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2.
Adv Exp Med Biol ; 1191: 415-449, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32002940

RESUMO

Complementary and alternative medicine (CAM) encompasses a wide range of different nonmainstream therapies that have been increasingly used for treatment or adjunctive treatment of various ailments with anxiety/anxiety disorders being one of the commonly CAM (self)-medicated conditions. Thousands of published papers refer to use of CAM in various psychiatric disorders or in healthy or medically ill patients with mood or anxiety difficulties. In this chapter we focus specifically on clinically diagnosed (in line with the standard criteria) anxiety disorders and overview evidence of efficacy/safety of a range of CAM modalities: biologically based therapies (typically herbal preparations and less so nutraceuticals); manipulative and body-based therapies (acupuncture, aerobic exercise, massage, therapeutic touch, repetitive transcranial magnetic stimulation, balneotherapy, and others); mind-body therapies (yoga, Morita therapy, Tai Chi, reiki, Chinese cognitive therapy, religious and spiritual interventions, relaxation, mediation, and mindfulness-based interventions); and alternative medical systems (Ayurveda, homeopathy). We focus exclusively on randomized controlled trials and attempt to evaluate the existing body of evidence in the same manner that is applied to mainstream treatments.


Assuntos
Transtornos de Ansiedade/terapia , Terapias Complementares , Prática Clínica Baseada em Evidências , Terapia por Acupuntura , Exercício , Humanos , Massagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Tai Ji , Ioga
3.
Hautarzt ; 71(1): 32-38, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31912161

RESUMO

Local edema is a common symptom in many skin diseases, especially in inflammatory or allergic reactions. Diseases of the lymphatic system can also lead to edema with specific changes in the skin. Lymphedema is the result of primary genetic changes, which can also occur in the context of syndromes and can be traced to abnormal development of the lymphatic system. Secondary lymphedema usually develops after surgery, inflammatory reactions or chronic venous insufficiency (CVI). The microfiltrate that is transported in the tissue in healthy individuals via the lymphatic system is rich in proteins and induces fibrosis of the epidermis and dermis. In addition to edema, clinical signs include pachydermia, papillomatosis cutis lymphostatica, hyperkeratosis, lymph cysts, lymph fistulas, nail dystrophies and yellow nails. Basic therapy comprises complex decongestive therapy (CDT: manual lymph drainage, compression, physical exercise/sports, skin care and instructions regarding self-management). Intermittent compression can also be applied. Comorbidities such as obesity and diabetes mellitus may aggravate the situation and must be treated. Adequate therapy can reduce sequelae of the skin.


Assuntos
Linfedema , Drenagem , Edema , Humanos , Linfedema/etiologia , Linfedema/terapia , Massagem , Higiene da Pele
4.
Medicine (Baltimore) ; 99(4): e18899, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977901

RESUMO

BACKGROUND: Acute bronchitis (AB) is a common cause of childhood morbidity. Tuina, a kind of Chinese massage, is frequently used for the treatment of AB in children by traditional Chinese medicine doctors. However, there is no relevant systematic review show its effectiveness and safety. The study aims to evaluate the effectiveness and safety of Tuina for children with AB. METHODS: The following electronic databases will be searched from the respective dates of database inception to January 1st, 2020: The Cochrane Library, Web of Science, the World Health Organization International Clinical Trials Registry Platform, Springer, EMBASE, MEDLINE, China National Knowledge Infrastructure, the Chinese Biomedical Literature Database, Wanfang database, the Chinese Scientific Journal Database, and other sources. All published randomized controlled trials and blinded researches that are relevant to the subject of interest only will be contained. Two independent researchers will operate article retrieval, duplication removing, screening, quality evaluation, and data analyses by Review Manager (V.5.3.5). Meta-analyses, subgroup analysis and/or descriptive analysis will be performed based on the included data conditions. RESULTS: High-quality synthesis and/or descriptive analysis of current evidence will be provided from the bronchitis severity score, symptom, and quality-of-life questionnaires, the questionnaire of clinical symptoms of cough and sputum, Patient Satisfaction Scale and adverse reactions. CONCLUSION: This study will provide the evidence of whether Tuina is an effective and safe intervention for children with AB. PROSPERO REGISTRATION NUMBER: CRD42019140667.


