Effects of Aromatherapy Acupressure on Hemiplegic Shoulder Pain And Motor Power in Stroke Patients: A Pilot Study
ABSTRACT The aim of this study was to determine if aromatherapy acupressure, compared to acupressure alone, was effective in reducing hemiplegic shoulder pain and improving motor power in stroke patients.
This work was a randomized, controlled trial.
Thirty (30) stroke patients with hemiplegic shoulder pain participated in this study.
Subjects were randomly assigned to either an aromatherapy acupressure group (N = 15) or an acupressure group ( N = 15), with aromatherapy acupressure using lavender, rosemary, and peppermint given only to the former group. Each acupressure session lasted 20 minutes and was performed twice-daily for 2 weeks.
Shoulder pain and motor power were the outcome measures used in this study.
The pain scores were markedly reduced in both groups at post-treatment, compared to pretreatment (both aroma acupressure and acupressure group, p < 0.001). A nonparametric statistical analysis revealed that the pain score differed significantly between the 2 groups at post-treatment ( p < 0.01). The motor power significantly improved at post-treatment, compared to pretreatment, in both groups ( p < 0.005). However, there was no intergroup difference between two groups.
These results suggest that aromatherapy acupressure exerts positive effects on hemiplegic shoulder pain, compared to acupressure alone, in stroke patients.
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- "In the placebo group, it was carried out with 1 cm distance from the major above-mentioned acupoints. Each session lasted for 20 min, of which 2 min were devoted for primary superficial stroking of the acupoints and the rest of the time (18 min) was for acupressure of the determined six acupoints (3 min for each acupoint). The researcher and a male co-researcher were trained under the supervision of the second supervisor, and then the intervention started by her approval. "
ABSTRACT: Fatigue is considered as a major problem in hemodialysis patients and can impair their quality of life. The purpose of this study was to investigate the effectiveness of acupressure on fatigue in hemodialysis patients. This is a clinical trial study in which 96 hemodialysis patients participated. Patients were randomly assigned into acupressure, placebo, and control groups (32 subjects fulfilling the inclusion criteria assigned to each group). The measures included the form of demographic characteristics, visual analog scale of fatigue, and Piper Fatigue Scale. Patients in the acupressure and placebo groups received acupressure intervention during the early 2 h of dialysis on six acupoints with massage for 20 min/day, 3 days per week for 4 weeks. In the placebo group, acupressure intervention was performed as mentioned above with a distance of 1 cm away from the actual intervention site. Patients in the control group received routine unit care only. Chi- quare test, Kruskal-Wallis, paired t-test, one-way analysis of variance (ANOVA), and Duncan test were used for data analysis. One-way ANOVA tests showed significant differences in the total mean score of fatigue and fatigue mean scores in the behavioral, emotional, sensory, and cognitive dimensions in the acupressure, placebo, and control groups. The results of this study showed that acupressure may reduce fatigue in hemodialysis patients, and use of this non-pharmacologic technique for hemodialysis nurses is suggested.Iranian journal of nursing and midwifery research 03/2013; 18(6):429-434.
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- "Three studies investigated acupressure for stroke [79-81]. All three were RCTs; Shin and Lee  used a blocked randomised design comparing acupressure to acupressure plus aromatherapy, Kang et al  randomised to acupressure or control groups; McFadden and Hernandez  used a crossover design comparing acupressure to control. Although studies used good designs and results suggested significant improvements in pain, motor power , limb function , daily living, depression , and heart rate , all findings were limited by small unpowered samples and poor reporting, so evidence is rated at Category 2. "
ABSTRACT: Shiatsu, 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. Acupressure 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). Searches 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. Evidence 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.BMC Complementary and Alternative Medicine 10/2011; 11:88. DOI:10.1186/1472-6882-11-88 · 1.88 Impact Factor
Article: Management of post stroke pain[Show abstract] [Hide abstract]
ABSTRACT: Key Points Further research is needed before conclusions regarding positioning of the hemiplegic shoulder can be made. There is limited evidence that shoulder slings influence clinical outcomes. Strapping the hemiplegic shoulder does not appear to improve upper limb function, but may reduce pain. Aggressive range of motion exercises (i.e. pullies) results in a markedly increased incidence of painful shoulder; a gentler range of motion program is preferred. Adding ultrasound treatments is not helpful while NSAIDs may be helpful. Functional electrical stimulation may not help with recovery of hemiplegic shoulder. Deinnervation of the subscapularis muscle may reduce shoulder pain and improve passive range of motion, more so than deinervation of the pectoralis major muscle. Last updated August 2011 The Evidence-Based Review of Stroke Rehabilitation (EBRSR) reviews current practices in stroke rehabilitation.