swansea, United Kingdom
| | - Hayley Young
- Department of Psychology, Swansea University, Swansea, United Kingdom
| | - Annabel Cutis
- Department of Interprofessional Health Studies, Swansea University, Swansea, United Kingdom
| | - Ross Johnston
- Department of Interprofessional Health Studies, Swansea University, Swansea, United Kingdom
| |
Collapse
|
26
|
O’Hair CM, Armstrong K, Rutherford HJ. The Potential Utility for Massage Therapy During Pregnancy to Decrease Stress and Tobacco Use. Int J Ther Massage Bodywork 2018; 11:15-19. [PMID: 30108669 PMCID: PMC6087659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND A significant number of women continue to smoke tobacco during pregnancy despite the increased risk of complications to fetal and infant development. Therefore, effective interventions are needed to assist pregnant women with the process of tobacco cessation. Traditional counseling programs have demonstrated some success; however, novel approaches that target stress as a mechanism in the maintenance of addiction would be valuable. OBJECTIVE To examine the role of stress in addiction and the utility of massage therapy to decrease stress during pregnancy. CONCLUSION Preliminary evidence suggests massage therapy may be beneficial to decreasing tobacco use, and research in pregnant populations is needed.
Collapse
Affiliation(s)
| | | | - Helena J.V. Rutherford
- Yale Child Study Center, Yale University, New Haven, CT, USA,Corresponding author: Helena Rutherford, PhD, Yale Child Study Center, Yale University, 230 South Frontage Rd., New Haven, CT, USA,
| |
Collapse
|
27
|
McCullough JE, Liddle SD, Close C, Sinclair M, Hughes CM. Reflexology: A randomised controlled trial investigating the effects on beta-endorphin, cortisol and pregnancy related stress. Complement Ther Clin Pract 2018; 31:76-84. [DOI: 10.1016/j.ctcp.2018.01.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Revised: 01/31/2018] [Accepted: 01/31/2018] [Indexed: 12/12/2022]
|
28
|
Fogarty S. Fertility Massage: an Unethical Practice? Int J Ther Massage Bodywork 2018; 11:17-20. [PMID: 29593844 PMCID: PMC5868897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
29
|
Seifert G, Kanitz JL, Rihs C, Krause I, Witt K, Voss A. Rhythmical massage improves autonomic nervous system function: a single-blind randomised controlled trial. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2018; 16:172-177. [PMID: 29598986 DOI: 10.1016/j.joim.2018.03.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2017] [Accepted: 12/21/2017] [Indexed: 01/25/2023]
Abstract
BACKGROUND Rhythmical massage therapy (RMT) is a massage technique used in anthroposophic medicine. OBJECTIVE The authors aimed to investigate the physiological action of RMT on the cardiovascular system by analysing heart rate variability (HRV). DESIGN, SETTING, PARTICIPANTS AND INTERVENTION This study was a randomised, controlled and single-blinded trial, involving 44 healthy women (mean age: (26.20 ± 4.71) years). The subjects were randomised to one of three arms: RMT with aromatic oil (RA), RMT without aromatic oil (RM) or standardised sham massage (SM). In the study the subjects were exposed to a standardised stress situation followed by one of the study techniques and Holter electrocardiograms (ECGs) were recorded for 24 h. MAIN OUTCOME MEASURES HRV parameters were calculated from linear (time and frequency domain) and nonlinear dynamics (symbolic dynamics, Poincare plot analysis) of the 24-h Holter ECG records. RESULTS Short- and long-term effects of massage on autonomic regulation differed significantly among the three groups. Immediately after an RMT session, stimulation of HRV was found in the groups RA and RM. The use of an aromatic oil produced greater short-term measurable changes in HRV compared with rhythmic massage alone, but after 24 h the effect was no longer distinguishable from the RM group. The lowest stimulation of HRV parameters was measured in the SM group. CONCLUSION RMT causes specific and marked stimulation of the autonomic nervous system. Use of a medicinal aromatic oil had only a temporary effect on HRV, indicating that the RM causes the most relevant long-term effect. The effect is relatively specific, as the physiological effects seen in the group of subjects who received only SM were considerably less pronounced. TRIAL REGISTRATION Registration trial DRKS00004164 on DRKS.