Assuntos
Bronquite/terapia , Massagem , Medicina Tradicional Chinesa , Doença Aguda , Criança , Humanos , Revisão Sistemática como Assunto
5.
J Altern Complement Med ; 26(1): 58-66, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31580705

RESUMO

Objectives: Large sample and high-quality evidence to evaluate the preliminary safety of the mobilizations and massage for cervical vertigo are not yet available. Thus, the present study aimed to investigate the comparative effectiveness and preliminary safety of Shi-style cervical mobilizations (SCM) compared with traditional massage (TM) in cervical vertigo patients. Design: A prospective, multicenter, open-label, randomized, controlled clinical trial with a 1:1 allocation ratio. Settings: Five academic medical centers. Subjects: A total of 360 adult patients with a diagnosis of cervical vertigo. Interventions: The patients were randomly allocated to either an SCM (n = 180) or TM (n = 180) group. The patients were treated during six sessions over 2 weeks. The primary outcome was the Dizziness Handicap Inventory (DHI) total scale score, and secondary outcomes included the DHI subscales, Chinese version of the Short-Form 36 Health Survey (CSF-36), and adverse events (AEs). Outcomes were assessed in the short term at 2 weeks, 1 month, and 3 months, and in the intermediate term at 6 months after randomization. Results: Significant changes were observed from the baseline in the DHI total scale and subscales at 2 weeks and 1, 3, and 6 months in both groups (all p < 0.05). However, the differences between the two groups were not significant (all p > 0.05). Furthermore, we noted significant changes from the baseline in SF-36 scores at 2 weeks in both groups (all p < 0.05), whereas CSF-36 scores were not significantly higher in the SCM group (all p > 0.05) compared with the TM group. No serious AEs were reported in either of the two groups. Conclusions: No differences in outcomes were detected between the SCM and TM groups in terms of treatment of cervicogenic dizziness. Efficacy trials are required to determine whether the improvement observed for each treatment was causally related to the interventions.


Assuntos
Massagem , Manipulações Musculoesqueléticas , Vertigem/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pescoço/fisiopatologia , Vertigem/fisiopatologia
8.
BMC Health Serv Res ; 19(1): 722, 2019 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-31638984

RESUMO

BACKGROUND: Thai massage is a highly gendered and culturally specific occupation. Many female Thai masseuses migrate to Norway as marriage migrants and as such are entitled to the same public healthcare as Norwegian citizens. Additionally, anyone who is not fluent in Norwegian is entitled to have an interpreter provided by the public healthcare system. Norway and most other countries aspire to universal health coverage, but certain immigrant populations continue to experience difficulties accessing appropriate healthcare. This study examined healthcare access among Thai migrant masseuses in Oslo. METHODS: Guided by access to healthcare theory, we conducted a qualitative exploratory study in 2018 with Thai women working as masseuses in Oslo, Norway. Through semi-structured in-depth interviews with 14 Thai women, we explored access to healthcare, health system navigation and care experiences. We analyzed the data using thematic analysis and grouped the information into themes relevant to healthcare access. RESULTS: Participants did not perceive that their occupation limited their access to healthcare. Most of the barriers participants experienced when accessing care were related to persistent language challenges. Women who presented at healthcare facilities with their Norwegian spouse were rarely offered interpreters, despite their husband's limited capacity to translate effectively. Cultural values inhibit women from demanding the interpretation services to which they are entitled. In seeking healthcare, women sought information about health services from their Thai network and relied on family members, friends and contacts to act as informal interpreters. Some addressed their healthcare needs through self-treatment using imported medication or sought healthcare abroad. CONCLUSIONS: Despite having the same entitlements to public healthcare as Norwegian citizens, Thai migrants experience difficulties accessing healthcare due to pervasive language barriers. A significant gap exists between the official policy that professional interpreters should be provided and the reality experienced by study participants. To improve communication and equitable access to healthcare for Thai immigrant women in Norway, health personnel should offer professional interpreters and not rely on Norwegian spouses to translate. Use of community health workers and outreach through Thai networks, may also improve Thai immigrants' knowledge and ability to navigate the Norwegian healthcare system.


