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Pala ÖO, Çıtaker S, Güney E, Sepici A, Güveli GM, Arslan B, Gürü M. Effectiveness of osteopathic manipulative applications on hypothalamic-pituitary-adrenal (HPA) axis in youth with major depressive disorder: a randomized double-blind, placebo-controlled trial. J Osteopath Med 2024; 124:267-275. [PMID: 38414339 DOI: 10.1515/jom-2023-0056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 01/18/2024] [Indexed: 02/29/2024]
Abstract
CONTEXT Osteopathic treatments regulate the neurovegetative system through joint mobilizations and manipulations, and myofascial and craniosacral techniques. Despite the growing body of research, the precise impact of osteopathic medicine on the autonomic nervous system (ANS) is not yet fully elucidated. As to Kuchera's techniques, the stimulation of the sympathetic trunk and prevertebral ganglia contributed to harmonization of the sympathetic activity. However, potential relationships between the harmonization of the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis largely remain uncertain and warrant further exploration. OBJECTIVES This study was designed to evaluate the effectiveness of the osteopathic sympathetic harmonization (OSH) on the SNS and the HPA axis in youth with major depressive disorder (MDD). METHODS The study included 39 youths aged 15-21 years and diagnosed with MDD. The participants were randomly assigned into either the OSH or the placebo group. Stimulation was performed on the sympathetic truncus and prevertebral ganglia in the OSH group. The stimulation of the placebo group was performed with a lighter touch and a shorter duration in similar areas. Each participant completed the Beck Depression Inventory (BDI) and the State and Trait Anxiety Inventory (SAI and TAI) before the application. Blood pressure (BP) and pulse measurements were made, and saliva samples were taken before, immediately after, and 20 min after application. RESULTS The baseline BDI (p=0.617) and TAI (p=0.322) scores were similar in both groups. Although the SAI scores decreased in both groups postintervention, no statistically significant difference was found between the two groups. Subjects who received OSH had a decrease in α-amylase level (p=0.028) and an increase in cortisol level (p=0.009) 20 min after the procedure. CONCLUSIONS Following OSH application in depressed youth, SNS activity may decrease, whereas HPA axis activity may increase. Future studies may examine the therapeutic efficacy of repeated OSH applications in depressed individuals.
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Affiliation(s)
- Ömer O Pala
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, 52942 Bolu Abant İzzet Baysal University , Bolu, Türkiye
| | - Seyit Çıtaker
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, 37511 Gazi University , Ankara, Türkiye
| | - Esra Güney
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, 64001 Gazi University , Ankara, Türkiye
| | - Aylin Sepici
- Department of Medical Biochemistry, Faculty of Medicine, 64001 Gazi University , Ankara, Türkiye
| | - Güner M Güveli
- Department of Child and Adolescent Psychiatry, Faculty of Medicine, 64001 Gazi University , Ankara, Türkiye
| | - Burak Arslan
- Department of Medical Biochemistry, Faculty of Medicine, 64001 Gazi University , Ankara, Türkiye
| | - Meltem Gürü
- Medico-Social Center, 37511 Gazi University , Ankara, Türkiye
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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 2024:10.1038/s41562-024-01841-8. [PMID: 38589702 DOI: 10.1038/s41562-024-01841-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [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.
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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
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Siregar Z, Usman AN, Ahmad M, Ariyandy A, Ilhamuddin I, Takko A. Massage on the prevention of breast cancer through stress reduction and enhancing immune system. Breast Dis 2024; 43:119-126. [PMID: 38758989 PMCID: PMC11191541 DOI: 10.3233/bd-249009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2024]
Abstract
INTRODUCTION Housewives are a population at high risk of breast cancer due to repeated or chronic exposure to stress. Prevention in a simple yet evidence-based manner is needed. METHODS This study is a narrative review of the potential of massage as breast cancer prevention through stress and immune system mechanisms. RESULTS Massage is able to prevent chronic stress through improved sleep and fatigue and lower stress levels. Prevention of chronic stress will maximize the function of cells that eliminate cancer cells, such as B cells, T cells, and natural killer (NK) cells, and improve the balance of Foxp3 Tregulator cells. Partnered delivery massage will bring effective benefits for stress reduction. CONCLUSIONS Massage can provide indirect prevention of breast cancer, and partnered delivery massage can be a good choice to reduce stress.