Collapse
Affiliation(s)
- Georg Seifert
- Department of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
| | - Jenny-Lena Kanitz
- Department of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany
| | - Carolina Rihs
- Department of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany
| | - Ingrid Krause
- Department of Pediatric Oncology and Hematology, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany
| | - Katharina Witt
- Institute of Innovative Health Technologies, Ernst-Abbe-Hochschule, University of Applied Sciences, 07745 Jena, Germany
| | - Andreas Voss
- Institute of Innovative Health Technologies, Ernst-Abbe-Hochschule, University of Applied Sciences, 07745 Jena, Germany
| |
Collapse
|
30
|
Etzi R, Carta C, Gallace A. Stroking and tapping the skin: behavioral and electrodermal effects. Exp Brain Res 2017; 236:453-461. [DOI: 10.1007/s00221-017-5143-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Accepted: 12/03/2017] [Indexed: 12/28/2022]
|
31
|
Jaworska-Burzyńska L, Sekułowicz M, Cieślik B, Kowalska J, Szczepańska-Gieracha J. The role of massage in reducing the risk of burnout in employees of large corporations. Complement Ther Clin Pract 2017; 29:185-188. [PMID: 29122258 DOI: 10.1016/j.ctcp.2017.09.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 09/22/2017] [Accepted: 09/29/2017] [Indexed: 10/18/2022]
Affiliation(s)
| | | | - Błażej Cieślik
- Department of Physiotherapy, University School of Physical Education, Wroclaw, Poland
| | - Joanna Kowalska
- Department of Physiotherapy, University School of Physical Education, Wroclaw, Poland.
| | | |
Collapse
|
32
|
A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: a randomized controlled trial. Rheumatol Int 2017; 37:1799-1806. [PMID: 28840379 DOI: 10.1007/s00296-017-3805-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 08/19/2017] [Indexed: 10/19/2022]
Abstract
This study aimed to compare the effectiveness of a 6-week combined exercise program with and without connective tissue massage (CTM) on pain, fatigue, sleep problem, health status, and quality of life in patients with fibromyalgia syndrome (FMS). Patients were randomly allocated into Exercise (n = 20) and Exercise + CTM (n = 20) groups. The exercise program with and without CTM was carried out 2 days a week for 6 weeks. Pain, fatigue, sleep problem with Visual Analog Scales, health status with Fibromyalgia Impact Questionnaire (FIQ), and quality of life with Short Form-36 were evaluated. After the program, pain, fatigue and sleep problem reduced, health status (except of the scores of FIQ-1 and FIQ-10), physical functioning, role limitations due to physical health, bodily pain, role limitations due to emotional health, vitality, and general health perceptions parameters related to quality of life improved in the Exercise group, (P < 0.05). In the Exercise + CTM group, pain, fatigue and sleep problem decreased, health status and quality of life improved (P < 0.05). Pain, fatigue, sleep problem, and role limitations due to physical health improved in the Exercise + CTM group in comparison to the Exercise group (P < 0.05). The study suggested that exercises with and without CTM might be effective for decreasing pain, fatigue and sleep problem whereas increasing health status and quality of life in patients with FMS. However, exercises with CTM might be superior in improving pain, fatigue, sleep problem, and role limitations due to physical health compared to exercise alone.
Collapse
|
33
|
Maratos FA, Duarte J, Barnes C, McEwan K, Sheffield D, Gilbert P. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Res 2017; 250:221-227. [PMID: 28167436 DOI: 10.1016/j.psychres.2017.01.066] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Revised: 01/13/2017] [Accepted: 01/22/2017] [Indexed: 10/20/2022]
Abstract
Research demonstrates that highly self-critical individuals can respond negatively to the initial introduction of a range of therapeutic interventions. Yet touch as a form of therapeutic intervention in self-critical individuals has received limited prior investigation, despite documentation of its beneficial effects for well-being. Using the Forms of Self-Criticism/Self-Reassuring Scale, 15 high- and 14 low- self-critical individuals (from a sample of 139 females) were recruited to assess how self-criticism impacts upon a single instance of focused touch. All participants took part in a hand massage- and haptic control- intervention. Salivary cortisol and alpha amylase, as well as questionnaire measures of emotional responding were taken before and after the interventions. Following hand massage, analyses revealed cortisol decreased significantly across all participants; and that significant changes in emotional responding reflected well-being improvements across all participants. Supplementary analyses further revealed decreased alpha amylase responding to hand massage as compared to a compassion-focused intervention in the same (highly self-critical) individuals. Taken together, the physiological and emotional data indicate high self-critical individuals responded in a comparable manner to low self-critical individuals to a single instance of hand massage. This highlights that focused touch may be beneficial when first engaging highly self-critical individuals with specific interventions.
