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Abstract

This study assessed feasibility and effect of weekly, 15-min chair massages during work for 38 nurses. Mean Perceived Stress Scale-14 (PSS-14), Smith Anxiety Scale (SAS), linear analog self-assessment scale (LASA), and symptom visual analog scale (SX-VAS) scores were tracked at baseline, 5 weeks, and 10 weeks. Of 400 available massage appointments, 329 were used. At 10 weeks, mean PSS-14 score decreased from 17.85 to 14.92 (P = .002); mean SAS score, from 49.45 to 40.95 (P < .001). Mean LASA score increased from 42.39 to 44.84 (P = .006); mean SX-VAS score, from 65.03 to 74.47 (P < .001). Massages for nurses during work hours reduced stress-related symptoms.
POSTER PRESENTATION Open Access
P02.70. Feasibility and effect of chair massage
offered to nurses during working hours on stress
related symptoms: a pilot study
D Engen, B Bauer, A Vincent, C Luedtke, L Loehrer, S Cha, T Chon, L Dion, N Rodgers, D Wahner-Roedler
*
From International Research Congress on Integrative Medicine and Health 2012
Portland, Oregon, USA. 15-18 May 2012
Purpose
To assess the feasibility and effect of chair massage
offered to hospital nurses during working hours on
stress related symptoms.
Methods
Single arm study performed between 10/15/2010 and 12/
24/2010 at an academic medical center. A mass e-mail
was sent to all nurses working in an inpatient psychiatric
and an outpatient pain rehabilitation unit. The first 40
respondents were enrolled; two were excluded due to
missing enrollment data. A 15 minute chair massage
once a week for 10 weeks was provided by one of three
Certified Massage Therapists available 3 days a week.
Instruments used included the Perceived Stress Scale
(PSS-14), Smith Anxiety Scale (SAS), and Linear Analo-
gue Scale Assessment (LASA) scale. Mean and standard
deviations of PSS-14, SAS and LASA scores at baseline
and at 10 weeks were calculated and analyzed with the
paired t-test. Any p-value <0.05 was considered statisti-
cally significant.
Results
The median age of 38 participants (5 males, 33 females)
was 47 years (range 21-65). All participants completed the
3 instruments used at the beginning and end of the study.
Of 380 available massage appointments, 278 were used
(mean 7.13, range 1-10 massages per participant). Stress
related symptoms improved as follows: the mean PSS-14
score decreased from 17.85 to 14.92 (p=0.0015), and the
mean SAS score from 49.45 to 40.95 (p<0.0001). The
mean LASA score increased from 42.39 to 44.84
(p=0.0055). Thirty participants (78.95%) felt that their
overall job satisfaction improved because of the massages,
and 23 (60.53%) were willing to pay $10 to $25 for a 15
minute chair massage if available at work.
Conclusion
Offering chair massages for nurses in a psychiatric/pain
rehabilitation unit during working hours - although diffi-
cult to do due to busy clinical schedules - reduced stress
related symptoms significantly and was highly appreciated
by the nurses.
Published: 12 June 2012
doi:10.1186/1472-6882-12-S1-P126
Cite this article as: Engen et al.: P02.70. Feasibility and effect of chair
massage offered to nurses during working hours on stress related
symptoms: a pilot study. BMC Complementary and Alternative Medicine
2012 12(Suppl 1):P126.
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Mayo Clinic, Rochester, USA
Engen et al.BMC Complementary and Alternative
Medicine 2012, 12(Suppl 1):P126
http://www.biomedcentral.com/1472-6882/12/S1/P126
© 2012 Engen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons
Attribution License (http://creativec ommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
... On the whole, 58 individuals selected (29 participants in each group) based on a previous study. (26) The confidence level of 95%, the power of 80%, the reported standard deviation for occupational stress level 6.75, and the effect size of 3.5, based on reported the minimum difference between the means, were considered. ...
... (25,12) Scholars have paid attention to the coping skills for occupational stress, offering various methods for accommodation for occupation-related stressors for the emergency medical service staff. (22,26,27) Moreover, certain approaches have been put forward with regard to coping with occupational stress; among them are the use of traditional complementary therapeutic methods like aromatherapy, music therapy, and massage therapy. ...
... Certain contradictory reports have been documented on this topic. Some researchers have introduced massage therapy as a standalone measure, or in combination with other complementary medical interventions, as an effective intervention in decreasing occupational stress, (3,26,28) while the results of some other studies suggest the inefficiency of massage on occupational stress. (8,17) Although different rates of efficacy of this intervention exist in various individuals, occupations, and organizational situations, and the manual or electronic performance of the massage seems logical in the long-run and the short-run, there are limited scientific reports on the efficacy of this intervention in diminishing occupational stress among EMS staff. ...
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Background Results of various studies indicate that emergency medical service (EMS) staff suffer from occupational stress that adversely affects their quality of life and their care quality. Purpose This study aimed at determining the effect of massage on occupational stress experienced by emergency medical service staff. Setting Prehospital emergency medical services stations of a city in the southwest of Iran. Participants A total of 58 members of staff of the emergency medical services, working in prehospital emergency medical services stations. Research Design In this randomized controlled trial, a total of 58 EMS staff were selected from prehospital EMS stations, according to inclusion and exclusion criteria, and then assigned in two groups (29 in massage and 29 in control group) randomly by the minimization method. The intervention group received Swedish massage, twice a week for four weeks in the morning after the end of the work shift. Each massage session lasted 20–25 minutes. Subjects in the control group received no intervention. The level of occupational stress of the two groups was measured under the same conditions before and after the intervention by using the expanded nurses’ occupational stress scale (ENSS). Data were analyzed with the SPSS16 software by using the chi-squared test, paired and independent-sample t tests, one-way ANCOVA. P value < .05 was considered as the level of significance. Results The mean and SD of total occupational stress scores in the control group was 114.41±30.11 in pretest and reach to 112.58± 30.62 in posttest stage. Also the mean and SD of total occupational stress scores in the intervention group was 130.20±26.45 in pretest and reach to 110.41±21.75 in posttest stage. A one-way ANCOVA showed that there is a significant effect of massage on EMS staff’s occupational stress level after controlling for pretest score (p = .001). Conclusions The training and the application of massage therapy can serve as an effective method in reducing occupational stress in emergency medical centers.