Assuntos
Assistência à Saúde/estatística & dados numéricos , Emigrantes e Imigrantes , Acesso aos Serviços de Saúde/estatística & dados numéricos , Massagem , Ocupações , Adulto , Barreiras de Comunicação , Feminino , Humanos , Noruega/epidemiologia , Direitos do Paciente , Pesquisa Qualitativa , Tailândia
9.
BMC Cancer ; 19(1): 993, 2019 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-31646993

RESUMO

BACKGROUND: Limited evidence is available regarding the dissemination of tumor tissues due to compression during massage therapy, a routine procedure in patients with various symptoms in Asian countries. CASE PRESENTATION: A 12-year-old male presented at a massage clinic with pain and swelling of his left knee, which worsened the same night. Consistent with conventional osteosarcoma, radiography revealed cortical bone destruction, osteoblastic changes, and periosteal reactions. Magnetic resonance imaging revealed a tumor in the distal femur, an extraskeletal mass, and an infiltrative lesion in the intramuscular and neurovascular areas surrounding the distal femur; this was considered as hemorrhage and dissemination of the tumor tissue. 18Fluorine-labelled fluorodeoxyglucose-positron emission tomography and computed tomography revealed multiple metastases in the spine, liver, and lung. Consistent with osteosarcoma, histopathological examination revealed tumor cell proliferation with extensive pleomorphism and mitoses. Despite undergoing chemotherapy, radiation therapy, and hip disarticulation, the patient died due to multiple metastases 13 months after the initial diagnosis. CONCLUSIONS: The present case suggests association of massage therapy with the local dissemination of tumor tissues, although influence of massage therapy on metastatic lesions remains unclear. Massage therapists should be aware of the possibility for dissemination of hidden malignancies due to the procedure.


Assuntos
Neoplasias Ósseas/patologia , Massagem/efeitos adversos , Osteossarcoma/secundário , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/terapia , Criança , Evolução Fatal , Humanos , Masculino , Osteossarcoma/diagnóstico , Osteossarcoma/terapia
10.
Artigo em Russo | MEDLINE | ID: mdl-31626161

RESUMO

AIM: To assess the qualitative and quantitative composition of publications on medical massage, to determine the share of researches among them, and to compare the publication activity of Russian and foreign specialists in this area. MATERIAL AND METHODS: The authors analyzed an original sample of 4532 works published in 1900 to 2019, which met the primary retrieval request 'massage'. The scientific electronic library eLibrary.ru was used as a database. A detailed analysis was carried out among 1522 works, the main content of which was devoted to massage. Publication activity during this period was also assessed. RESULTS AND CONCLUSION: Publication activity has considerably increased since 2001. There have been 4117 publications, i.e. 90.8% of the entire sample. The share of researches in the Russian Internet segment was 17.47% (266 works) from the analyzed sample, which suggests that there is a lack of attention to the topic of medical massage in Russian professional publications and a need for additional investigations in this area.


Assuntos
Internet , Massagem , Publicações/estatística & dados numéricos , Especialização , Humanos , Federação Russa
11.
Int J Occup Med Environ Health ; 32(6): 817-824, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31608900