Collapse
Affiliation(s)
- Frances A Maratos
- College of Life and Natural Sciences, University of Derby, England, UK.
| | - Joana Duarte
- Cognitive-Behavioural Research Centre, University of Coimbra, Portugal
| | | | - Kirsten McEwan
- College of Life and Natural Sciences, University of Derby, England, UK
| | - David Sheffield
- College of Life and Natural Sciences, University of Derby, England, UK
| | - Paul Gilbert
- College of Life and Natural Sciences, University of Derby, England, UK
| |
Collapse
|
34
|
Grandi LC. From Sweeping to the Caress: Similarities and Discrepancies between Human and Non-Human Primates' Pleasant Touch. Front Psychol 2016; 7:1371. [PMID: 27660620 PMCID: PMC5014988 DOI: 10.3389/fpsyg.2016.01371] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Accepted: 08/29/2016] [Indexed: 01/27/2023] Open
Abstract
Affective touch plays a key role in affiliative behavior, offering a mechanism for the formation and maintenance of social bonds among conspecifics, both in humans and non-human primates. Furthermore, it has been speculated that the CT fiber system is a specific coding channel for affiliative touch that occurs during skin-to-skin interactions with conspecifics. In humans, this touch is commonly referred to as the caress, and its correlation with the CT fiber system has been widely demonstrated. It has been hypothesized that the sweeping touch that occurs during grooming in non-human primates may modulate the CT fibers, with recent preliminary studies on rhesus monkeys supporting this hypothesis. The present mini-review proposes a comparison between the pleasant touch, caress and sweeping of humans and non-human primates, respectively. The currently available data was therefore reviewed regarding (i) the correlation between pleasant touch and CT fibers both in humans and non-human primates, (ii) the autonomic effects, (iii) the encoding at the central nervous system, (iv) the development from early life to adulthood, and (v) the potential applications of pleasant touch in the daily lives of both humans and non-human primates. Moreover, by considering both the similarities and discrepancies between the human caress and non-human primate sweeping, a possible evolutionary mechanism can be proposed that has developed from sweeping as a utilitarian action with affiliative meaning among monkeys, to the caress as a purely affective gesture associated with humans.
Collapse
|
35
|
Kowalik S, Janczarek I, Kędzierski W, Stachurska A, Wilk I. The effect of relaxing massage on heart rate and heart rate variability in purebred Arabian racehorses. Anim Sci J 2016; 88:669-677. [PMID: 27594340 DOI: 10.1111/asj.12671] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Revised: 11/09/2015] [Accepted: 05/06/2016] [Indexed: 11/30/2022]
Abstract
The objective of this study was to assess the effect of relaxing massage on the heart rate (HR) and heart rate variability (HRV) in young racehorses during their first racing season. In the study, 72 Purebred Arabian racehorses were included. The study was implemented during the full race season. The horses from control and experimental groups were included in regular race training 6 days a week. The horses from the experimental group were additionally subject to the relaxing massage 3 days a week during the whole study. HR and HRV were assumed as indicators of the emotional state of the horses. The measurements were taken six times, every 4-5 weeks. The HRV parameters were measured at rest, during grooming and saddling the horse and during warm-up walking under a rider. The changes of the parameters throughout the season suggest that the relaxing massage may be effectively used to make the racehorses more relaxed and calm. Moreover, the horses from the experimental group had better race performance records.
