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Massage therapy for infants and children.

Data are reviewed on the effects of massage therapy on infants and children with various medical conditions. The infants include: premature infants, cocaine-exposed infants, HIV-exposed infants, infants parented by depressed mothers, and full-term infants without medical problems. The childhood conditions include: abuse (sexual and physical), asthma, autism, burns, cancer, developmental delays, dermatitis (psoriasis), diabetes, eating disorders (bulimia), juvenile rheumatoid arthritis, posttraumatic stress disorder, and psychiatric problems. Generally, the massage therapy has resulted in lower anxiety and stress hormones and improved clinical course. Having grandparent volunteers and parents give the therapy enhances their own wellness and provides a cost-effective treatment for the children.

Blood Glucose↗

[Atrial fibrillation induced by massage of the carotid sinus in patients with orthodromic reciprocal supraventricular tachycardia and Wolff-Parkinson-White syndrome].

A 46 years old man with WPW syndrome, due to a posteroseptal accessory pathway, was admitted because of orthodromic reciprocating tachycardia, 210/m'in frequency. At the end of the carotid sinus massage, for accomplish the conversion of tachycardia to sinus rhythm, the orthodromic reciprocating supraventricular tachycardia degenerated into atrial fibrillation associated with high ventricular rate and the presence of hemodynamic instability, reverted to sinus rhythm by intravenous propafenone. Vagal stimulation, induced by carotid sinus massage, probably caused dispersion of atrial refractorines and intraatrial reentry, converting the orthodromic tachycardia into atrial fibrillation. The transesophageal electrophysiologic study, executed in treatment with propafenone, not documented the accessory connection and atrial fibrillation or reciprocating tachycardia were not inducible.

Atrial Fibrillation↗

[Carotid sinus massage in diagnosing syncope of unknown origin].

Carotid sinus massage (CSM) was performed in 44 patients (23 female, 21 male, mean age 52 years) with recurrent episodes of unexplained syncope and without any organic heart disease. The protocol of examination consisted of 5 s CSM performed unilaterally in supine, upright 60 degrees positions, after administration of propranolol (i.v. 0.1 mg/kg) and during autonomic inhibition (atropine i.v. 0.02 mg/kg after propranolol). The diagnosis of hypersensitive carotid sinus syndrome (HCSS) was established in case of pathologic response to CSM in supine and upright 60 degrees positions. Positive results of CSM was obtained in 15 (34%) examined patients. Cardioinhibitory form of HCSS was recognized in 9 and mixed form in 6 cases. Pathologically augmented carotid sinus reflex was provoked in 8 cases by massage of the right, in 4 cases of the left and in 3 both carotid sinuses. Maximal time of electrical asystole after CSM was 6300 ms while maximal decreased od systolic blood pressure was 70 mmHg. Intravenous administration of propranolol caused decrease of systolic blood pressure approximately 43 +/- 15 mmHg whereas the cardioinhibitory effect of CSM after this drug significantly was increased only in patients with a positive response to CSM in the supine or upright 60 degrees positions. Autonomic inhibition significantly decreased the cardioinhibitory effect of CSM without significant influence on its vasodepressive component.

Adult↗

Complications of external cardiac massage: report of a case of laceration of the right ventricular outflow tract.

Closed chest cardiac massage is simple and usually a safe procedure for cardiac resuscitation. However, it is not innocuous and is occasionally associated with serious and even fatal complications. A case is reported in which fracture of the upper part of the left half of the sternum occurred following midline sternotomy. The sternum was re-approximated in the usual manner by interrupted wire sutures, but the fracture was not specifically repaired, because it was thought to be adequatley stabilized by this closure. Postoperatively, the patient required closed chest cardiac massage which caused a fatal laceration of the outflow tract of the right ventricle due to penetration of the sharp edges of fractured fragments. We believe fracture of the sternum which occurs while retracting it with sternotomy retractor during open heart surgery should be deliberately repaired to avoid this serious complication.

Heart Injuries↗

[The internal thoracic artery of poor quality: was cardiac massage a cause of ITA stenosis?].

The case of stenotic left internal thoracic artery (LITA), with a very rare and interesting histological findings is reported. The patient, a 65-year-old man, fell into shock, due to acute myocardial infarction and received cardiopulmonary resuscitation at home immediately. Three months later, patient underwent coronary artery bypass grafting. The LITA was dissected from the chest wall with a tissue pedicle by usual manner. However, it was abandoned to use for grafting, because of extremely poor blood flow even after balloon dilatation was noticed. Histological study revealed a significant granulation of LITA media, led to severe stenosis of LITA lumen on it's portion. On other side, either proximal and distal portion of LITA remained intact. It seems that this unusual histological change of LITA media developed after LITA over stretching due to cardiac massage during cardiopulmonary resuscitation. If patient, scheduled for coronary bypass surgery, has in a personal history the presence of cardiac massage, traffic accident, some contact sport or any other chest trauma, it is recommended to perform LITA angiography preoperatively, if an intention to use the LITA for coronary artery bypass grafting exists.