RESUMO

OBJECTIVES: Anxiety is a negative emotion that acts as a mediator between stress stimuli and emotional (physiological) reaction patterns. The myofascial system is particularly sensitive to stress. The aim of this study was to determine which of the 2 popular methods used to reduce psychophysical tension, i.e., soft tissue manipulation and Jacobson's progressive relaxation, is more effective. MATERIAL AND METHODS: This study was conducted at Gdansk University of Physical Education and Sports in the sports psychology laboratory and the manual therapy room. After performing specialist consultations and interviews to exclude potential participants with contraindications to any of the interventions, the final sample included 90 people who were randomly assigned to 1 of 2 treatment groups. In group I, soft tissue techniques were applied, including the techniques of post-isometric muscle relaxation, elements of myofascial relaxation of tissues, and elastic tissue deformation using the Swedish massage limited to the cervicothoracic complex. In group II, Jacobson's progressive relaxation was performed. The training consisted of tightening and relaxing specific muscle groups. The experiment was conducted under an ambulatory condition, consisting of a single physiotherapeutic session (group I) or a single progressive relaxation session using the Jacobson method (group II). The level of anxiety was assessed twice, i.e., immediately before and after the therapy. RESULTS: According to a repeated-measures ANOVA, each therapeutic impact was effective in reducing the level of perceived anxiety. Furthermore, the level of perceived anxiety in group I decreased significantly more than that in group II. CONCLUSIONS: In conclusion, both the soft tissue manipulation and Jacobson's progressive relaxation techniques were efficient methods of minimizing the negative effects of stress. Int J Occup Med Environ Health. 2019;32(6):817-24.


Assuntos
Ansiedade/terapia , Treinamento Autógeno , Massagem , Adulto , Feminino , Humanos , Masculino , Tono Muscular , Modalidades de Fisioterapia , Projetos Piloto , Polônia , Adulto Jovem
12.
Medicine (Baltimore) ; 98(39): e17319, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574863

RESUMO

BACKGROUND: Heroin addiction remains a significant public health problem worldwide, and relapse to heroin use following cessation of agonist maintenance treatment is common. The problems associated with use of opioid agonists mean that non-opioid therapies need to be developed to ameliorate acute and protracted opioid withdrawal syndromes. METHODS: Fifteen men with opioid use disorder on methadone maintenance treatment have been enrolled from an addiction treatment center as an experimental group in this case-controlled study. This group is receiving laser meridian massage on the back, including the Bladder meridian and Governor Vessel, 3 times weekly for 4 weeks. An age-matched control group that does not receive laser meridian massage has also been enrolled. Urinary morphine levels are being checked before and after 2 and 4 weeks of treatment. Subjects are requested to self-report their number of episodes or days of heroin use and 0 to 10-point visual analogue scale scores for heroin craving/refusal to use heroin during the previous week before and after 2 and 4 weeks of treatment. Quality of life will be reported using the Short Form-12v2 before and after 4 weeks of treatment. Pulse diagnosis will be recorded and heart rate variability calculated after one single treatment session. The baseline patient characteristics will be compared between the experimental and control groups using the independent t test and Chi-square test. Data are compared between the 2 groups using repeated-measures analysis of variance, generalized estimating equations, and the paired t test. OBJECTIVE: To investigate the effect of adjuvant laser meridian massage in men with opioid use disorder on methadone maintenance treatment. TRIAL REGISTRATION: ClinicalTrials.gov NCT04003077.


Assuntos
Lasers , Massagem , Meridianos , Metadona/uso terapêutico , Tratamento de Substituição de Opiáceos/métodos , Transtornos Relacionados ao Uso de Opioides/terapia , Pontos de Acupuntura , Adulto , Analgésicos Opioides/uso terapêutico , Estudos de Casos e Controles , Humanos , Masculino , Massagem/instrumentação , Massagem/métodos , Síndrome de Abstinência a Substâncias/terapia
13.
Fisioterapia (Madr., Ed. impr.) ; 41(5): 285-298, sept.-oct. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183938

