CYBERMED LIFE - ORGANIC  & NATURAL LIVING

Cybermedlife - Therapeutic Actions Massage-Therapeutic Touch

Effect of light pressure stroking massage with sesame (Sesamum indicum L.) oil on alleviating acute traumatic limbs pain: A triple-blind controlled trial in emergency department.

Abstract Title: Effect of light pressure stroking massage with sesame (Sesamum indicum L.) oil on alleviating acute traumatic limbs pain: A triple-blind controlled trial in emergency department. Abstract Source: Complement Ther Med. 2017 Jun ;32:41-48. Epub 2017 Mar 16. PMID: 28619303 Abstract Author(s): Morteza Nasiri, Zahra Farsi Article Affiliation: Morteza Nasiri Abstract: OBJECTIVES: Due to adverse effects of common medications used for traumatic pain management, it is crucial to use complementary methods to alleviate this pain. Present study aimed to assess the effect of light pressure stroking massage with topical sesame oil on pain severity of patients with limbs trauma. METHODS: This triple-blinded randomized trial was conducted on 40 patients with upper or lower extremities trauma in emergency department of Busheher Amir Al-Momenian Hospital, Busheher, Iran, in 2015-2016. Patients received a 5min massage with either liquid paraffin (placebo) or sesame oil on trauma site twice a day for 9days duration. Pain severity was assessed by visual analogue scale in first day (baseline), 3th, 6th and 9th days of intervention in the both groups. RESULTS: Mean changes of pain severity between two groups was significant in the 6th (-0.20±1.36; P=0.036) and 9th (-0.36±1.12; P<0.001) days of intervention. Regarding to intake of diclofenac, no significant difference was seen between sesame oil and placebo groups during 9days of intervention (575.23±3.11 and 625.13±4.23 respectively, P=0.601). There were no adverse effects during the study in the both groups. CONCLUSION: Massage with topical sesame oil was associated with significant reduction in pain severity of patients with limbs trauma. Therefore, it is suggested to use this oil on complementary medicine for pain relief due to low cost, easy usage and lack of adverse effects. Article Published Date : May 31, 2017

Effects of foot massage applied 2 different methods on symptom control in colorectal cancer patients: Randomized control trial.

Abstract Title: Effects of foot massage applied 2 different methods on symptom control in colorectal cancer patients: Randomized control trial. Abstract Source: Int J Nurs Pract. 2017 Feb 7. Epub 2017 Feb 7. PMID: 28176423 Abstract Author(s): Neşe Uysal, Sevinç Kutlutürkan, Işıl Uğur Article Affiliation: Neşe Uysal Abstract: This randomized controlled clinical study aimed to determine the effect of 2 foot massage methods on symptom control in people with colorectal cancer who received chemoradiotherapy. Data were collected between June 16, 2015, and February 10, 2016, in the Department of Radiation Oncology of an oncology training and research hospital. The sample comprised 60 participants. Data were collected using an introductory information form, common terminology criteria for adverse events and European Organization for Research and Treatment of Cancer Quality of Life Questionnaires C30 and CR29. Participants were randomly allocated to 3 groups: classical foot massage, reflexology, and standard care control. The classical massage group received foot massage using classical massage techniques, and the reflexology group received foot reflexology focusing on symptom-oriented reflexes twice a week during a 5-week chemoradiotherapy treatment schedule. The control group received neither classical massage nor reflexology. All patients were provided with the same clinic routine care. The classical massage was effective in reducing pain level and distension incidence while foot reflexology was effective in reducing pain and fatigue level, lowering incidence of distension and urinary frequency and improving life quality. Article Published Date : Feb 06, 2017

The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial.

