The effects of an intervention group with the support of non-pharmacological                 Chinese medicine on older Chinese adults with insomnia

Chan, Kai Fong; Ng, Petrus Y N; Ng, Ka Ying Bonnie

doi:10.1177/0020872806069083

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Five studies investigated acupressure for sleep in elderly long term care facilities [ 58 - 62 ], and one investigated alertness in the classroom [ 63 ]. Evidence for improving sleep quality in institutionalised elderly is consistent from a number of high quality studies and is category 1.…”

Section: Resultsmentioning

confidence: 99%

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

Robinson

Lorenc

Liao

2011

BMC Complement Altern Med

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BackgroundShiatsu, similar to acupressure, uses finger pressure, manipulations and stretches, along Traditional Chinese Medicine meridians. Shiatsu is popular in Europe, but lacks reviews on its evidence-base. MethodsAcupressure and Shiatsu clinical trials were identified using the MeSH term 'acupressure' in: EBM reviews; AMED; BNI; CINAHL; EMBASE; MEDLINE; PsycARTICLES; Science Direct; Blackwell Synergy; Ingenta Select; Wiley Interscience; Index to Theses and ZETOC. References of articles were checked. Inclusion criteria were Shiatsu or acupressure administered manually/bodily, published after January 1990. Two reviewers performed independent study selection and evaluation of study design and reporting, using standardised checklists (CONSORT, TREND, CASP and STRICTA).ResultsSearches identified 1714 publications. Final inclusions were 9 Shiatsu and 71 acupressure studies. A quarter were graded A (highest quality). Shiatsu studies comprised 1 RCT, three controlled non-randomised, one within-subjects, one observational and 3 uncontrolled studies investigating mental and physical health issues. Evidence was of insufficient quantity and quality. Acupressure studies included 2 meta-analyses, 6 systematic reviews and 39 RCTs. Strongest evidence was for pain (particularly dysmenorrhoea, lower back and labour), post-operative nausea and vomiting. Additionally quality evidence found improvements in sleep in institutionalised elderly. Variable/poor quality evidence existed for renal disease symptoms, dementia, stress, anxiety and respiratory conditions. Appraisal tools may be inappropriate for some study designs. Potential biases included focus on UK/USA databases, limited grey literature, and exclusion of qualitative and pre-1989 studies. ConclusionsEvidence is improving in quantity, quality and reporting, but more research is needed, particularly for Shiatsu, where evidence is poor. Acupressure may be beneficial for pain, nausea and vomiting and sleep.

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Section: Resultsmentioning

confidence: 99%

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

Robinson

Lorenc

Liao

2011

BMC Complement Altern Med

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“…Recent reviews of acupuncture for insomnia suggest a benefi cial effect on sleep but also highlight the poor methodologic quality of extant research [ 28 , 30 ]. In one culturally unique pilot study, investigators combined cognitivebehavioral interventions with acupressure and Chinese diet therapy in a group of elderly women with sleep complaints; after treatment, participants reported subjective improvements in sleep quality [ 31 ,Class III].…”

Section: Acupuncturementioning

confidence: 99%

Nonpharmacologic treatment of insomnia

Means¹,

Lineberger²,

Edinger³

2008

Curr Treat Options Neurol

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Insomnia is a widespread and debilitating disorder. Regardless of the initial cause, it may assume a chronic course perpetuated by psychological and behavioral factors. Although sedative-hypnotic medications are the most common treatment for insomnia, they pose certain risks such as adverse effects and dependence. Furthermore, medications target symptoms and fail to address the underlying perpetuating mechanisms. There are many nonpharmacologic treatment options for insomnia, including cognitive/behavioral methods, relaxation strategies, and complementary and alternative medicine (CAM) approaches. Most CAM therapies lack sufficient scientific evidence to recommend their use. Over the past 30 years, cognitive-behavioral therapies have emerged as the treatment of choice for chronic insomnia. These therapies target behavioral, cognitive, and conditioning factors underlying insomnia, thereby restoring normal sleep-wake functioning. The effectiveness of these therapies is well established. They compare favorably to pharmacologic approaches, with the added benefits of few or no adverse effects and no risk of abuse or dependence. Perhaps most importantly, behavioral insomnia therapies offer a potential cure for the insomnia, instead of the symptom-focused approach provided by medications. Despite the proven success of cognitive-behavioral therapies, they are not widely available to patients with insomnia because of a paucity of behavioral sleep specialists. Efforts are now being made to disseminate these treatments to meet the demand. Emerging therapies hold promise for further refinement and development of successful treatments.

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“…Também observaram-se evidências fortes para melhora do sono em idosos institucionalizados 81,82,83,84,85 . Neste estudo, as evidências da acupressão para náuseas e vômitos foram inconsistentes, sendo o conjunto de evidências para náusea pósoperatória o mais forte 86,87,88,89 .…”

Section: Medicina Tradicional Chinesa (Mtc): O Fundamento Do Shiatsuunclassified

Eficácia do Shiatsu na dor, sono, ansiedade, nível de confiança no equilibrio e qualidade de vida de indivíduos com fibromialgia: um ensaio clínico controlado

Yuan¹

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Introduction: Fibromyalgia is a common rheumatological disorder that greatly impairs quality of life. It is characterized by chronic widespread pain and decreased pain threshold, normally associated with symptoms and comorbidities, such as nonrestorative sleep, balance disorders and anxiety. Among treatment modalities, the use of complementary and alternative therapies is increasing, but more evidence is needed. The main objective of this study was to evaluate the effect of Shiatsu in pain, sleep quality, anxiety, balance confidence level and health-related quality of life of individuals with fibromyalgia. Methods: 34 subjects aged 33 to 62 years participated in this study and were divided into: Shiatsu Group (SG; n=17), which received 16 sessions of full-body Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), which received educational guidance through a booklet. Groups were assessed at baseline, after 4 and 8 weeks, regarding: pain intensity by Visual Analogue Scale (VAS), pain threshold by dolorimetry, sleep quality by Pittsburgh Sleep Quality Index (PSQI), anxiety by State-Trait Anxiety Inventory, balance confidence level by Activities-specific Balance Confidence Scale (ABC Scale) and quality of life by the Fibromyalgia Impact Questionnaire (FIQ). Results: by logistic regression, it was found that the eight-week treatment with Shiatsu was associated with improvements in VAS (p=0.043), pain threshold (p=0.014), PSQI (p=0.006), ABC Scale (p=0.026) and FIQ (p=0.016). All these variables also presented clinically important relative percentage changes (VAS: 40.6%; pain threshold: 76.4%; PSQI: 34.4%; ABC Scale: 44.2%; FIQ: 22.3%). There were no statistically significant or clinically relevant improvements for anxiety. Conclusion: Shiatsu was effective for improving pain, sleep quality, balance confidence and quality of life of subjects with fibromyalgia.

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The effects of an intervention group with the support of non-pharmacological Chinese medicine on older Chinese adults with insomnia

Cited by 3 publications

References 19 publications

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

Nonpharmacologic treatment of insomnia

Eficácia do Shiatsu na dor, sono, ansiedade, nível de confiança no equilibrio e qualidade de vida de indivíduos com fibromialgia: um ensaio clínico controlado

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