RESUMO

Objetivo: Evidenciar los efectos del masaje sobre el peso y el desarrollo motor del recién nacido prematuro. Material y método: Se efectuó una revisión sistemática siguiendo la declaración PRISMA. Se buscó en las bases de datos Pubmed/Medline, PEDro, Biblioteca Virtual en Salud, Cochrane Library, Lilacs, EBSCO, CINAHL Complete, Academic Search Complete, PsycINFO, SPORTDiscus, Web Of Science, Scielo, Pediatrics y ScienceDirect. Además, se revisaron revistas especializadas, como Journal of the American Medical Association, Pediatrics, Pediatric Physical Therapy, Developmental Medicine & Child Neurology, Infant Behavior and Development y Neuropediatrics. Los artículos seleccionados tenían que mostrar una relación entre el masaje sobre los recién nacidos prematuros y las variables peso y desarrollo motor. Para valorar el riesgo de sesgo de los estudios se utilizó la escala PEDro. La última búsqueda fue realizada en marzo de 2018. Resultados: Un total de 10 artículos publicados entre el año 2001 y 2013 formaron parte de esa revisión sistemática, y de estos, 6 fueron ensayos clínicos aleatorizados (ECA). Siete artículos mostraron una ganancia de peso y 7 mostraron resultados favorables respecto al desarrollo motor. El protocolo táctil con cinestesia es el que produce más beneficios en el recién nacido prematuro. Conclusión: Aunque los estudios revisados presentan un riesgo alto de sesgo y una metodología diversa, se ha comprobado que el masaje aplicado en la unidad de cuidados intensivos neonatales no produce efectos adversos, no requiere un gasto económico relevante y produce evidentes beneficios en el peso y en el desarrollo motor del recién nacido prematuro


Objective: To demonstrate the effects of massage on weight and motor development of the premature new-born. Methods: A systematic review was carried out following the PRISMA regulations. The articles were searched in the databases Pubmed/Medline, PEDro, Biblioteca Virtual en Salud, Cochrane Library, Lilacs, EBSCO, CINAHL Complete, Academic Search Complete, PsycINFO, SPORTDiscus, Web Of Science, Scielo, Pediatrics and ScienceDirect. They were also searched in specialised magazines such as Journal of the American Medical Association, Pediatrics, Pediatric Physical Therapy, Developmental Medicine & Child Neurology, Infant Behavior and Development and Neuropediatrics. The articles that were selected had to show a relationship between massaging premature new-borns and the variables weight and motor development. To assess the risk of bias in the studies, the PEDro scale was used. The last search was made in March 2018. Results: A total of 10 articles published between 2001 and 2013 were part of this systematic review, and of these, 6 were randomised clinical trials (RCTs). Seven articles showed a weight gain and seven showed favourable results regarding motor development. The tactile protocol with kinaesthesia seems to produce the most benefits. Conclusion: Although the articles present a high risk of bias and diverse methodology, it has been proved that massage applied in the neonatal intensive care unit does not produce adverse effects, is not significantly costly, and produces evident benefits in weight and motor development of the premature new-born


Assuntos
Humanos , Recém-Nascido , Recém-Nascido Prematuro , Massagem/métodos , Peso Corporal/fisiologia , Atividade Motora , Crescimento e Desenvolvimento , Cinestesia
14.
Complement Ther Med ; 46: 103-108, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519265

RESUMO

OBJECTIVE: To determine the effects of foot massage and acupressure on pain during heel lancing in neonates. METHODS: A randomized controlled trial was performed in a university hospital in Turkey between February and December 2018. The neonates were randomized into three groups as acupressure, massage, and control groups. Acupressure was applied to the neonates in the acupressure group, and massage was given to the neonates in the massage group for 2 min before the heel lancing procedure. Pain responses of the neonates in the groups was evaluated with the Neonatal Infant Pain Scale during and 1 min after the heel lancing procedure. RESULTS: The study was completed with 139 neonates including 46 neonates in the acupressure group, 47 neonates in the foot massage group, and 46 neonates in the control group. There were statistically significant differences between the acupressure, massage and control groups in terms of their mean NIPS scores during (4.30 ±â€¯2.25, 3.95 ±â€¯2.63, 6.04 ±â€¯1.26; respectively) and 1 min after the heel lancing procedure (1.46 ±â€¯1.46, 1.66 ±â€¯1.66, 3.85 ±â€¯1.37; respectively). There was a significant difference in NIPS scores between the intervention groups and the control groups (p = 0.001). CONCLUSIONS: Acupressure and massage were effective in reducing pain in neonates during the heel lancing procedure. However, there was no statistically significant difference between acupressure and massage. Acupressure and massage techniques can be applied for procedural pain management in the newborn.