Abstract Title: The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial. Abstract Source: Burns. 2017 Feb 3. Epub 2017 Feb 3. PMID: 28169080 Abstract Author(s): T Najafi Ghezeljeh, F Mohades Ardebili, F Rafii Article Affiliation: T Najafi Ghezeljeh Abstract: AIM: The aim of this study was to evaluate the effects of massage and music on pain intensity, anxiety intensity and relaxation level in burn patients. INTRODUCTION: Pain and anxiety are common among burn patients, but there are many physical and psychological consequences. METHODS: This randomized controlled clinical trial with factorial design 2×2 included 240 burn patients admitted at Shahid Motahari Burns Hospital, Tehran, Iran, between September 2013 and May 2015. The patients were allocated into the following groups: (i) control (n=60) receiving the conventional primary care, (ii) music group (n=60) receiving their favorite songs, (iii) massage group (n=60) receiving Swedish massage, and (iv) music-plus-massage group (n=60) receiving a combination of their favorite songs and Swedish massage, for 20min once a day for 3 consecutive days, using random permuted blocks of sizes 4 with a 1:1 ratio. To collect the data before and afterthe intervention, a specific Visual Analogue Scale (VAS) was applied for pain intensity, anxiety intensity, and relaxation level. The data were analyzed using SPSS, version 21. RESULTS: Our findings showed a decrease in pain and anxiety intensity and an increase in relaxation level in all three intervention groups as compared to the control group, indicating there was no significant difference among the interventions applied. Furthermore, following application of each intervention, pain and anxiety intensity decreased and relaxation level increased in the intervention groups as compared to before intervention. CONCLUSION: Our results revealed that music, massage and a combination of both interventions were effective on reducing pain and anxiety intensity and increasing relaxation level. Due to easy, low-cost and availability of the interventions applied, these complementary therapies are suggested for the burn patients. Although application of a single complementary therapy is cost-effective, further studies are required to determine the most effective and cost-effective method to improve the burn care. Article Published Date : Feb 02, 2017

Acute Swedish Massage Monotherapy Successfully Remediates Symptoms of Generalized Anxiety Disorder: A Proof-of-Concept, Randomized Controlled Study.

Abstract Title: Acute Swedish Massage Monotherapy Successfully Remediates Symptoms of Generalized Anxiety Disorder: A Proof-of-Concept, Randomized Controlled Study. Abstract Source: J Clin Psychiatry. 2016 Jul ;77(7):e883-91. PMID: 27464321 Abstract Author(s): Mark Hyman Rapaport, Pamela Schettler, Erika R Larson, Sherry A Edwards, Boadie W Dunlop, Jeffrey J Rakofsky, Becky Kinkead Article Affiliation: Mark Hyman Rapaport Abstract: OBJECTIVE: Generalized anxiety disorder (GAD) is a prevalent and costly disorder for which many patients may prefer nontraditional treatment. A proof-of-concept study of was conducted to evaluate the acute effects of Swedish massage therapy (SMT) as a monotherapy for the treatment of subjects with GAD. METHODS: A randomized, single-masked, clinical trial was conducted between March 2012 and May 2013 at the Mood and Anxiety Disorders Program of Emory University. Forty-seven currently untreated subjects with a DSM-IV diagnosis of GAD were randomly assigned to twice-weekly SMT versus a light touch control condition for 6 weeks. The primary outcome measure was reduction in Hamilton Anxiety Rating Scale (HARS) scores after 6 weeks of treatment for SMT versus light touch, as determined by mixed model repeated-measures analysis of 40 evaluable subjects. RESULTS: Mean HARS baseline scores were 20.05 (SD = 3.34) for SMT and 19.58 (SD = 4.90) for light touch. At week 6, the difference in mean (standard error of the mean [SEM]) HARS score reduction was 3.26 points (SMT: -11.67 [1.09]; light touch: -8.41 [1.01]; t₁₀₆ = -2.19; P = .030; effect size = -0.69). Treatment group differences were significant (P<.05) starting at the end of week 3. CONCLUSION: This first monotherapy trial suggests that a complementary and alternative manual therapy, SMT, is an effective acute treatment for GAD. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT01337713. Article Published Date : Jun 30, 2016

The effectiveness of massage therapy in the treatment of infantile colic symptoms: A randomized controlled trial. 📎

