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At least 505 records · Page 28Linked to original sources
PubMed1992

Regional cerebral blood flow with manual internal cardiac massage versus direct mechanical ventricular assistance.

STUDY HYPOTHESIS: Previous studies have not discerned the best method for generating regional cerebral blood flow during internal cardiac massage. We hypothesized that regional cerebral blood flow generated by a mechanical method--direct mechanical ventricular assistance (DMVA)--would be superior to manual internal cardiac massage (MAN). STUDY POPULATION: Twelve adult Yucatan minipigs weighing more than 44 kg each were studied. METHODS: Swine were instrumented for regional cerebral blood flow measurements using tracer microspheres. After 15 minutes of ventricular fibrillation, swine were randomized to receive either MAN or DMVA. Regional cerebral blood flow was measured during normal sinus rhythm and at one minute (VF-1) and six minutes (VF-2) after initiation of circulatory support. Regional cerebral blood flow values were compared using a Wilcoxon rank sum test. RESULTS: During VF-1, there was a tendency for DMVA to produce greater regional cerebral blood flow than MAN, although these differences were not statistically significant (DMVA vs MAN as mL/min/100 g): cerebral cortex, 28 versus 11; cerebellum, 49 versus 22; midbrain, 43 versus 16; pons, 55 versus 18; medulla, 55 versus 19; and spinal cord, 33 versus 10. During VF-2, DMVA produced greater regional cerebral blood flows than were produced by MAN: cerebral cortex, 39 versus 12 (P less than .06); cerebellum, 58 versus 20 (P less than 0.5); midbrain, 50 versus 18 (P less than .05); pons, 52 versus 22 (P less than .06); medulla, 53 versus 20 (P less than .05); and spinal cord, 31 versus 12 (P less than .05). CONCLUSION: DMVA produces greater regional cerebral blood flow than is produced during MAN after 15 minutes of ventricular fibrillation. DMVA is effective at maintaining regional cerebral blood flow after a prolonged cardiac arrest.

Animals↗
PubMed1985

Dose-related response of centrally administered epinephrine on the change in aortic diastolic pressure during closed-chest massage in dogs.

The current recommendation of the American Heart Association is to give 0.5 to 1.0 mg (7.5 to 15 micrograms/kg in a 70-kg man) of epinephrine intravenously every five minutes during cardiac arrest. The optimal dose of epinephrine to augment the aortic diastolic pressure (ADP) is not known. The effect of various doses of central bolus epinephrine on the ADP during closed-chest massage was studied. A group of 25 large dogs was divided equally into five groups: control and 15, 45, 75, and 150 micrograms/kg. After three minutes of cardiac arrest, closed-chest massage was initiated, and the study drug was given two minutes later. The ADP and right atrial pressures were monitored for 15 minutes. Changes in ADP peaked at two minutes after injection in all groups receiving epinephrine, and the drop in ADP over time noted in the control group was prevented by increasing doses of epinephrine. Among the groups receiving epinephrine, however, there was no difference in the absolute ADP and diastolic coronary perfusion pressure.

Animals↗
PubMed2002

[Prostatic exfoliative cytology obtained from urine samples after massage. Initial results].

INTRODUCTION: The same as the exfoliative cytology is a routine method to diagnose bladder tumour, the prostatic cytology obtained after massage may become a useful procedure to diagnose prostate cancer. OBJECTIVE: To obtain suitable prostatic cytologic material. To establish the role of the exfoliative cytology to diagnose cancer. MATERIAL AND METHODS: We made a prospective longitudinal descriptive study with 60 patients out of 150 (all of them with possible prostate cancer) for two years. We compared cytologic discoveries (urine after massage) with histological parameters (biopsies). RESULTS: When the cytology fulfills a series of requirements (a high number of prostatic cells, anisokariosis and antibodies Ki-67+) and these are compared with the histological data, we obtained a specificity of 100% and a sensibility of 67% for prostatic cancer. With this information the cytology reaches a predictive value of 100% and negative of 92%. CONCLUSIONS: It is possible to obtain prostatic cytologic material in a simple and easy way. The prostatic cytology may become a valid and useful method to diagnose the carcinoma of the prostate. Also this material can be used for multiple diagnostic, follow-up and research procedures.

Adenocarcinoma↗
PubMed1999

Aquatic sports massage therapy.

Athletic trainers are continually bombarded with requests to assist aquatic athletes with the management of musculoskeletal concerns involved with training and overtraining. The trainer has options for initial training management through the administration of massage, cryotherapy, thermotherapy, and injury-preventative strengthening exercises. This article describes and illustrates athletic training techniques such as massage, cryotherapy or cold applications, thermotherapy or heat applications, and proprioceptive neuromuscular facilitation or strengthening exercise.

Athletic Injuries↗
PubMed2000

Minimally invasive direct cardiac massage and defibrillation.