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Affiliation(s)
- Zilhana Siregar
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
| | - Andi Nilawati Usman
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
| | - Mardiana Ahmad
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
| | - Andi Ariyandy
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
| | - Ilhamuddin Ilhamuddin
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
| | - A.B. Takko
- Midiwfery Study Program, Graduate School, Hasanuddin University, Makassar, Indonesia
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Sucharit W, Roberts N, Eungpinichpong W, Hunsawong T, Chatchawan U. Standardised 25-Step Traditional Thai Massage (TTM) Protocol for Treating Office Syndrome (OS). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6159. [PMID: 37372746 DOI: 10.3390/ijerph20126159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 05/31/2023] [Accepted: 06/09/2023] [Indexed: 06/29/2023]
Abstract
Traditional Thai massage (TTM) is a unique form of whole body massage practiced to promote health and well-being in Thailand since ancient times. The goal of the present study was to create a standardised TTM protocol to treat office syndrome (OS) diagnosed based on the identification of the palpation of at least one so-called myofascial trigger point (MTrP) in the upper trapezius muscle. The new 90 min TTM protocol, which was developed following appropriate review of the literature and in consultation with relevant experts, has 25 distinct steps (20 pressing steps, 2 artery occlusion steps, and 3 stretching steps). Eleven TTM therapists treated three patients each using the new 90 min TTM protocol. All of the therapists reported scores greater than 80% in respect to their satisfaction and confidence to deliver the protocol, and all of the patients gave the treatment a satisfaction score of greater than 80%. The treatment produced a significant reduction in pain intensity measured on a Visual Analogue Scale (VAS), with minimum and maximum values of 0 and 10 cm, of 2.33 cm (95% CI (1.76, 2.89 cm), p < 0.001) and significant increase in pain pressure threshold (PPT) of 0.37 kg/cm2 (95% CI (0.10, 0.64 kg/cm2), p < 0.05). The protocol was revised based on the feedback and the results obtained, and the new standardised TTM protocol will be applied in a randomised control trial (RCT) to compare the efficacy of TTM and conventional physical therapy (PT) for treating OS.
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Affiliation(s)
- Wiraphong Sucharit
- Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences (AMS), Khon Kaen University (KKU), Khon Kaen 40002, Thailand
| | - Neil Roberts
- Centre for Reproductive Health (CRH), School of Clinical Sciences, The Queen's Medical Research Institute (QMRI), University of Edinburgh, Edinburgh EH16 4TJ, UK
| | - Wichai Eungpinichpong
- Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences (AMS), Khon Kaen University (KKU), Khon Kaen 40002, Thailand
| | - Torkamol Hunsawong
- Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences (AMS), Khon Kaen University (KKU), Khon Kaen 40002, Thailand
| | - Uraiwan Chatchawan
- Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences (AMS), Khon Kaen University (KKU), Khon Kaen 40002, Thailand
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ZHONG H, EUNGPINICHPONG W, CHATCHAWAN U, WANG C. Effects of mechanical bed massage on subjective feeling of fatigue and performance after exercise-induced back fatigue in athletes: a randomized controlled trial. GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE 2021. [DOI: 10.23736/s0393-3660.19.04192-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Traditional Thai Massage Promoted Immunity in the Elderly via Attenuation of Senescent CD4+ T Cell Subsets: A Randomized Crossover Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063210. [PMID: 33808849 PMCID: PMC8003732 DOI: 10.3390/ijerph18063210] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 03/17/2021] [Accepted: 03/17/2021] [Indexed: 01/03/2023]
Abstract
The beneficial physiological effects of traditional Thai massage (TTM) have been previously documented. However, its effect on immune status, particularly in the elderly, has not been explored. This study aimed to investigate the effects of multiple rounds of TTM on senescent CD4+ T cell subsets in the elderly. The study recruited 12 volunteers (61-75 years), with senescent CD4+ T cell subsets, who received six weekly 1-h TTM sessions or rest, using a randomized controlled crossover study with a 30-day washout period. Flow cytometry analysis of surface markers and intracellular cytokine staining was performed. TTM could attenuate the senescent CD4+ T cell subsets, especially in CD4+28null NKG2D+ T cells (n = 12; p < 0.001). The participants were allocated into two groups (low < 2.75% or high ≥ 2.75%) depending on the number of CD4+28null NKG2D+ T cells. After receiving TTM over 6 sessions, the cell population of the high group had significantly decreased (p < 0.001), but the low group had no significant changes. In conclusion, multiple rounds of TTM may promote immunity through the attenuation of aberrant CD4+ T subsets. TTM may be provided as a complementary therapy to improve the immune system in elderly populations.