Abstract Title: The effectiveness of massage therapy in the treatment of infantile colic symptoms: A randomized controlled trial. Abstract Source: Med J Islam Repub Iran. 2016 ;30:351. Epub 2016 Apr 9. PMID: 27453882 Abstract Author(s): Ali Sheidaei, Alireza Abadi, Farid Zayeri, Fatemeh Nahidi, Nafiseh Gazerani, Anita Mansouri Article Affiliation: Ali Sheidaei Abstract: BACKGROUND: Infantile colic, cry-fuss and sleep problems are transient in the initial months of life, but they contribute to maternal depression, parenting stress and family mental health problems. In this randomized clinical trial, we aimed to explore the efficacy of massage therapy compared to rocking in reducing infantile colic symptoms including duration and number of cries, sleep duration and severity of infant colic. METHODS: This was a single blind RCT study with a one-week follow-up. One hundred colicky infants aged younger than 12 weeks old were randomly assigned into massage and rocking groups. Infants in the massage group received a massage for 15-20 minutes once during a day and once at night before sleeping for a week. In the control group, mothers rocked their infants gently for 5-25 minutes when the symptoms of colic appeared. Parents recorded the details of the colic symptoms in a diary every day. A GEE approach was applied to explore the effect of the intervention. RESULTS: Efficiency of massage therapy was significantly higher than rocking. At the end of the study, the mean number of daily cries was 4.26±1.40 in the massage and 6.9±2.14 the rocking groups (p<0.01). The mean of the severity score was 1.39±0.19 less in the massage group (p<0.01). Moreover, the mean differences of massage and rocking groups were -0.82±0.20 hour (p<0.01) and 0.72±0.35 (p= 0.04) in the duration of cries and duration of sleep, respectively. CONCLUSION: Massaging significantly improved colic symptoms during a one-week intervention for all outcomes. In addition, significant differences were found between the intervention and control groups in favor of massaging. Therefore, massage therapy is more effective than rocking for treating infant colic symptoms. Article Published Date : Dec 31, 2015

Effect of massage therapy on pain, anxiety, relaxation, and tension after colorectal surgery: A randomized study.

Abstract Title: Effect of massage therapy on pain, anxiety, relaxation, and tension after colorectal surgery: A randomized study. Abstract Source: Complement Ther Clin Pract. 2015 Aug ;21(3):154-9. Epub 2015 Jun 12. PMID: 26256133 Abstract Author(s): Nikol E Dreyer, Susanne M Cutshall, Marianne Huebner, Diane M Foss, Jenna K Lovely, Brent A Bauer, Robert R Cima Article Affiliation: Nikol E Dreyer Abstract: The purpose of this randomized controlled trial was to evaluate the effect of postoperative massage in patients undergoing abdominal colorectal surgery. One hundred twenty-seven patients were randomized to receive a 20-min massage (n = 61) or social visit and relaxation session (no massage; n = 66) on postoperative days 2 and 3. Vital signs and psychological well-being (pain, tension, anxiety, satisfaction with care, relaxation) were assessed before and after each intervention. The study results indicated that postoperativemassage significantly improved the patients' perception of pain, tension, and anxiety, but overall satisfaction was unchanged. In conclusion, massage may be beneficial during postoperative recovery for patients undergoing abdominal colorectal surgery. Further studies are warranted to optimize timing and duration and to determine other benefits in this clinical setting. Article Published Date : Jul 31, 2015

