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Incidence of sexually transmitted diseases among massage parlour employees in Bangkok, Thailand.

The results of a study of sexually transmitted disease (STD) incidence and related risk factors for STDs among uninfected women at high risk of contracting STD infection in Bangkok are reported. Comprising the control arm of a randomized controlled trial of a vaginal contraceptive sponge and STD incidence, 163 women aged 18 or older were recruited from 4 massage parlours and followed for evidence of new infections over a 6-week period or until cervical infection occurred. Gynaecological examinations were performed and endocervical specimens were obtained at weekly intervals, at which time women returned coital logs recording their number of sexual partners. There were 76.5 new STD infections per 100 woman-months, including 31.7 with gonorrhoea, 43.1 with chlamydia, 1.8 of trichomoniasis and 3.5 of candidiasis. None of the risk factors examined were good predictors of STD infection in this population, which may be related to the restricted admission criteria in the study.

Adolescent↗

The effectiveness of neuromuscular release massage therapy in five individuals with chronic obstructive lung disease.

The purpose was to examine neuromuscular release massage therapy (NRMT) as an intervention for individuals with chronic obstructive lung disease (COLD) to improve pulmonary function, respiratory muscle strength, and quality of life. Variables measured were thoracic gas volume, peak flow, oxygen saturation, blood pressure, heart rate, forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, and quality of life to determine if improvement occurred with 24 weekly treatments of NRMT. Four of five participants had an increase in thoracic gas volume, peak flow, and FVC. Paired differences t test resulted in significant changes in heart rate, oxygen saturation, and time of breath hold. Repeated measured analysis of variance indicated a significant interaction between participant and time for heart rate, oxygen saturation, and systolic blood pressure. The results suggest that individuals with COLD do benefit from NRMT, but the exact physiological mechanism for the changes warrants additional study.

Aged↗

Therapeutic massage and healing touch improve symptoms in cancer.

Complementary therapies are increasingly used to reduce side effects of cancer treatment, without evidence for their effectiveness. In a randomized, prospective, 2-period, crossover intervention study, the authors tested the effects of therapeutic massage (MT) and healing touch (HT), in comparison to presence alone or standard care, in inducing relaxation and reducing symptoms in 230 subjects. MT and HT lowered blood pressure, respiratory rate (RR), and heart rate (HR). MT lowered anxiety and HT lowered fatigue, and both lowered total mood disturbance. Pain ratings were lower after MT and HT, with 4-week nonsteroidal antiinflammatory drug use less during MT. There were no effects on nausea. Presence reduced RR and HR but did not differ from standard care on any measure of pain, nausea, mood states, anxiety, or fatigue. MT and HT are more effective than presence alone or standard care in reducing pain, mood disturbance, and fatigue in patients receiving cancer chemotherapy.

Adult↗

Learning the hard way! Setting up an RCT of aromatherapy massage for patients with advanced cancer.

Aromatherapy massage is used in cancer palliative care to improve quality of life but there is little evidence for its effectiveness. A large pragmatic multicentre randomized controlled trial was set up to examine the effectiveness of aromatherapy in improving psychological distress and quality of life in patients with cancer. This paper examines the challenges encountered in the design and execution of the study. The original design, i) focused on palliative care patients with advanced disease; ii) had both a no-intervention and a treatment control group (relaxation therapy); and iii) adopted 90% power for sample size calculations. A varied measurement strategy was employed. Recruitment proved difficult, referrers were 'gate-keeping', patients were often too ill to approach and others declined. The trial was modified to ensure viability. Eligibility was extended to all patients with cancer irrespective of stage, the relaxation group was removed and the power reduced to 80%. Although it is not generally good practice to change a study design once recruitment has started, the changes were consistent with the original basic study aims and design principles. The data collection phase was successfully completed in July 2002.

Aromatherapy↗

Plasma levels of fluphenazine decanoate. Effects of site of injection, massage and muscle activity.

Depot neuroleptics are now commonly used for maintenance therapy of schizophrenia. Their physicochemical composition makes them ideal for such use because they are long-acting and show stable blood levels for prolonged periods. Their absorption from the site of injection may, however, be affected by local muscle factors. This paper describes three such factors in relation to fluphenazine decanoate: varying the site of injection; massage of the injection site; and effects of muscular exercise. Our results suggest that fluphenazine pharmacokinetics are not significantly affected by any of these factors.

Adolescent↗

"Shiatsu sympathectomy": ICA dissection associated with a shiatsu massager.

Carotid dissection is a well-described complication of head and neck trauma. Two cases of carotid dissection that occurred after use of shiatsu-type massagers are described. This potential cause should be considered when evaluating patients with idiopathic carotid dissection.

Anti-Inflammatory Agents, Non-Steroidal↗

The role of aromatherapy massage in reducing anxiety in patients with malignant brain tumours.