Cardiopulmonary Resuscitation↗

Using massage in the relief of lymphoedema.

Lymphoedema of the arm is a complication of treatment for breast cancer. The condition often causes discomfort, reduced movement and changes in body image. Massage is one of the cornerstones of treatment. Aromatherapy massage is relaxing, increases patient comfort and promotes a therapeutic relationship between nurse and patient.

Female↗

Popliteal artery pseudoaneurysm caused by an osteochondroma--a traditional medicine massage sequelae.

We report an unusual case of a popliteal aneurysm complicating a distal femoral osteochondroma caused by the repeated massages of a traditional medicine practitioner (sinseh). Management was by excision of the exostosis and reconstruction of the damaged arterial segment by a reversed long saphenous vein graft. We advice against massage over an osteochondroma on the distal medial aspect of the femur and suggest prophylactic removal of such lesions because of this potential complication.

Adolescent↗

The Pre and Post Massage Test (PPMT): a simple screen for prostatitis.

The segmented quantitative culture technique originally described more than 25 years ago is acknowledged as the best test to diagnose prostatitis. However, it, is not widely used in clinical practice. This is especially true in primary care settings, but even most urologists appear to have abandoned the procedure. Herein is proposed a simple and cost-effective screen for prostatitis, which involves the culture and microscopic examination of urine before and after prostatic massage. This Pre and Post Massage Test (PPMT) was applied to a personal series of 53 patients and 59 patients from the literature in whom the results of the segmented cultures are available and the results were reevaluated. In this selected patient population the PPMT alone led to the same diagnosis in 102 (91.1%). Within the expected limitations of this retrospective review, the calculated sensitivity and specificity of the PPMT were both 91%. This report should provoke researchers to review their prostatitis data, stimulate discussion, and hopefully convince physicians that adoption of a simpler diagnostic plan for prostatitis is far superior to doing no workup at all.

Bacteriuria↗

[Massages--necessary or a luxury?].

During times of limited funds for medicine, it makes sense to critically reconsider commonly used methods for their future application. It is frequently demanded in this context to remove the massage from the tariff catalogue of health insurances. Therefore, it is attempted to assess the massage on the grounds of results to mechanisms of action, indications and contraindications. Despite some reservations, this successful method should keep its place by using calculated prescription in complex treatment programs.

Contraindications↗

[Therapeutic benefit of touch-massage in the overall management of demented elderly].

This detailed research tries out a "Touch-Massage" action about the studies of reflex and estimates the repercussion this action may have as regards the abnormal behaviour (either in connection with wandering and/or restlessness and/or shouting) of the Elderly who stay in a same place and show cognitive deficiency in connection with an Alzheimer's dementia. In order to check the "intra personal" consequences this action may have, 4 elderly people were chosen and an experimental estimate with different levels was made with them. Two sessions a week of 30 minutes each during 6 months (51 sessions) were suggested that is to say a total of 204 sessions. The effects of this approach regarding the different abnormal behaviour are estimated on one hand from a special clinical grid which assess the different reactions, verbal or not, which occurred during the session. On the other hand the effects are observed directly fifteen minutes after the session. The results are explained, first, for each person and compared between each other; then they are explained according to a collective way regarding the 4 old people. What emerges from all that is that for the whole sessions which were proposed, the activity was accepted at 95%. During the session, the signs showing physical relaxation (59%), sleepiness (34%), research of different manners to communicate with us (59%), stop or decrease of the abnormal behaviour (79%) prove the actual benefit the activity brings during thirty minutes. Fifteen minutes after the session, the signs showing physical relaxation (52%), sleepiness (42%), research of different manners to communicate with us (23%), stop or decrease of the abnormal behaviour (70%) are always significant. In view of the above results, we can stay this new approach using the activity of "Touch Massage" brings a further possibility of nursing care and can help to answer the question "how to take in charge every day an elderly demented patient".

Aged↗

Cardiac perforation and tamponade induced by external cardiac massage: a case report.