Meta-Analysis of Massage Therapy on Cancer Pain. 📎

Abstract Title: Meta-Analysis of Massage Therapy on Cancer Pain. Abstract Source: Integr Cancer Ther. 2015 Mar 17. Epub 2015 Mar 17. PMID: 25784669 Abstract Author(s): Sook-Hyun Lee, Jong-Yeop Kim, Sujung Yeo, Sung-Hoon Kim, Sabina Lim Article Affiliation: Sook-Hyun Lee Abstract: Cancer pain is the most common complaint among patients with cancer. Conventional treatment does not always relieve cancer pain satisfactorily. Therefore, many patients with cancer have turned to complementary therapies to help them with their physical, emotional, and spiritual well-being. Massage therapy is increasingly used for symptom relief in patients with cancer. The current study aimed to investigate by meta-analysis the effects of massage therapy for cancer patients experiencing pain. Nine electronic databases were systematically searched for studies published through August 2013 in English, Chinese, and Korean. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) and Cochrane risk-of-bias scales. Twelve studies, including 559 participants, were used in the meta-analysis. In 9 high-quality studies based on the PEDro scale (standardized mean difference, -1.24; 95% confidence interval, -1.72 to -0.75), we observed reduction in cancer pain after massage. Massage therapy significantly reduced cancer pain compared with no massage treatment or conventional care (standardized mean difference, -1.25; 95% confidence interval, -1.63 to -0.87). Our results indicate that massage is effective for the relief of cancer pain, especially for surgery-related pain. Among the various types of massage, foot reflexology appeared to be more effective than body or aroma massage. Our meta-analysis indicated a beneficial effect of massage for relief of cancer pain. Further well-designed, large studies with longer follow-up periods are needed to be able to draw firmer conclusions regarding the effectiveness. Article Published Date : Mar 16, 2015

A Randomized Controlled Trial on the Effectiveness of Court-Type Traditional Thai Massage versus Amitriptyline in Patients with Chronic Tension-Type Headache. 📎

Abstract Title: A Randomized Controlled Trial on the Effectiveness of Court-Type Traditional Thai Massage versus Amitriptyline in Patients with Chronic Tension-Type Headache. Abstract Source: Evid Based Complement Alternat Med. 2015 ;2015:930175. Epub 2015 Sep 15. PMID: 26472986 Abstract Author(s): Peerada Damapong, Naowarat Kanchanakhan, Wichai Eungpinichpong, Prasobsook Putthapitak, Pongmada Damapong Article Affiliation: Peerada Damapong Abstract: This study aimed to evaluate the effectiveness of the court-type traditional Thai massage (CTTM) to treat patients with chronic tension-type headaches (CTTHs) comparing with amitriptyline taking. A randomized controlled trial was conducted. Sixty patients diagnosed with CTTH were equally divided into a treatment and a control group. The treatment group received a 45-minute course of CTTM twice per week lasting 4 weeks while the control group was prescribed 25 mg of amitriptyline once a day before bedtime lasting 4 weeks. Outcome measures were evaluated in week 2, week 4 and followed up in week 6 consisting of visual analog scale (VAS), tissue hardness, pressure pain threshold (PPT), and heart rate variability (HRV). The results demonstrated a significant decrease in VAS pain intensity for the CTTM group at different assessment time points while a significant difference occurred in within-group and between-group comparison (P<0.05) for each evaluated measure. Moreover, the tissue hardness of the CTTM group was significantly lower than the control group at week 4 (P<0.05). The PPT and HRV of the CTTM group were significantly increased (P<0.05). CTTM could be an alternative therapy for treatment of patients with CTTHs. Article Published Date : Dec 31, 2014

An investigation of the effects of therapeutic touch plan on acute chemotherapy-induced nausea in women with breast cancer in Isfahan, Iran, 2012-2013. 📎