Collapse
Affiliation(s)
- Sylwester Kowalik
- Department of Animal Physiology, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Lublin, Poland
| | - Iwona Janczarek
- Department of Horse Breeding and Use, Faculty of Animal Biology and Breeding, University of Life Sciences in Lublin, Lublin, Poland
| | - Witold Kędzierski
- Department of Biochemistry, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Lublin, Poland
| | - Anna Stachurska
- Department of Horse Breeding and Use, Faculty of Animal Biology and Breeding, University of Life Sciences in Lublin, Lublin, Poland
| | - Izabela Wilk
- Department of Horse Breeding and Use, Faculty of Animal Biology and Breeding, University of Life Sciences in Lublin, Lublin, Poland
| |
Collapse
|
36
|
Inhomogeneous Point-Processes to Instantaneously Assess Affective Haptic Perception through Heartbeat Dynamics Information. Sci Rep 2016; 6:28567. [PMID: 27357966 PMCID: PMC4928096 DOI: 10.1038/srep28567] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 06/07/2016] [Indexed: 11/30/2022] Open
Abstract
This study proposes the application of a comprehensive signal processing framework, based on inhomogeneous point-process models of heartbeat dynamics, to instantaneously assess affective haptic perception using electrocardiogram-derived information exclusively. The framework relies on inverse-Gaussian point-processes with Laguerre expansion of the nonlinear Wiener-Volterra kernels, accounting for the long-term information given by the past heartbeat events. Up to cubic-order nonlinearities allow for an instantaneous estimation of the dynamic spectrum and bispectrum of the considered cardiovascular dynamics, as well as for instantaneous measures of complexity, through Lyapunov exponents and entropy. Short-term caress-like stimuli were administered for 4.3–25 seconds on the forearms of 32 healthy volunteers (16 females) through a wearable haptic device, by selectively superimposing two levels of force, 2 N and 6 N, and two levels of velocity, 9.4 mm/s and 65 mm/s. Results demonstrated that our instantaneous linear and nonlinear features were able to finely characterize the affective haptic perception, with a recognition accuracy of 69.79% along the force dimension, and 81.25% along the velocity dimension.
Collapse
|
37
|
Lämås K, Häger C, Lindgren L, Wester P, Brulin C. Does touch massage facilitate recovery after stroke? A study protocol of a randomized controlled trial. BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE 2016; 16:50. [PMID: 26846253 PMCID: PMC4743203 DOI: 10.1186/s12906-016-1029-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 01/27/2016] [Indexed: 12/13/2022]
Abstract
BACKGROUND Despite high quality stroke care, decreased sensorimotor function, anxiety and pain often remain one year after stroke which can lead to impaired health and dependence, as well as higher healthcare costs. Touch massage (TM) has been proven to decrease anxiety and pain, and improve quality of health in other conditions of reduced health, where reduced anxiety seems to be the most pronounced benefit. Thus there are reasons to believe that TM may also reduce anxiety and pain, and improve quality of life after stroke. Further, several studies indicate that somatosensory stimulation can increase sensorimotor function, and it seems feasible to believe that TM could increase independence after stroke. In this study we will evaluate effects of TM after stroke compared to sham treatment. METHODS This is a prospective randomized open-labelled control trial with blinded evaluation (PROBE-design). Fifty patients with stroke admitted to stroke units will be randomized (1:1) to either a TM intervention or a non-active transcutaneous electrical nerve stimulation (non-TENS) control group. Ten sessions of 30 min treatments (TM or control) will be administered during two weeks. Assessment of status according to the International Classification of Functioning, Disability and Health (ICF), including body function, activity, and participation. Assessment of body function will include anxiety, pain, and stress response (heart rate variability and salivary cortisol), where anxiety is the primary outcome. Activity will be assessed by means of sensorimotor function and disability, and participation by means of health-related quality of life. Assessments will be made at baseline, after one week of treatment, after two weeks of treatment, and finally a follow-up after two months. The trial has been approved by the Regional Ethical Review Board. DISCUSSION TM seems to decrease anxiety and pain, increase health-related quality of life, and improve sensorimotor functions after stroke, but the field is largely unexplored. Considering the documented pleasant effects of massage in general, absence of reported adverse effects, and potential effects in relation to stroke, it is essential to evaluate effects of TM during the sub-acute phase after stroke. The results of this project will hopefully provide important knowledge for evidence-based care. TRIAL REGISTRATION ClinicalTrials.gov: NTC01883947.
