OBJECTIVE： Difficulty falling asleep （sleep latency） and staying asleep （sleep maintenance） are common problems for persons living with pain. Research demonstrates that sleep problems are, in turn, related to exa...OBJECTIVE： Difficulty falling asleep （sleep latency） and staying asleep （sleep maintenance） are common problems for persons living with pain. Research demonstrates that sleep problems are, in turn, related to exacerbation of chronic pain. There is a growing body of evidence for a range of pragmatic, non-pharmacological sleep interventions that can potentially be incorporated into pain management programs. This study looks at the outcome of teaching patients with musculoskeletal pain standardized pre-bedtime hand self-Shiatsu （HSS） to reduce sleep latency. METHODS： A case series design, with participants acting as their own controls, was selected to facilitate hypothesis generation for this novel, under-researched intervention. Sleep efficiency, latency and maintenance, sleep beliefs, pain intensity and basic participant demographics were collected at baseline with actigraphy and standardized self-report questionnaires. After one week of baseline data collection, the HSS intervention was taught to participants. Follow-up data were collected at 2 and 8 weeks post-intervention. RESULTS： Data collected at baseline and the two follow-up periods revealed no apparent changes in the objective actigraphy data. However a trend toward improved self-reported sleep latency （time to fall asleep） and sleep duration （time spent asleep） emerged. A number of participants reported they were more concerned with increasing their period of unbroken sleep as opposed to their total sleep time and it is possible that HSS may be useful to be applied during nighttime awakenings as well as before bed. None of the participants reported adverse effects of the intervention. CONCLUSION： These preliminary findings are promising and future studies exploring the mechanism of action and with stronger control of treatment fidelity are indicated.展开更多
Purpose: In this study, we investigated physical and psychological effects of the shiatsu (finger pressure) stimulation in a sitting position. Subjects and Methods: A crossover test was conducted on 20 subjects (avera...Purpose: In this study, we investigated physical and psychological effects of the shiatsu (finger pressure) stimulation in a sitting position. Subjects and Methods: A crossover test was conducted on 20 subjects (average 34.5 ± 7.6 years old;male = 10, female = 10). First they were randomly divided into two groups: Group A (shiatsu stimulation/control) and group B (control/shiatsu stimulation). They had shiatsu stimulation (Namikoshi basic methods in the sitting position, five minutes). At the same time, POMS (profile of mood states), SBP (systolic blood pressure, DBP (diastolic blood pressure) and HR (heart rate) were measured. Results: Physical result—Compared to the baseline, the shiatsu stimulation showed statistical decreased SBP and HR while the control (no shiatsu stimulation) did not. Psychological result (POMS)— Compared to the baseline, the stimulation showed significant change in all six mood states (Tension-Anxiety, Depression-Dejection, Fatigue and Confusion decreased while Vigor elevated). Male showed statistical decrease in Tension-Anxiety, Depression-Dejection, Anger, Fatigue and Confusion as well as significant increase in Vigor. Female only showed decrease in Depression-Dejection and Anger. Discussion and Conclusion: The shiatsu stimulation in the sitting position could modulate autonomic nerve system and it could affect human body. Gender differences were found in physiological effect.展开更多
基金the support of the Canadian CAM Research Fund (CCRF)–Canadian Interdisciplinary Network for Complementary & Alternative Research (INCAM)
文摘OBJECTIVE： Difficulty falling asleep （sleep latency） and staying asleep （sleep maintenance） are common problems for persons living with pain. Research demonstrates that sleep problems are, in turn, related to exacerbation of chronic pain. There is a growing body of evidence for a range of pragmatic, non-pharmacological sleep interventions that can potentially be incorporated into pain management programs. This study looks at the outcome of teaching patients with musculoskeletal pain standardized pre-bedtime hand self-Shiatsu （HSS） to reduce sleep latency. METHODS： A case series design, with participants acting as their own controls, was selected to facilitate hypothesis generation for this novel, under-researched intervention. Sleep efficiency, latency and maintenance, sleep beliefs, pain intensity and basic participant demographics were collected at baseline with actigraphy and standardized self-report questionnaires. After one week of baseline data collection, the HSS intervention was taught to participants. Follow-up data were collected at 2 and 8 weeks post-intervention. RESULTS： Data collected at baseline and the two follow-up periods revealed no apparent changes in the objective actigraphy data. However a trend toward improved self-reported sleep latency （time to fall asleep） and sleep duration （time spent asleep） emerged. A number of participants reported they were more concerned with increasing their period of unbroken sleep as opposed to their total sleep time and it is possible that HSS may be useful to be applied during nighttime awakenings as well as before bed. None of the participants reported adverse effects of the intervention. CONCLUSION： These preliminary findings are promising and future studies exploring the mechanism of action and with stronger control of treatment fidelity are indicated.
文摘Purpose: In this study, we investigated physical and psychological effects of the shiatsu (finger pressure) stimulation in a sitting position. Subjects and Methods: A crossover test was conducted on 20 subjects (average 34.5 ± 7.6 years old;male = 10, female = 10). First they were randomly divided into two groups: Group A (shiatsu stimulation/control) and group B (control/shiatsu stimulation). They had shiatsu stimulation (Namikoshi basic methods in the sitting position, five minutes). At the same time, POMS (profile of mood states), SBP (systolic blood pressure, DBP (diastolic blood pressure) and HR (heart rate) were measured. Results: Physical result—Compared to the baseline, the shiatsu stimulation showed statistical decreased SBP and HR while the control (no shiatsu stimulation) did not. Psychological result (POMS)— Compared to the baseline, the stimulation showed significant change in all six mood states (Tension-Anxiety, Depression-Dejection, Fatigue and Confusion decreased while Vigor elevated). Male showed statistical decrease in Tension-Anxiety, Depression-Dejection, Anger, Fatigue and Confusion as well as significant increase in Vigor. Female only showed decrease in Depression-Dejection and Anger. Discussion and Conclusion: The shiatsu stimulation in the sitting position could modulate autonomic nerve system and it could affect human body. Gender differences were found in physiological effect.