Abstract Title: An investigation of the effects of therapeutic touch plan on acute chemotherapy-induced nausea in women with breast cancer in Isfahan, Iran, 2012-2013. Abstract Source: J Educ Health Promot. 2015 ;4:61. Epub 2015 Aug 6. PMID: 26430688 Abstract Author(s): Pegah Matourypour, Zahra Zare, Valiolah Mehrzad, Amir Musarezaie, Mojtaba Dehghan, Zohre Vanaki Article Affiliation: Pegah Matourypour Abstract: INTRODUCTION: Nausea is the worst and most prevalent chemotherapy-induced complication experienced by 70-80% of patients despite mediation therapy. Reduction of nausea is one of the most important roles of oncologist nurses. Today, complementary therapies in addition to classic medicine, because of their lower costs, receive much attention. Nonetheless, their safety and effectiveness are not yet proven. The purpose of this research was to investigate the effect of therapeutic touch plan as a complementary therapy on acute nausea in women with breast cancer in 2012-2013 in Isfahan, Iran. MATERIALS AND METHODS: A quasi-experimental, single-blind, randomized control trial with three groups (control, placebo and intervention) was performed at the Isfahan Seyedolshohada (AS) Teaching Hospital, Isfahan, in 2012-2013. The intervention was therapeutic touch plan on women with breast cancer, with the three groups receiving the same medicine regimen. Information was recorded by a checklist after infusion of chemotherapy drugs. Data analysis was performed by SPSS, ANOVA and Kruskal-Wallis tests. RESULTS: The ANOVA test showed that the therapeutic touch plan was significantly effective in reducing the duration of nausea compared with the control and placebo groups (P<0.001). The Kruskal-Wallis test showed that the frequency of occurrence of nausea was also reduced in the intervention and placebo groups compared with the control group (P<0.001). The therapeutic touch plan was significantly effective in delaying the onset of nausea compared with the control and placebo groups (P<0.001). CONCLUSION: This research showed that the therapeutic touch plan is effective in reducing acute chemotherapy-induced nausea; thus, education and implementation of the therapeutic touch plan is proposed for clinical nurses. Article Published Date : Dec 31, 2014

Therapeutic touch: influence on vital signs of newborns. 📎

Abstract Title: Therapeutic touch: influence on vital signs of newborns. Abstract Source: Einstein (Sao Paulo). 2013 Dec ;11(4):421-5. PMID: 24488378 Abstract Author(s): Nadia Christina Oliveira Ramada, Fabiane de Amorim Almeida, Mariana Lucas da Rocha Cunha Article Affiliation: Nadia Christina Oliveira Ramada Abstract: OBJECTIVE: To compare vital signs before and after the therapeutic touch observed in hospitalized newborns in neonatal intensive care unit. METHODS: This was a quasi-experimental study performed at a neonatal intensive care unit of a municipal hospital, in the city of São Paulo (SP), Brazil. The sample included 40 newborns submitted to the therapeutic touch after a painful procedure. We evaluated the vital signs, such as heart and respiratory rates, temperature and pain intensity, before and after the therapeutic touch. RESULTS: The majority of newborns were male (n=28; 70%), pre-term (n=19; 52%) and born from vaginal delivery (n=27; 67%). Respiratory distress was the main reason for hospital admission (n=16; 40%). There was a drop in all vital signs after therapeutic touch, particularly in pain score, which had a considerable reduction in the mean values, from 3.37 (SD=1.31) to 0 (SD=0.0). All differences found were statistically significant by the Wilcoxon test (p<0.05). CONCLUSION: The results showed that therapeutic touch promotes relaxation of the baby, favoring reduction in vital signs and, consequently in the basal metabolism rate. Article Published Date : Nov 30, 2013

Aroma-therapeutic effects of massage blended essential oils on humans.

Abstract Title: Aroma-therapeutic effects of massage blended essential oils on humans. Abstract Source: Nat Prod Commun. 2011 Aug ;6(8):1199-204. PMID: 21922934 Abstract Author(s): Tapanee Hongratanaworakit Article Affiliation: Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Srinakharinwirot University, Rangsit-Ongkharak Road, Nakhonnayok 26120, Thailand. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: Although blended essential oils are increasingly being used for the improvement of the quality of life and for the relief of various symptoms in patients, the scientific evaluation of the aroma-therapeutic effects of blended essential oils in humans is rather scarce. In this study, we hypothesized that applying blended essential oil would provide a synergistic effect that would have a chance for success in treating depression or anxiety. Therefore, the main objective of this study was to investigate the effects of the blended essential oil on autonomic parameters and on emotional responses in humans following transdermal absorption. The blended essential oil consisted of lavender and bergamot oils. Human autonomic parameters, i.e. blood pressure, pulse rate, breathing rate, and skin temperature, were recorded as indicators of the arousal level of the autonomic nervous system. In addition, subjects had to rate their emotional condition in terms of relaxation, vigor, calmness, attentiveness, mood, and alertness in order to assess subjective behavioral arousal. Forty healthy volunteers participated in the experiments. Blended essential oil was applied topically to the skin of the abdomen of each subject. Compared with placebo, blended essential oil caused significant decreases of pulse rate, and systolic and diastolic blood pressure, which indicated a decrease of autonomic arousal. At the emotional level, subjects in the blended essential oil group rated themselves as 'more calm' and 'more relaxed' than subjects in the control group. This finding suggests a decrease of subjective behavioral arousal. In conclusion, our investigation demonstrates the relaxing effect of a mixture of lavender and bergamot oils. This synergistic blend provides evidence for its use in medicine for treating depression or anxiety in humans. Article Published Date : Aug 01, 2011