Collapse
Affiliation(s)
| | - Charlotte Häger
- Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden.
| | | | - Per Wester
- Department of Public Health and Clinical Medicine, Division of Medicine at Umea University, Umea, Sweden.
| | | |
Collapse
|
38
|
Kennedy AB, Cambron JA, Sharpe PA, Travillian RS, Saunders RP. Process for massage therapy practice and essential assessment. J Bodyw Mov Ther 2016; 20:484-96. [PMID: 27634069 DOI: 10.1016/j.jbmt.2016.01.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 12/14/2015] [Accepted: 01/23/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Little evidence exists about processes in massage therapy practice. Investigating current frameworks is warranted. This qualitative study is a secondary data analysis using grounded theory to understand how massage therapy experts describe massage therapy practice. METHODS 31 massage therapy experts were invited to a 2-day symposium to discuss best practices for the profession. Through qualitative analysis, memoing, and discussion, the data were summarized into themes. RESULTS Three themes were identified around massage therapy practice: 1) client centered, 2) structure for practice, and 3) influencing factors. Each theme is clarified and expanded. DISCUSSION Conceptual models were developed for research and clinical practice and a definition for massage therapy practice was identified. Challenges and limitations are discussed. CONCLUSION The goal of providing these models is to give massage therapists tools to deliver the best possible care. The models need testing to see if they help advance the profession.
Collapse
Affiliation(s)
| | | | | | | | - Ruth P Saunders
- University of South Carolina, Department of Health Promotion, Education, and Behavior, USA
| |
Collapse
|
39
|
Nardelli M, Valenza G, Bianchi M, Greco A, Lanata A, Bicchi A, Scilingo EP. Gender-specific velocity recognition of caress-like stimuli through nonlinear analysis of Heart Rate Variability. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2016; 2015:298-301. [PMID: 26736259 DOI: 10.1109/embc.2015.7318359] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This study reports on the development of a gender-specific classification system able to discern between two levels of velocity of a caress-like stimulus, through information gathered from Autonomic Nervous System (ANS) linear and nonlinear dynamics. Specifically, caress-like stimuli were administered to 32 healthy volunteers (16 males) while monitoring electrocardiogram signal to extract Heart Rate Variability (HRV) series. Caressing stimuli were administered to the forearm at a fixed force level (6 N) and two levels of velocity, 9.4 mm/s and 37 mm/s. Standard HRV measures, defined in the time and frequency domain, as well as HRV nonlinear measures were extracted during the pre- and post-stimulus sessions, and given as an input to a Support Vector Machine (SVM) classifier implementing a leave-one-subject-out procedure. Results show an accuracy of velocity recognition of 70% for the men, and 84.38% for the women, when both standard and nonlinear HRV measures were taken into account. Conversely, non-significant results were achieved considering standard measures only, or a gender-aspecific classification. We can conclude that caress-like stimuli elicitation significantly affect HRV nonlinear dynamics with a highly specific gender dependency.
Collapse
|
40
|
Grandi LC, Ishida H. The Physiological Effect of Human Grooming on the Heart Rate and the Heart Rate Variability of Laboratory Non-Human Primates: A Pilot Study in Male Rhesus Monkeys. Front Vet Sci 2015; 2:50. [PMID: 26664977 PMCID: PMC4672226 DOI: 10.3389/fvets.2015.00050] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2015] [Accepted: 10/12/2015] [Indexed: 01/09/2023] Open
Abstract
Grooming is a widespread, essential, and complex behavior with social and affiliative valence in the non-human primate world. Its impact at the autonomous nervous system level has been studied during allogrooming among monkeys living in a semi-naturalistic environment. For the first time, we investigated the effect of human grooming to monkey in a typical experimental situation inside laboratory. We analyzed the autonomic response of male monkeys groomed by a familiar human (experimenter), in terms of the heart rate (HR) and heart rate variability (HRV) at different body parts. We considered the HRV in both the time (SDNN, RMSSD, and RMSSD/SDNN) and the frequency domain (HF, LF, and LF/HF). For this purpose, we recorded the electrocardiogram of two male rhesus monkeys seated in a primate chair while the experimenter groomed their mouth, chest, or arm. We demonstrated that (1) the grooming carried out by a familiar human determined a decrement of the HR and an increment of the HRV; (2) there was a difference in relation to the groomed body part. In particular, during grooming the mouth the HRV was higher than during grooming the arm and the chest. Taken together, the results represent the first evidence that grooming carried out by a familiar human on experimental monkeys has the comparable positive physiological effect of allogrooming between conspecifics. Moreover, since the results underlined the positive modulation of both HR and HRV, the present study could be a starting point to improve the well-being of non-human primates in experimental condition by means of grooming by a familiar person.