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Brooke T, Brown M, Orr R, Gough S. Stress and burnout: exploring postgraduate physiotherapy students' experiences and coping strategies. BMC MEDICAL EDUCATION 2020; 20:433. [PMID: 33198724 PMCID: PMC7670805 DOI: 10.1186/s12909-020-02360-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Accepted: 11/04/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND AND PURPOSE The impact of stress and burnout in students is an emerging topic. When students perceive that they are unable to cope with stressors, there is increased potential for burnout. To maximise students' higher educational institution outcomes, students must be able to effectively cope with stressful demands. Research suggests physiotherapy students, in particular, suffer from a high risk of stress and burnout, however limited research exists on postgraduate, pre-registration, physiotherapy students. The purpose of this study was to determine perceived stress, burnout and associated coping strategies across three timepoints in the first year of a postgraduate, pre-registration physiotherapy program. METHODS A qualitative and quantitative survey design was utilised at one Australian Higher Education Institution. The 51-item self-administered questionnaire consisted of demographics, the Coping Self Efficacy (CSE) Scale and Maslach Burnout Inventory - General Survey for Students (MBI-GS (S)), and open-ended questions. The questionnaire was administered at three timepoints (T) in the program: T1 at the start of semester 1, T2 before the first placement in semester 2 and T3 after 10-weeks of placement. Data were analysed using descriptive, statistical and thematical analysis. SUBJECTS All first year Doctor of Physiotherapy students. RESULTS A response rate of 62% (n = 38) was achieved. There were no differences in stress and burnout scores between sexes, nor differences in stress and burnout over time. Highest median CSE scores were seen at T1, with highest median MBI-GS (S) cynicism scores at T2, exhaustion (EX) at T1 and T2, and professional efficacy at T1 and T2. The greatest mean CSE changes were seen from T1-T2 and T1-3, and PE greatest changes from T2-T3 and T1-T3. No strong correlation was found between stress and burnout. Curriculum coursework was a frequently reported stressor, along with clinical placement and transition periods. Coping strategies utilized by students were both positive and maladaptive. Positive strategies included sporting activities, baking, listening to music, and social connections, whereas maladaptive strategies included alcohol consumption, excessive eating, and gaming. CONCLUSION Student consistently identified periods of stress and burnout, with curriculum coursework in particular being a trigger. Findings acknowledge the need for further investigation on sources of perceived stress, burnout, and coping mechanisms to optimise student welfare and enhance Higher Education Institution outcomes.
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Affiliation(s)
- Tess Brooke
- Faculty of Health Sciences and Medicine, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia
| | - Makaela Brown
- Faculty of Health Sciences and Medicine, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia
| | - Robin Orr
- Faculty of Health Sciences and Medicine, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia
- Tactical Research Unit, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia
| | - Suzanne Gough
- Faculty of Health Sciences and Medicine, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia.
- Tactical Research Unit, Bond University, 2 Promethean Way, Robina, Gold Coast, QLD, 4226, Australia.
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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: 12] [Impact Index Per Article: 3.0] [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.
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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
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Zhong H, Eungpinichpong W, Wang X, Chatchawan U, Wanpen S, Buranruk O. Effects of mechanical-bed massage on exercise-induced back fatigue in athletes. J Phys Ther Sci 2018; 30:365-372. [PMID: 29581653 PMCID: PMC5857440 DOI: 10.1589/jpts.30.365] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 12/12/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The study aimed to preliminarily investigate the effects of mechanical-bed massage on exercise-induced back fatigue in athletes. [Subjects and Methods] Twelve male college athletes, randomly allocated to experimental or control groups, were instructed to perform reverse sit-up for 8 sessions until they became fatigued. The experimental group received a 20-min mechanical-bed massage session, while the control group rested on a bed for the same period of time. Visual Analogue Scale (VAS) on perceived back muscle fatigue, back muscle endurance, and Heart Rate Variability (HRV) parameters including stress index (SI), HRV index, SDNN, RMSSD, pNN50, LF, HF, and LF/HF were analyzed. [Results] Immediately and 24 hours after the intervention, the VAS significantly differed between the groups. Experimental group's HF was significantly higher immediately after the intervention than control group. Experimental group's LF and LF/HF were significantly lower immediately after the intervention than the control group. [Conclusion] Mechanical bed massage may help athletes overcome the subjective feelings of exercise-induced fatigue, modulate the automatic nervous system activity, especially for balancing sympathetic and parasympathetic activities. Therefore, mechanical bed massage may facilitate recovery from muscle and central fatigue after athlete training or competition.