Effect of foot massage to decrease physiological lower leg oedema in late pregnancy: a randomized controlled trial in Turkey.

Abstract Title: Effect of foot massage to decrease physiological lower leg oedema in late pregnancy: a randomized controlled trial in Turkey. Abstract Source: Int J Nurs Pract. 2010 Oct;16(5):454-60. PMID: 20854342 Abstract Author(s): Ayden Coban, Ahsen Sirin Article Affiliation: Department of Midwifery, Aydin School of Health, Adnan Menderes University, Aydin, Turkey. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: This study aims to evaluate the effect of foot massage for decreasing physiological lower leg oedema in late pregnancy. Eighty pregnant women were randomly divided into two groups; study group had a 20 min foot massage daily for 5 days whereas the control group did not receive any intervention beyond standard prenatal care. The research was conducted between March and August 2007 in Manisa Province Health Ministry Central Primary Health Care Clinic 1, in Manisa, Western Turkey. Compared with the control group, women in the experimental group had a significantly smaller lower leg circumference (right and left, ankle, instep and metatarsal-phalanges joint) after 5 days of massage. The results obtained from our research show that foot massage was found to have a positive effect on decreasing normal physiological lower leg oedema in late pregnancy. Article Published Date : Oct 01, 2010

Effect of acupoint Tuina on lactation amount for parturient

Abstract Title: [Effect of acupoint Tuina on lactation amount for parturient]. Abstract Source: Zhongguo Zhen Jiu. 2010 Sep;30(9):731-3. PMID: 20886792 Abstract Author(s): Ping Lu, Jin Qiu, Fei Yao, Juan-Juan Zheng Article Affiliation: Acupuncture and Massage College, Shanghai University of TCM, Shanghai 201203, China. Abstract: OBJECTIVE: To observe the effect differences between acupoint Tuina and simple instruction and education to improve the lactation of the parturient after delivery. METHODS: Fifty-six cases of primipara were divided into an acupoint Tuina group (28 cases) and a control group (28 cases) according to the order of entering group, the acupoint Tuina group was treated with Tuina intervention at local acupoint of the breast and distant acupoint on the basis of the instruction and education of breast feeding; the control group was treated with simple instruction and education of breast feeding. The differences of lactation amount, the level of serum prolactin at 48 h after delivery and the time start to lactate of the parturient in both groups were observed. RESULTS: The serum prolactin of the parturient at 48 h after delivery of (416.33 +/- 144.29) ng/mL in acupoint Tuina group was obviously higher than that of (320.06 +/- 187.55) ng/mL in control group, there were much more parturient with sufficient milk in acupoint Tuina group after treatment, and the time start to lactate was earlier than that of control group. CONCLUSION: The acupoint Tuina is good for parturient to lactate early and lactate more, it is necessary to make further research. Article Published Date : Sep 01, 2010

Chair massage for treating anxiety in patients withdrawing from psychoactive drugs.