Assuntos
Pé/fisiologia , Calcanhar/fisiopatologia , Dor/fisiopatologia , Acupressão/métodos , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Massagem/métodos , Manejo da Dor/métodos , Medição da Dor/métodos , Turquia
15.
Complement Ther Med ; 46: 116-122, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519267

RESUMO

Massage therapy (MT) may be more effective for certain subgroups of advanced cancer patients, but this is not well-studied. Psychological symptoms are one potential moderator of MT outcomes, as they occur frequently in MT patients. Therefore, we conducted a secondary analysis of data from a multi-site study which compared MT to simple touch in 380 adults with advanced cancer. We examined whether the presence of depression or baseline psychological symptom frequency moderated outcomes of change in pain, interference of pain, quality of life, 60-second heart and respiratory rates, and physical distress. We found significant main effects of depression and baseline psychological symptom frequency on changes in pain, 60-second heart and respiratory rates, quality of life, and physical distress for both MT and simple touch, but did not find differential responses between groups in moderator analyses. Results imply that psychological interventions could be targeted to patients with cancer who are receiving any type of touch therapy to improve outcomes.


Assuntos
Massagem/psicologia , Estresse Psicológico/psicologia , Idoso , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Dor/psicologia , Manejo da Dor/psicologia , Estudos Prospectivos , Qualidade de Vida/psicologia , Método Simples-Cego , Toque Terapêutico/psicologia , Resultado do Tratamento
16.
Pak J Pharm Sci ; 32(3 Special): 1375-1380, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31551218

RESUMO

To explore efficacy of acupoint massage combined with acupoint application on arterial blood gas and postoperative complications for patients undergoing laparoscopic cholecystectomy. Patients undergoing laparoscopic cholecystectomy (LC) in general anesthesia condition were randomly enrolled from local hospital into control group and experimental group. Four acupuncture points were prepared for acupoint massage and acupoint application, including bilateral Hegu acupoint (LI4), Neiguan Point (PC6), Zusanli Point (ST36) and Tanzhong acupoint (CV17). All patients in experimental group were treated with point acupressure treatment combined with acupoint application before LC, while control group directly receive LC surgery. The peak inspiratory pressure (PIP), end-tidal CO2 pressure (PETCO2), oxygen saturation (SpO2) and pH were examined at multiple time points during LC surgery. Related postoperative complications were documented for further analysis. All data were analyzed to assess efficacy of acupoint massage combined with acupoint application on arterial blood gas. There is no difference in baseline condition between experimental group and control group. Compared with control group, PetCO2 and SpO2 in experimental group were significantly increased while PIP was decreased. PH in experimental group ranged in a more stable domain. Hypercapnia and deep venous thrombosis were mitigated in experimental group compared with control group. Moreover, multiple pneumoperitoneum-related complications were alleviated after combined treatment, including pain and frequency of nausea and vomiting. Acupoint massage combined with acupoint application ameliorated related postoperative complications, and reduced side events of LC surgery via improving carbon dioxide metabolism.


Assuntos
Terapia por Acupuntura/métodos , Colecistectomia Laparoscópica/efeitos adversos , Complicações Pós-Operatórias/prevenção & controle , Pontos de Acupuntura , Adulto , Gasometria , Dióxido de Carbono/sangue , Feminino , Humanos , Masculino , Massagem , Pessoa de Meia-Idade , Cuidados Pré-Operatórios , Prognóstico , Resultado do Tratamento
18.
Dermatitis ; 30(5): 287-293, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31524756

RESUMO

Multiple etiologies contribute to sleep disturbance in atopic dermatitis (AD) patients, including learned scratching behavior and increased monoamines, cutaneous blood flow, inflammatory cell activities, and cytokines, as well as decreased melatonin, anti-inflammatory cytokines, and skin barrier function. Insomnia impairs cognitive development in children with AD, leading to behavioral problems and learning disabilities. Insomnia in adults with AD impedes work productivity. In this article, we discuss pearls on improving insomnia through both nonpharmacologic modalities, such as environmental adjustments and massage therapy, and pharmaceutical approaches including melatonin, antihistamines, tricyclic antidepressants, mirtazapine, and benzodiazepine and nonbenzodiazepine sedatives. Future investigations should further delineate the mechanistic link between insomnia and AD exacerbation and identify strategies to combat sleep-related disease burden.