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Affiliation(s)
- Houyong Zhong
- Faculty of Associated Medical Sciences, Khon Kaen
University: Khon Kaen 40002, Thailand
- Faculty of Physical Education Gannan Normal University,
China
- Research Center in Back, Neck, and Other Joint Pain and
Human Performance, Khon Kaen University, Thailand
| | - Wichai Eungpinichpong
- Faculty of Associated Medical Sciences, Khon Kaen
University: Khon Kaen 40002, Thailand
- Research Center in Back, Neck, and Other Joint Pain and
Human Performance, Khon Kaen University, Thailand
- Research and Training Center for Enhancing Quality of Life
of Working-Age People, Khon Kaen University, Thailand
| | - Xingze Wang
- Faculty of Physical Education Gannan Normal University,
China
| | - Uraiwon Chatchawan
- Faculty of Associated Medical Sciences, Khon Kaen
University: Khon Kaen 40002, Thailand
| | - Sawitri Wanpen
- Faculty of Associated Medical Sciences, Khon Kaen
University: Khon Kaen 40002, Thailand
| | - Orawan Buranruk
- Faculty of Associated Medical Sciences, Khon Kaen
University: Khon Kaen 40002, Thailand
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Jalalodini A, Nourian M, Saatchi K, Kavousi A, Ghaljeh M. The Effectiveness of Slow-Stroke Back Massage on Hospitalization Anxiety and Physiological Parameters in School-Age Children: A Randomized Clinical Trial Study. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e36567. [PMID: 28210499 PMCID: PMC5301992 DOI: 10.5812/ircmj.36567] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2016] [Revised: 04/07/2016] [Accepted: 05/03/2016] [Indexed: 11/16/2022]
Abstract
Background The outcomes of hospitalization anxiety are mental health disorders. One of the methods of anxiety reduction is massage, which can cause reduction of pain and changes in physiological parameters. Objectives This study aimed to investigate the effects of slow-stroke back massage (SSBM) on hospitalization anxiety and physiological parameters in school-age children. Methods This clinical trial study included 80 school-aged children from Ali Ebne Abi Taleb hospital, located in Zahedan, who were selected using sequential sampling and randomly divided into two groups: a massage group (40) and a control group (40). Data were collected using a demographic questionnaire and the state-trait anxiety inventory for children (STAIC). Subjects in the massage group received SSBM, using sesame oil, for 3 days. Massage was given three times a day, and each massage session lasted for 15 - 20 minutes. Physiological parameters and hospitalization anxiety were determined from the second to fifth days. T-test and Chi-square were used for analysis data. Results There was a statistically significant difference (P < 0.05) between the mean of systolic blood pressure (SBP), diastolic blood pressures (DBP), and pulse rate (PR) in the massage group prior to intervention (97.05 ± 20.7, 60.35 ± 16.69 and 95.45 ± 13.02 respectively) and on the fifth day (88.32 ± 16.58, 55.95 ± 12.7 and 90.45 ± 15.1 respectively). However, no difference was observed in mean respiratory rate (RR) in the massage group from the second day (17.55 ± 3.6) to fifth day (17.62 ± 3.27) (P = 0.096). The mean of state of anxiety, which was 36.4 ± 5.1 before intervention, was reduced by the fifth day to 31.2 ± 5.1 in the massage group (P < 0.0001, t = 5.2). Conclusions The results suggest that massage reduced hospitalization anxiety, PR, and BP. Therefore, we propose that nurses can use massage to reduce anxiety in school-age children in hospital. This method has no side-effects and is easily applicable.
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Affiliation(s)
- Alia Jalalodini
- Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran
- Community Nursing Research Center (CNRC), Zahedan University of Medical Sciences, Zahedan, IR Iran
| | - Manijeh Nourian
- Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
- Corresponding Author: Manijeh Nourian, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel: +98-2188655366, Fax: +98-2188202521, E-mail:
| | - Kiarash Saatchi
- Acupuncture Specialist, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Amir Kavousi
- Faculty of Industrial Safety, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Mahnaz Ghaljeh
- Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran
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