Collapse
Affiliation(s)
- Laura Clara Grandi
- Unit of Physiology, Department of Neuroscience, Parma University, Parma, Italy
| | - Hiroaki Ishida
- Frontal Lobe Function Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
- Brain Center for Social and Motor Cognition (BCSMC), Istituto Italiano di Tecnologia (IIT), Parma, Italy
| |
Collapse
|
41
|
Sripongngam T, Eungpinichpong W, Sirivongs D, Kanpittaya J, Tangvoraphonkchai K, Chanaboon S. Immediate Effects of Traditional Thai Massage on Psychological Stress as Indicated by Salivary Alpha-Amylase Levels in Healthy Persons. Med Sci Monit Basic Res 2015; 21:216-21. [PMID: 26436433 PMCID: PMC4599180 DOI: 10.12659/msmbr.894343] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Stress can cause psychological and physiological changes. Many studies revealed that massage can decrease stress. However, traditional Thai massage has not been well researched in this regard. The purpose of this study was to investigate the immediate effects of traditional Thai massage (TTM) on salivary alpha-amylase levels (sAA), heart rate variability (HRV), autonomic nervous system (ANS) function, and plasma renin activity (PRA). MATERIAL AND METHODS Twenty-nine healthy participants were randomly allocated into either a traditional Thai massage (TTM) group or Control (C) group, after which they were switched to the other group with a 2-week wash-out period. Each of them was given a 10-minute mental arithmetic test to induce psychological stress before a 1-hour session of TTM or rest. RESULTS Within-groups comparison revealed that sAA was significantly decreased (p<0.05) in the TTM group but not in the C group. HRV and ANS function were significantly increased (p<0.05) and PRA was significantly decreased (p<0.05) in both groups. However, low frequency per high frequency ratio (LF/HF ratio) and ANS balance status were not changed. Only sAA was found to be significantly different between groups (p<0.05). CONCLUSIONS We conclude that both TTM and rest can reduce psychological stress, as indicated by decreased sAA levels, increased parasympathetic activity, decreased sympathetic activity, and decreased PRA. However, TTM may have a modest effect on stress reduction as indicated by a reduced sAA.
Collapse
Affiliation(s)
- Thanarat Sripongngam
- Exercise and Sport Sciences Program, Graduate School, Khon Kaen University, Khon Kaen, Thailand
| | - Wichai Eungpinichpong
- Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen, Thailand
| | - Dhavee Sirivongs
- Department of Medicine, Faculty of Medicine, Khon Kaen University, Amphoe Mueang Khon Kaen, Khon Kaen, Thailand
| | - Jaturat Kanpittaya
- Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | | | - Sutin Chanaboon
- Sirindhorn College of Public Health Khon Kaen, Khon Kaen, Thailand
| |
Collapse
|
42
|
Lindgren L, Gouveia-Figueira S, Nording ML, Fowler CJ. Endocannabinoids and related lipids in blood plasma following touch massage: a randomised, crossover study. BMC Res Notes 2015; 8:504. [PMID: 26420002 PMCID: PMC4589181 DOI: 10.1186/s13104-015-1450-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 09/16/2015] [Indexed: 01/30/2023] Open
Abstract
Background The endocannabinoid system is involved in the regulation of stress and anxiety. In a recent study, it was reported that short-term changes in mood produced by a pleasant ambience were correlated with changes in the levels of plasma endocannabinoids and related N-acylethanolamines (Schrieks et al. PLoS One 10: e0126421, 2015). In the present study, we investigated whether stress reduction by touch massage (TM) affects blood plasma levels of endocannabinoids and related N-acylethanolamines. Results A randomized two-session crossover design for 20 healthy participants was utilised, with one condition that consisted of TM and a rest condition as control. TM increased the perceived pleasantness rating of the participants, and both TM and rest reduced the basal anxiety level as assessed by the State scale of the STAI-Y inventory. However, there were no significant effects of either time (pre- vs. post-treatment measures) as main effect or the interaction time x treatment for the plasma levels of the endocannabinoids anandamide and 2-arachidonoylglycerol or for eight other related lipids. Four lipids showed acceptable relative reliabilities, and for two of these (linoleoyl ethanolamide and palmitoleoyl ethanolamide) a significant correlation was seen between the TM-related change in levels, calculated as (post-TM value minus pre-TM value) − (post-rest value minus pre-rest value), and the corresponding TM-related change in perceived pleasantness. Conclusions It is concluded that in the participants studied here, there are no overt effects of TM upon plasma endocannabinoid levels. Possible associations of related N-acylethanolamines with the perceived pleasantness should be investigated further. Electronic supplementary material The online version of this article (doi:10.1186/s13104-015-1450-z) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Lenita Lindgren
- Department of Integrative Medical Biology, Umeå University, Umeå, Sweden.