Abstract Title: Chair massage for treating anxiety in patients withdrawing from psychoactive drugs. Abstract Source: J Altern Complement Med. 2010 Sep;16(9):979-87. PMID: 20799900 Abstract Author(s): Shaun Black, Kathleen Jacques, Adam Webber, Kathy Spurr, Eileen Carey, Andrea Hebb, Robert Gilbert Article Affiliation: Addiction Prevention and Treatment Services, Capital District Health Authority, Dartmouth, Nova Scotia, Canada. Abstract: CONTEXT: Therapeutic massage has been proven to be an effective, nonpharmacologic, alternative for managing state and trait anxiety in a variety of clinical situations. However, no controlled study has investigated this effect in an addiction treatment setting. AIM: The aim of this study was to investigate the effectiveness of chair massage for reducing anxiety in persons participating in an inpatient withdrawal management program for psychoactive drugs. DESIGN: The design was a randomized, controlled clinical trial conducted from June 2008 to January 2009. SUBJECTS: Eighty-two (82) adult patients received inpatient treatment for psychoactive drug withdrawal (alcohol, cocaine, and opiates). SETTING: This study was conducted at the Withdrawal Management Services at the Capital District Health Authority, Halifax, Nova Scotia. INTERVENTIONS: Subjects were randomly assigned to receive chair massage (n = 40) or a relaxation control condition (n = 42). Treatments were offered for 3 consecutive days. Standard counseling and pharmacologic management were also offered concurrently to patients in all conditions. MEASUREMENTS: The primary outcome measure was anxiety assessed using the Spielberger State-Trait Anxiety Inventory (STAI). State and trait anxiety scores were determined immediately prior to and following each treatment intervention. RESULTS: Analysis of STAI scores showed a significant reduction in state and trait anxiety for both interventions (p < 0.001). The magnitude in the reduction in state (p = 0.001) and trait (p = 0.045) anxiety was significantly greater in the chair massage group where the effect on state anxiety was sustained, at least in part, for 24 hours. CONCLUSIONS: Within the clinical context of this study, chair massage was more effective that relaxation control in reducing anxiety. Further investigation of chair massage as a potential nonpharmacologic adjunct in the management of withdrawal related anxiety is warranted. Article Published Date : Sep 01, 2010

Abdominal massage for people with constipation: a cost utility analysis.

Abstract Title: Abdominal massage for people with constipation: a cost utility analysis. Abstract Source: J Adv Nurs. 2010 Aug;66(8):1719-29. Epub 2010 Jun 16. PMID: 20557387 Abstract Author(s): Kristina Lämås, Lars Lindholm, Birgitta Engström, Catrine Jacobsson Article Affiliation: Department of Nursing, Umeå University, Sweden. This email address is being protected from spambots. You need JavaScript enabled to view it. Abstract: AIM: This paper is a report of a study conducted to evaluate change in health-related quality of life for people with constipation receiving abdominal massage and to estimate the cost-effectiveness of two alternative scenarios developed from the original trial. BACKGROUND: Constipation is a common problem and is associated with decrease in quality of life. Abdominal massage appears to decrease the severity of gastrointestinal symptoms, but its impact on health-related quality of life has not been assessed. METHODS: A randomized controlled trial including 60 participants was conducted in Sweden between 2005 and 2007. The control group continued using laxatives as before and the intervention group received additional abdominal massage. Health-related quality of life was assessed using the EQ-5D and analyzed with linear regression. Two scenarios were outlined to conduct a cost utility analysis. In the self-massage scenario patients learned to give self-massage, and in the professional massage scenario patients in hospital received abdominal massage from an Enrolled Nurse. RESULTS: Linear regression analysis showed that health-related quality of life was statistically significantly increased after 8 weeks of abdominal massage. About 40% were estimated to receive good effect. For 'self-massage', the cost per quality adjusted life year was euro75,000 for the first 16 weeks. For every additional week of abdominal massage, the average dropped and eventually approached euro8300. For 'professional massage', the cost per quality adjusted life year was euro60,000 and eventually dropped to euro28,000. CONCLUSION: Abdominal massage may be cost-effective in the long-term and it is relevant to consider it when managing constipation. A crucial aspect will be to identify those who will benefit. Article Published Date : Aug 01, 2010
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