A 76-year-old woman suffered from sudden loss of consciousness while sitting in a chair. She was sent to a local hospital and found to be in shock. After a brief period of external cardiac massage, she was transferred to our hospital. In our emergency department she was lethargic with cool, clammy extremities. Her blood pressure dropped from 113/53 mmHg on arrival to 72/42 mmHg 2 hours later. Echocardiography showed massive pericardial effusion, fair left ventricular contractility and no abnormal segmental motion. The echocardiographic appearance suggested fibrin-like substance in the pericardial space, which was felt to indicate the presence of blood. Enhanced chest computerized tomography showed extravasation of contrast medium from the right ventricular outflow tract. At surgery, a small perforation was found at the infundibular area of the right ventricle, and a total of 500 mL of blood had accumulated in the pericardial space. She was discharged 7 days postoperatively, having made an uneventful recovery. External cardiac massage may cause cardiac disruption, and this should be considered in patients who have secondary hemodynamic instability following successful cardiopulmonary resuscitation.

Aged↗

[A new method for deep reflex muscular massage].

The idea of deep reflex muscular massage rests on the existence of a strong relationship between structural and functional changes in the skeletal muscles and visceral condition. The massage can be used for management of acute states in combination with herbs, food additives, reduced drug dosages, exercises, thermotherapy.

Humans↗

Ureteral stent displacement associated with deep massage.

A 51 year-old woman with a history of ureteral stenosis and calculi noted recurrence of severe left flank pain while undergoing a deep body massage using the Rolfing method. Displacement of her left ureteral double J stent was noted in the emergency department. The pain and associated incontinence resolved with restoration of the stent to its original position. Practitioners should be aware of this potential complication related to forceful massage pressures.

Female↗

Comparison of treatment of supraventricular tachycardia by Valsalva maneuver and carotid sinus massage.

STUDY OBJECTIVE: To compare the efficacy of the Valsalva maneuver with that of carotid sinus massage (CSM) in terminating paroxysmal supraventricular tachycardia (SVT) in the ED. METHODS: This prospective, randomized case study was performed in the ED of a tertiary care institution. Patients were at least 10 years of age with regular narrow complex tachycardia and had an ECG diagnosis of SVT. Patients with regular narrow complex tachycardia were randomly assigned to undergo either the Valsalva maneuver or CSM. If the tachycardia was not terminated by the method chosen by randomization, then the alternative method of vagal maneuver was used. If the tachycardia was not converted by both methods of vagal stimulation, patients would undergo either synchronized electrical cardioversion or a pharmacologic method of conversion at the discretion of the treating physician, depending on the patient's hemodynamic status. RESULTS: One hundred forty-eight instances of SVT were studied Sixty-two patients underwent Valsalva maneuver first with conversion in 12 (success rate of 19.4%). Eighty-six underwent CSM first with conversion in 9 (success rate 10.5%). Carotid sinus massage was used in the 50 cases of SVT in which conversion was not achieved with the Valsalva maneuver. Conversion occurred in 7 cases (success rate 14.0%). For the 77 cases of SVT in which initial CSM did not achieve conversion, conversion occurred in 13 with the Valsalva maneuver (success rate 16.9%). The Valsalva maneuver and CSM achieved conversion in a total of 41 instances of SVT (success rate 27.7%). CONCLUSION: Vagal maneuvers are efficacious in terminating about one quarter of spontaneous SVT cases. There is no detectable difference in efficacy between the Valsalva maneuver and CSM.

Adult↗

[The use of point massage in patients with circulatory encephalopathy].

The comprehensive studies involving rheoencephalography and tetrapolar thoracic rheography made in 120 patients with dyscirculatory encephalopathy (DE) indicated that pointed massage caused a noticeable rearrangement of hemodynamic processes, which depended on the clinical cause of the disease and the baseline status of the circulatory system. This makes it possible to consider pointed massage as a therapeutical factor aimed at correcting cerebral circulation, which is indicated particularly in DE patients having a history of transitory ischemic attacks in the vertebrobasilar bed.

Acupuncture Points↗

[Prevention of postoperative phlebothrombosis by means of pneumatic massage of the extremities in animals].

Thromboembolism may be considered as the most serious complication in the postoperative period. Due to improvements in anaesthesia and postoperative supervision even those patients who are in a bad state of health may be operated upon. The frequency of postoperative phlebothrombosis, however, has increased in recent years. External pneumatic massage of the extremities will speed up the blood flow in the veins and increase the fibrinolytic activity in the vein wall. In animal experiments we could observe a significant decrease of the thrombus size in artificially produced thrombosis in the vena femoralis of dogs, if after thrombus induction the external pneumatic massage was applied.

Anesthesia, General↗

Adolescents with attention deficit hyperactivity disorder benefit from massage therapy.

Twenty-eight adolescents with attention deficit hyperactivity disorder were provided either massage therapy or relaxation therapy for 10 consecutive school days. The massage therapy group, but not the relaxation therapy group, rated themselves as happier and observers rated them as fidgeting less following the sessions. After the 2-week period, their teachers reported more time on task and assigned them lower hyperactivity scores based on classroom behavior.

Adolescent↗