Assuntos
Dermatite Atópica/complicações , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/terapia , Antidepressivos Tricíclicos/uso terapêutico , Benzodiazepinas/uso terapêutico , Depressores do Sistema Nervoso Central/uso terapêutico , Dermatite Atópica/tratamento farmacológico , Antagonistas dos Receptores Histamínicos/uso terapêutico , Humanos , Hipnóticos e Sedativos/uso terapêutico , Massagem , Melatonina/uso terapêutico , Mirtazapina/uso terapêutico , Antagonistas da Serotonina/uso terapêutico , Higiene do Sono
19.
Clin Sports Med ; 38(4): 619-638, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31472770

RESUMO

Athletic trainers, physical therapists, and team physicians have differing roles when providing care, yet often need to collaborate. Athletic trainers and physical therapists use a variety of therapeutic modalities and manual therapy techniques in conjunction with rehabilitation exercises to improve outcomes. Clinicians must be knowledgeable of the scientific rationale for each modality to choose the most effective treatment for the specific condition and stage of recovery. The team physician should be familiar with the use of common procedures in an athletic training room. Here, we review the most current evidence and the basic methods encountered in athletic training room settings.


Assuntos
Traumatismos em Atletas/terapia , Otopatias/cirurgia , Hematoma/cirurgia , Lacerações/terapia , Unhas/cirurgia , Modalidades de Fisioterapia , Traumatismos em Atletas/reabilitação , Bandagens Compressivas , Crioterapia , Terapia por Estimulação Elétrica , Terapia por Exercício , Humanos , Hipertermia Induzida , Massagem , Unhas/lesões , Técnicas de Sutura , Terapia por Ultrassom
20.
Eur J Oncol Nurs ; 42: 82-89, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31473465

RESUMO

PURPOSE: Chemotherapy-induced peripheral neuropathy (CIPN) can interfere with activities of daily living and can negatively affect symptoms. Thus, this study aimed to develop and implement an aroma self-foot reflexology regimen based on Cox's Interaction Model of Client Health Behaviour (IMCHB) as an intervention that can be self-performed at home and at any time. The effects of aroma self-foot reflexology on peripheral neuropathy, peripheral skin temperature, anxiety, and depression were examined in patients with gynaecologic cancer who were undergoing chemotherapy. METHODS: This randomized controlled trial included 32 experimental and 31 control patients with CIPN. Data were collected using self-reported questionnaires (CIPN assessment tool, HADS). In the experimental group, peripheral neuropathy, peripheral skin temperature, anxiety, and depression were measured before and after aroma self-foot reflexology therapy for 6 weeks. The control group was provided with identical aroma self-foot reflexology training 6 weeks later and underwent the intervention at that time. RESULTS: The intervention resulted in lower levels of symptoms of peripheral neuropathy, less interference with activities (p < .001), and higher peripheral skin temperature level (p < .001). Anxiety and depression decreased in the experimental group (p < .001). The ratio of borderline and definite cases of anxiety and depression did not differ between groups. CONCLUSIONS: An aroma self-foot reflexology intervention can reduce CIPN, anxiety, and depression in gynaecologic cancer patients. Further research is required to assess the effects of differences in the content of the intervention and the effects of various numbers of applications and durations of applications based on each individual patient's condition.


Assuntos
Ansiedade/terapia , Depressão/terapia , Neoplasias dos Genitais Femininos/tratamento farmacológico , Manipulações Musculoesqueléticas/métodos , Doenças do Sistema Nervoso Periférico/terapia , Temperatura Cutânea , Atividades Cotidianas , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/etiologia , Depressão/diagnóstico , Depressão/etiologia , Feminino , Neoplasias dos Genitais Femininos/complicações , Neoplasias dos Genitais Femininos/psicologia , Humanos , Massagem , Pessoa de Meia-Idade , Odorantes , Doenças do Sistema Nervoso Periférico/induzido quimicamente , Doenças do Sistema Nervoso Periférico/psicologia , Inquéritos e Questionários
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