Research suggests that aromatherapy massage (AM) is increasingly being used by cancer patients, especially in the palliative care setting, although few studies have assessed its effectiveness. I wanted to find out whether AM reduces anxiety in patients with a primary malignant brain tumour attending their first follow-up appointment after radiotherapy. Eight patients were recruited to the study, which comprised three methods of data collection: the measurement of physical parameters; the completion of Hospital Anxiety and Depression Scales (HADS); and semi-structured interviews. The results from HADS did not show any psychological benefit from AM. However, there was a statistically significant reduction in all four physical parameters, which suggests that AM affects the autonomic nervous system, inducing relaxation. This finding was supported by the patients themselves, all of whom stated during interview that they felt 'relaxed' after AM. Since these patients are faced with limited treatment options and a poor prognosis, this intervention appears to be a good way of offering support and improving quality of life.

Adult↗

Two-to-one sinoatrial block. Normalization by carotid massage.

In a clinical case of 2:1 sinoatrial block, carotid massage, paradoxically, released the sinoatrial block and doubled the manifest sinus rate. This resulted from a deceleration of the sinus discharge rate which allowed consecutive sinus impulses to traverse the sinoatrial junction.

Aged↗

[Internal cardiac massage in dogs: a new technique proposition for emergency pericardiotomy--ligament traction].

PURPOSE: Describe a technique of emergency pericardiotomy, named as Ligament Traction (LT), to reduce the necessary time to begin the Internal Cardiac Massage. To perform the ICM an emergency toracotomy and pericardiotomy are necessary, both in remote time. The technique usually employed is the "T" pericardiotomy, whose execution depends on the apprehension of the pericardium with an Allis forceps. This apprehension is difficult and complicates the reanimation of the patient. METHODS: Twenty canine corpses were divided into two groups: Group I--"T" pericardiotomy (n=10), and Group II--the LT technique (n=10). The LT consisted on the traction of the pericardiumphrenic ligament and the section of the pericardium next to its apex. The incision was elongated with the introduction of the fingers, also allowing the positioning of the heart in the hand of the operator and the immediate beginning of the ICM. RESULTS: Group I presented an execution period of 21.79 +/- 0.88 second, and Group II of 8.58 +/- 1.38, with p<0.0001 (highly expressive). CONCLUSION: The technique of pericardiotomy by Ligament Traction concur to outliving, because it avoids a larger time of cerebral ischemia, due to the early beginning of the circulation.

Animals↗

A case study: massage, relaxation, and reward for treatment of alopecia areata.

Alopecia areata, a common cause of hair loss, is generally considered the consequence of an autoimmune process. Both physiological and psychological factors have been implicated. Previous studies have not incorporated behavior modification in their treatment designs. In this study, three treatment techniques (hair massage, relaxation procedures, and monetary reward) were applied to a 16-year-old male with a five-year history of alopecia areata. Comparison for seven months without treatment versus seven months with treatment showed that loss of hair was markedly reduced after three months of treatment. During the last four months of the study, new hair growth was evidenced.

Adolescent↗

Fabricating a splint for deep friction massage.

Deep friction massage (DFM) is a therapeutic modality for tendinitis, muscle strains, ligamentous sprains, and capsulitis of the trapezio-first-metacarpal joint. Depending on the stage and site of the lesion, treatment sessions may be as brief as 5 minutes or as long as 20 minutes. Many therapists find DFM to be very effective but state that treatment is very fatiguing to administer. Therapists with hypermobile fingers find it particularly difficult to perform. In order to overcome these two problems, a number of splints have been designed to treat various lesions. This article describes how to fabricate one of these splints. This splint is useful for commonly seen lesions such as supraspinatus tendinitis and a sprained acromioclavicular ligament.

Bursitis↗

'Just the ticket': integrating massage and reflexology in practice (Part I).

The purpose of these papers is to describe and discuss the piloting and evaluation of an inpatient complementary therapy service. This was a single site case study without a control group and involving practitioners themselves collecting data, recording reflections on their own practice and engaging in monthly clinical supervision sessions. The service was aimed at providing treatments of hand and foot massage incorporating reflexology techniques for a total of 18 patients. In part 2 of this paper, an evaluation of the project will be presented including the findings of this pilot service from the perspective of both the patients and practitioners, and the analysis of some of the physiological data collected. Part 3 will focus on a subgroup of the patient cohort to illuminate the experience from both patient and practitioner perspective.

Education, Nursing, Continuing↗

[Learning cardiopulmonary resuscitation using conventional external cardiac massage or active compression-decompression in simulated cardiopulmonary resuscitation].