Direct massage of the heart may be performed using a specifically designed device inserted via a limited thoracic incision. The technique is simple to perform and has been shown in experimental studies to be physiologically similar to formal open-chest cardiac massage. Preliminary human studies have been encouraging and pre-hospital and in-hospital studies are in progress. Modification of the device allows combined epicardial-transthoracic defibrillation. Energy requirements for successful defibrillation using this method are considerably lower than standard external defibrillation.

Animals↗
PubMed2002

Insertion of the minimally invasive direct cardiac massage device (MIDCM): training on human cadavers.

OBJECTIVE: Recently, a new device for minimally invasive direct cardiac massage (MIDCM) has been developed. In animal models of cardiopulmonary resuscitation MIDCM has been shown to provide better organ perfusion than external chest compressions (ECC) massage. Since this device has been developed to improve cardiopulmonary resuscitation in humans, its use must be simple. Thus, we measured the time required for the insertion of the MIDCM device on human cadavers. DESIGN: After a 1 h theoretical course, physicians and surgeons were asked to use the MIDCM device on human cadavers. We measured the time from the cutaneous incision to the first direct cardiac compression. MAIN RESULTS: The mean time required for the insertion of the MIDCM device was 16+/-11 s (range 8-58 s). The insertion time required for each group of physicians were as follows, 15+/-8 s for anaesthesiologists (range 8-28 s), 11+/-2 s for cardiac surgeons (range 9-15 s), 42+/-14 s for cardiologists (range 27-58 s), and 12+/-4 s for intensive care physicians (range 8-18). All participants compared the insertion of the MIDCM device favorably with the insertion of a chest drain. CONCLUSION: The MIDCM device can be placed in a few seconds in human cadavers by physicians familiar with chest drain insertion. Theoretical course and training with the device may be useful especially for those who are not familiar with chest drain insertion.

Cadaver↗
PubMed1997

Globe rupture during digital massage after peribulbar anesthesia.

A 75-year-old woman developed globe rupture with extrusion of intraocular contents during digital massage after periocular injection of an anesthetic. The rupture was repaired. At the last follow-up 6 months after surgery, visual acuity was 20/160. The retina was attached, and the vitreous hemorrhage was resolving. This complication of peribulbar anesthesia and digital massage highlights the importance of using quantitative techniques to induce hypotony during peribulbar anesthesia.

Aged↗
PubMed1994

The development of a massage service for cancer patients.

Despite major technological advances in the treatment of cancer, many patients are dissatisfied with conventional biomedical interventions. This is largely because they fail to resolve long term intractable problems such as chronic pain or stress. More emphasis is now being placed on quality of life. This shift in attitude has opened the door for complementary therapies as adjuvants to traditional models of cancer care. Changes within the NHS have facilitated this transition, by the creation of the 'internal market' and the development of central funding to individual clinical directorates. To exploit these opportunities, complementary, therapists must develop new skills and be prepared to adopt NHS standards of assessment to evaluate the efficacy of their work. Standards are a component of 'Quality assurance'. They are observable, achievable and measurable, and contribute towards an acceptable evaluation process. Standards are used by health care purchasers to assess which therapies should be made available to patients within the NHS. This paper describes the development of a massage service that has been integrated into the Hammersmith Oncology Department. The massage standard is seen to be fundamental and essential to the continued development and evaluation of the project.

Ancillary Services, Hospital↗
PubMed1996

Biodynamic massage.

This paper introduces biodynamic massage, locates it in the field of massage, and body psychotherapy, describes some of its historical development and basic theoretical assumptions. A case study illustrates its usage in an National Health Service facility.

Alcoholism↗
PubMed1997

Yes, but how do we know it's true? Knowledge claims in massage and aromatherapy.

While there is evidence that both massage and aromatherapy can be of benefit, practitioners make a great number of claims about the clinical effects of their treatments. These are presented in literature as simple statements of fact, often with no attempt to explain the basis upon which the claim is made. Though authors do occasionally make reference to the scientific literature, they often do so inadequately and in many cases the cited papers do not support the claims being made. Some authors have been explicit in giving personal experience as the source of their knowledge. However, there are several reasons why it can be difficult to make general statements based on individual experience. The many inconsistencies found in massage and aromatherapy literature--such as different properties being given to the same oil--provide further evidence that the knowledge base of these therapies is unreliable. Practitioners need to develop a critical discourse by which they can evaluate knowledge claims.

Aromatherapy↗
PubMed2001

A survey of midwives who participated in a randomised trial of perineal massage in labour.

A multi-centred randomised perineal massage in labour trial (PMLT) was conducted in which participating midwives randomised eligible women in the second stage of labour. A survey of these midwives was conducted after completion of the PMLT, but before results had been analysed and presented. The aim of the study was to seek from midwives, following the PMLT, their reasons why some eligible women were not randomly allocated to a group; why others did not receive care as allocated and the midwives' views about the massage, including whether significant trial results would influence their clinical practice. (This paper presents the results of this survey.)

Adult↗
PubMedDate not supplied

Ice massage for the reduction of labor pain.