| | - Sandra Gouveia-Figueira
- Pharmacology Unit, Department of Pharmacology and Clinical Neuroscience, Umeå University, Umeå, Sweden. .,Department of Chemistry, Umeå University, Umeå, Sweden.
| | | | - Christopher J Fowler
- Pharmacology Unit, Department of Pharmacology and Clinical Neuroscience, Umeå University, Umeå, Sweden.
| |
Collapse
|
43
|
Bishop MD, Torres-Cueco R, Gay CW, Lluch-Girbés E, Beneciuk JM, Bialosky JE. What effect can manual therapy have on a patient's pain experience? Pain Manag 2015; 5:455-64. [PMID: 26401979 DOI: 10.2217/pmt.15.39] [Citation(s) in RCA: 105] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Manual therapy (MT) is a passive, skilled movement applied by clinicians that directly or indirectly targets a variety of anatomical structures or systems, which is utilized with the intent to create beneficial changes in some aspect of the patient pain experience. Collectively, the process of MT is grounded on clinical reasoning to enhance patient management for musculoskeletal pain by influencing factors from a multidimensional perspective that have potential to positively impact clinical outcomes. The influence of biomechanical, neurophysiological, psychological and nonspecific patient factors as treatment mediators and/or moderators provides additional information related to the process and potential mechanisms by which MT may be effective. As healthcare delivery advances toward personalized approaches there is a crucial need to advance our understanding of the underlying mechanisms associated with MT effectiveness.
Collapse
Affiliation(s)
- Mark D Bishop
- Department of Physical Therapy, PO Box 100154, University of Florida, Gainesville, FL 32610, USA.,Center for Pain Research & Behavioral Health, PO Box 100165, University of Florida, Gainesville, FL 32610, USA.,Pain Research & Investigation Center of Excellence, 2004 Mowry Road, University of Florida, Gainesville, FL 32610, USA
| | - Rafael Torres-Cueco
- Department of Physical Therapy, University of Valencia, Av. de Blasco Ibáñez, 13, 46010 València, Spain
| | - Charles W Gay
- Department of Physical Therapy, PO Box 100154, University of Florida, Gainesville, FL 32610, USA.,Center for Pain Research & Behavioral Health, PO Box 100165, University of Florida, Gainesville, FL 32610, USA
| | - Enrique Lluch-Girbés
- Department of Physical Therapy, University of Valencia, Av. de Blasco Ibáñez, 13, 46010 València, Spain
| | - Jason M Beneciuk
- Department of Physical Therapy, PO Box 100154, University of Florida, Gainesville, FL 32610, USA.,Brooks Rehabilitation-College of Public Health & Health Professions Research Collaboration, PO Box 100154, University of Florida, Gainesville, FL, 32610, USA
| | - Joel E Bialosky
- Department of Physical Therapy, PO Box 100154, University of Florida, Gainesville, FL 32610, USA.,Center for Pain Research & Behavioral Health, PO Box 100165, University of Florida, Gainesville, FL 32610, USA
| |
Collapse
|
44
|
Nelson NL. Massage therapy: understanding the mechanisms of action on blood pressure. A scoping review. ACTA ACUST UNITED AC 2015; 9:785-793. [PMID: 26324746 DOI: 10.1016/j.jash.2015.07.009] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Revised: 07/06/2015] [Accepted: 07/20/2015] [Indexed: 12/15/2022]
Abstract
Massage therapy (MT) has shown potential in reducing blood pressure (BP); however, the psychophysiological pathways and structures involved in this outcome are unclear. The aims of this scoping review were twofold. (1) To summarize the current knowledge of the mechanisms of action of MT on BP. (2) To highlight the research gaps and challenges that researchers must overcome to further elucidate how MT attenuates BP. A scoping review was conducted to examine the evidence regarding the mechanisms of action of MT on BP. This review included the thematic analysis of 27 publications that considered the influence of MT on BP. Based on this analysis, six potential BP mediating pathways were identified Current theories suggest that MT exerts sympatholytic effects through physiologic and psychological mechanisms, improves hypothalamus-pituitary-adrenocortical axis function, and increases in blood flow, which, in turn, may improve endothelial function. Future study is needed, using more scientifically rigorous methodology, to fully elucidate the mechanism of action of MT.