OBJECTIVE: To compare medical students' simulated learning of two different techniques of cardiopulmonary resuscitation (CPR). One was conventional external cardiac massage (ECM) and the other was active compression-decompression (ACD-CPR). MATERIAL AND METHODS: The study group (group S) comprised 111 students enrolled in their fourth year of medical studies who had no prior experience of CPR. Group R, the control group, was made up of 32 medical residents in anesthesiology and post-anesthetic intensive care. Before the study, group S received 5 hours of theoretical classes on CPR and both groups saw a video explaining each technique just before performing the test. All subjects applied each method to an adult dummy for one minute. The variables evaluated were frequency of complete and effective thoracic compressions and the body weight of the resuscitator. RESULTS: Each group performed similarly using the two techniques in terms of frequency of total compressions achieved. For each technique, the number of effective compressions achieved by group S (49.4 +/- 22.9 with ECM and 42.5 +/- 20.7 with ACD-CPR) was significantly lower (p < 0.05) than the number attained by group R (71.2 +/- 18.6 with ECM and 58.8 +/- 12 with ACD-CPR). Group R's frequency of effective compressions was significantly higher (p < 0.05) with CPR than with ACD-CPR. Body weight had no influence on the number of total compressions or efficacy in group R, whereas lower body weight in group S was significantly related to lower frequency of effective compressions with ECM p < 0.05). Neither group achieved a frequency of 80 total compressions in one minute. CONCLUSIONS: With the present teaching method, the medical students' performance was poor for both types of CPR and was affected by body weight. The residents' performance was less effective with ACD-CPR, a technique that was new to them, than with conventional ECM, with which they were expert and on which body weight had no impact.

Adult↗

[Knowledge and effectiveness of so-called foot sole reflex massage].

Plantar reflex massage is hardly of any importance to insurance medicine. It however helps to explain the affinity of patients for so-called alternative medicine and its methods. A proof of the effectiveness of the pretended radius of curative properties has never been aspired to nor is it scientifically conceivable. Various aspects combine to create the attraction of the method. Two of these result precisely from its unscientific nature. The effect is to be found in the improvement of the general feeling of well-being.

Acupuncture Points↗

[The effect of thermal-vibration massage on the function of the hepatobiliary system in patients with chronic cholecystitis and opisthorchiasis].

The study made by the authors has proved that thermovibration massage of infrasound frequency (10 Hz) used as an adjuvant in combined treatment of chronic cholecystitis and opisthorchiasis promotes normalization of motor-evacuatory function of the biliary system and intrahepatic hemodynamics, improves biochemical structure of the bile. This improves overall efficacy of the treatment measures.

Bile↗

Massage therapy for sprinters and runners.

Winning the gold medal is everything. The competitive sprinter or runner successfully navigates the road to the gold by relying on talent, dedication, and hard work. Along this steep and difficult road, massage therapy provides a powerful tool that helps the athlete reduce recovery time after a track meet, minimize injury, and improve body movement fluidity.

Athletic Injuries↗

[The massaging and circulation--beneficial effect of the trunc-type stump stocking compared with the conventional stump stocking (author's transl)].

Whereas the conventional stump stocking grips the end of the stump--and at the same time the tender centre part of the latter--more and more tightly during walking and can result in the stocking fabric wrinkling, overstretching and tearing, the trunk-type stump stocking leaves the central stump area completely free as it ends in a narrow, tube-shaped extension piece below the end of the stump. This results in a large amount of spare fabric with a correspondingly good possibility of buffering and elasticity in the upper part of the extension piece, increasing even more when washed repeatedly. The relative movements between the stump and the artificial leg during walking, in conjunction with the temporally lagging movements of the stump protective covering, bring about an active muscle massaging and circulation-beneficial effect by means of the trunk stocking, at the same time preventing any wrinkling of the stump protective covering. An adjustable elastic secured at the base of the shaft is provided at the end of the trunk for individual adjustment of the pull tension at the end of the stump. At the same time this prevents arm and leg stumps from slipping out of the shaft area. The so far considerably "shrinking" of the stocking as a result of transpiration and washing is catered for to a large extent by the spare fabric in the area of the trunk, which means that it is no longer necessary to wear outsizes and that there is a large evaporation area, with a possibility of the transpiration flowing off into the end of the trunk, with good compatibility of the skin and less wear of the stocking.

Amputation Stumps↗

Limb volume reduction after physical treatment by compression and/or massage in a rodent model of peripheral lymphedema.

Lack of a standardized experimental counterpart of peripheral lymphedema (LE) in a small animal has hampered research into treatment of this debilitating condition. We recently refined a rodent model consisting of radical unilateral lymphatic/nodal groin excision in conjunction with a circumferential integumental gap, followed by regional irradiation of the groin to reproduce stable unilateral hindlimb LE (1). In the current study, Wistar-Fuzzy rats with established right hindlimb LE, were subdivided into five groups and subjected to one of the following daily physical regimens over a 5-day period: pneumatic compression pumping at 30 torr (PCP); low-stretch multi-layered compressive bandaging using Coban (CB); manual lymphedema drainage (MLD) or a light massage consisting of stationary circular motions using the fingertips; combined physiotherapy (CPT consisting of MLD + CB); and a no treatment or control group (CTRL). Hindlimb and LE volumes were serially measured before and after treatment. Whereas CTRL showed progressive worsening of hindlimb swelling, PCP, CB, CPT and MLD each produced similar and substantial edema reduction over the 5 day interval, PCP, CB and CPT induced vacillating edema reduction which, however, exceeded rebound swelling on a daily basis. MLD, on the other hand, showed a steady gradual daily decline in LE volume.

Animals↗