The current study investigated the use of ice massage of the acupressure energy meridian point large intestine 4 (LI4) to reduce labor pain during contractions. LI4 is located on the medial midpoint of the first metacarpal, within 3 to 4 mm of the web of skin between the thumb and forefinger. A one-group, pretest, posttest design was chosen, which used 100-mm Visual Analog Scales (VAS) and the McGill Pain Questionnaire (MPQ) ranked numerically and verbally to measure pain levels; the pretest served as the control. Study participants were Hispanic and white Medicaid recipients who received prenatal care at a women's clinic staffed by certified nurse-midwives and obstetricians. Participants noted a pain reduction mean on the VAS of 28.22 mm on the left hand and 11.93 mm on the right hand. The postdelivery ranked MPQ dropped from number 3 (distressing) to number 2 (discomforting). The study results suggest that ice massage is a safe, noninvasive, nonpharmacological method of reducing labor pain.

Adolescent↗
PubMed2006

[Literature review of back massage and similar techniques to promote sleep in elderly people].

Insomnia is a frequent problem among elderly people. As a consequence, sedative hypnotic drugs are prescribed very often that can lead to problematic effects. As an alternative to sedative hypnotic drugs nurses use relaxing interventions to promote sleep. One of these techniques, the back massage, is very popular because of the expected relaxing effect of touch. Against this background, this review includes 16 surveys of the international nursing literature and the German literature until the year 2004, that analyse the most common intervention in Germany, the "Atemstimulierende Einreibung" (similar to Effleurage). These studies are presented and evaluated. The results indicate that these interventions promote relaxation and sleep and that they are perceived as very pleasant by the elderly. However; they do not explain in detail the reasons for effects these and the role of touch. This review shows that further research (RCTs) is necessary to determine the effects of back massage and "Atemstimulierende Einreibung" on relaxation and sleep.

Aged↗
PubMed1998

Massage therapy effects.

Massage therapy is older than recorded time, and rubbing was the primary form of medicine until the pharmaceutical revolution of the 1940s. Popularized again as part of the alternative medicine movement, massage therapy has recently received empirical support for facilitating growth, reducing pain, increasing alertness, diminishing depression, and enhancing immune function. In this article studies are reviewed that document these effects, and models are proposed for potential underlying mechanisms.

Adolescent↗
PubMed1995

Sensing an improvement: an experimental study to evaluate the use of aromatherapy, massage and periods of rest in an intensive care unit.

There is widespread belief that the use of aromatherapy and massage in an intensive care environment offers a means of increasing the quality of sensory input that patients receive, as well as reducing levels of stress and anxiety. Despite a wealth of anecdotal evidence in support of these claims, there have been few objective studies to evaluate the effects of these therapies. In this experimental study 122 patients admitted to a general intensive care unit were randomly allocated to receive either massage, aromatherapy using essential oil of lavender, or a period of rest. Both pre- and post-therapy assessments included physiological stress indicators and patients' evaluation of their anxiety levels, mood and ability to cope with their intensive care experience. Ninety-three patients (77%) were able to complete subjective assessments. There were no statistically significant differences in the physiological stress indicators or observed or reported behaviour of patients' ability to cope following any of the three interventions. However, those patients who received aromatherapy reported significantly greater improvement in their mood and perceived levels of anxiety. They also felt less anxious and more positive immediately following the therapy, although this effect was not sustained or cumulative.

Clinical Nursing Research↗
PubMed1999

Mastectomy, body image and therapeutic massage: a qualitative study of women's experience.

Despite the wealth of literature concerning the impact of breast loss on a woman's body image, sexual and psychological adjustment, there have been few studies within the medical and nursing literature directly quoting a woman's private perspective; how in her words she experiences her changed body. Furthermore, there is a lack of evidence-based interventions for addressing the problem of altered body image (ABI); healthcare professionals often feel at a loss in knowing how to help women cope (Hopwood & Maguire 1988). In this study in-depth interviews were undertaken to explore three women's experiences of breast loss with particular focus on body image issues; a second phase piloted a massage intervention as a means of helping them adjust to living with their changed body image. Listening to their experience, in combination with the therapeutic massage, allowed deep access and insight into the nature of the women's trauma. The experiences of the three women in this study suggest there may be a group of women whose needs are overlooked and who, despite their prosthesis and reassurances that they are disease-free, opt to conceal the problems they have in living with a changed image. The availability of a body-centred therapy might help with certain aspects of adjustment as revealed by this study.

Adaptation, Psychological↗
PubMed2002

Benefits of infant massage for mothers with postnatal depression.

Infant massage by the mother has been popular in many cultures, especially India, and is growing in popularity in the West. Mothers with postnatal depression often have problems interacting with their infants. A small controlled study has shown that attending a massage class can help such mothers relate better to their babies. The mechanisms by which this is achieved are not clear but may include learning to understand their babies' cues and the release of oxytocin.

Curriculum↗