Collapse
Affiliation(s)
- Nicole L Nelson
- Clinical and Applied Movement Sciences, Brooks College of Health, University of North Florida, Jacksonville, FL, USA.
| |
Collapse
|
45
|
Effect of a general osteopathic treatment on body satisfaction, global self perception and anxiety: A randomized trial in asymptomatic female students. INT J OSTEOPATH MED 2014. [DOI: 10.1016/j.ijosm.2013.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
46
|
Esteves JE, Wheatley L, Mayall C, Abbey H. Emotional processing and its relationship to chronic low back pain: Results from a case-control study. ACTA ACUST UNITED AC 2013; 18:541-6. [DOI: 10.1016/j.math.2013.05.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Revised: 05/08/2013] [Accepted: 05/13/2013] [Indexed: 01/22/2023]
|
47
|
Adib-Hajbaghery M, Rajabi-Beheshtabad R, Abasi A. Effect of Whole Body Massage by Patient's Companion on the Level of Blood Cortisol in Coronary Patients. Nurs Midwifery Stud 2013; 2:10-5. [PMID: 25414870 PMCID: PMC4228537 DOI: 10.5812/nms.13781] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2013] [Revised: 07/27/2013] [Accepted: 07/27/2013] [Indexed: 01/20/2023] Open
Abstract
Background: Inconsistent results have been reported on the effect of massage therapy on the blood cortisol levels. Also, no study is available about the effect of massage done by patient's companions on the level of blood cortisol in patients hospitalized at CCU. Objective: The present study aimed to evaluate the effect of whole body massage performed by patient's companion on the level of blood cortisol among the patients admitted in CCU. Patients and Methods: A randomized controlled trial was conducted on 60 patients admitted to a CCU ward. Patients were randomly placed into two groups of massage performed by patient's companion and the control group. In the intervention group, whole body massage was administered. The control group did not receive massage. Data analysis was performed using the SPSS 11.5 software. Independent sample and Paired samples t-test, Chi Square and Fisher's Exact tests were used to analyze the data. Results: The mean age for the patients was 58.90 ± 15.63 years. None of them had the history of massage therapy. In the group massaged by the patients' companions, the mean of blood cortisol was 323.6 ± 162.6 nanomoles which decreased to 268.4 ± 141.1 after the intervention (P < 0.102). The mean of blood cortisol in the control group did not change significantly. Conclusions: Massage therapy lowered the level of cortisol in the group massaged by the patients' companions. It can be recommended that massage therapy be used in patients admitted in CCU.
Collapse
Affiliation(s)
- Mohsen Adib-Hajbaghery
- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
- Corresponding author: Mohsen Adib-Hajbaghery, Corresponding author: Mohsen Adib-Hajbaghery, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel.: +98-3615550021, Fax: +98-3615556633, E-mail:
| | - Rahman Rajabi-Beheshtabad
- Department of Nursing, Dehdasht Imam Khomeini Hospital, Yasouj University of Medical Sciences, Yasouj, IR Iran
| | - Ali Abasi
- Department of Cardiology, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, IR Iran
| |
Collapse
|
48
|
Lindgren L, Lehtipalo S, Winsö O, Karlsson M, Wiklund U, Brulin C. Touch massage: a pilot study of a complex intervention. Nurs Crit Care 2013; 18:269-77. [DOI: 10.1111/nicc.12017] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
49
|
Does Mobilization of the Upper Cervical Spine Affect Pain Sensitivity and Autonomic Nervous System Function in Patients With Cervico-craniofacial Pain? Clin J Pain 2013; 29:205-15. [DOI: 10.1097/ajp.0b013e318250f3cd] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
50
|
Jones T, Glover L. Exploring the Psychological Processes Underlying Touch: Lessons from the Alexander Technique. Clin Psychol Psychother 2012; 21:140-53. [DOI: 10.1002/cpp.1824] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2012] [Revised: 09/09/2012] [Accepted: 09/25/2012] [Indexed: 11/06/2022]
Affiliation(s)
- T. Jones
- Department of Clinical Psychology and Psychological Therapies; University of Hull; Hull UK
| | - L. Glover
- Department of Clinical Psychology and Psychological Therapies; University of Hull; Hull UK
| |
Collapse
|