... Studies using CHAIR-M in health workers used pre-and postintervention designs in volunteers who signed up to receive a massage. (32,35) Given the negative impact of chronic stress and musculoskeletal pain on occupational health and the absence of controlled clinical trials using CHAIR-M in health workers, the objective of this study was to evaluate the effectiveness of the CHAIR-M to reduce chronic stress and musculoskeletal pain in an Oncology Nursing team. Thus, the question to answer is, "Can chair massage reduce chronic stress and musculoskeletal pain in an Oncology Nursing team?" ...
... (32) A single-arm clinical trial with nurses from the psychiatric unit and the pain rehabilitation clinic applied 10 sessions of CHAIR-M for 15 minutes, once a week, for 10 weeks during rest time or coffee breaks, and found a significant decrease in stress and anxiety symptoms after the intervention, mainly in nurses of the 12-hour shift between the fifth and sixth week. (35) Another single-arm study which delivered CHAIR-M to ambulatory Oncology nurses, found that they used around four sessions of 15-minute CHAIR-M with a significant decrease in perceived stress, but no difference in systolic and diastolic blood pressure or heart rate. (48) Studies with CHAIR-M applied to nursing professionals have focused on stress, but it is possible to find CHAIR-M delivered to other workers. ...
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Background: There is a high prevalence of moderate-to-high levels of chronic stress among nurses, as well as an occurrence of musculoskeletal disorders. Purpose: To evaluate the effectiveness of chair massage to reduce chronic stress and musculoskeletal pain in the Oncology Nursing team. Setting: Two teaching cancer hospitals, one public and the other private, in São Paulo city, Brazil. Participants: A total of 60 women from the Oncology Nursing team. Research design: A randomized controlled trial divided into two groups: chair massage and control without intervention. Intervention: The massage group received two chair massage sessions lasting 15 minutes, twice a week, for three weeks. Main outcome measure: Reduction of stress and pain measured by the List of Signs and Symptoms (LSS) and the Brief Pain Inventory (BPI), respectively. Results: The average age was 32 (± 5.3) years. There was a reduction of stress measured by the LSS with a statistical difference in the group-time interaction (p < .001), with a Cohen's d value of 1.21 between groups. The BPI analysis showed a statistically significant difference in the group-time interaction for general activity (p < .008), mood (p < .03), work (p < .000), and sleep (p = .03), with reduced pain interference in these components. Conclusion: Chair massage reduced stress and pain interference in the team's daily life activities, bringing a positive impact in the context of work stress and pain in Oncology nursing professionals.
... During the treatment, the physiotherapist performs massage techniques, acupressure and stretching, focusing mainly on the area around the neck, head, upper limbs and back [20,21]. Chair massage as a form of prophylaxis has also been used among other professional groups exposed to musculoskeletal overload [21,22]. ...
... Similar results were obtained by other researchers using this form of prophylaxis of musculoskeletal problems among other professional groups [21,38,39]. Special attention was paid to such benefits as reduction of stress, improvement of sleep comfort, reduction of pain, headaches, as well as reduction of tension and stress, the participants reported relaxation and inflow of energy, and increased mobility of the cervical spine [22,40]. ...
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Due to the occurrence among musicians of musculoskeletal problems associated with playing a musical instrument, it is necessary to use prophylaxis. The aim of the study was to compare the effectiveness of two physioprophylaxis methods: chair massage and an original set of exercises. The study lasted four weeks and consisted of eight 15-min meetings (chair massage/exercises). The study was conducted on 44 music students assigned to three groups (chair massage/exercise program/control group). The algometric measurements and questionnaire were conducted. Health problems associated with playing an instrument was reported by 86.4% of the participants. The largest changes in pain threshold concerned the trigger points of the muscles with the highest pain sensitivity, i.e., upper part of trapezius ones, and reached 25-34% in relation to the initial values. For the trigger points of the levator scapulae and lower part of trapezius, the increase in the pain threshold was between 20 and 28%. Raising the pain threshold was observed both after each session and meeting by meeting, and these differences were most visible in the massage group. This effect was particularly visible from the fourth treatment. Chair massage and exercise should be used regularly, and significant results can be obtained after two weeks.
... 33 of these records were filtered, with the most common reason being the lack of a nonintervention control group or other physical relaxation comparison group (15 studies). 28,[44][45][46][47][48][49][50][51][52][53][54][55][56][57] Furthermore, seven studies were excluded due to non-randomized or quasi-randomized designs, 32,58-63 eight for inadequate data, [64][65][66][67][68][69][70][71] and three due to interventions that included vigorous aerobic or weight training exercise. [72][73][74] Finally, 15 studies that met our inclusion criteria were included in this meta-analysis ( Figure 1 and Table 1). ...
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... Evidence supports using massage to reduce stress in the workplace and specifically in health care and nursing. Engen et al. (2012) reported that offering weekly 15-minute massages for nurses (inpatient psychiatric nurses and outpatient pain rehabilitation nurses) during work hours over a 10-week period provided a significant reduction in stress-and anxiety-related symptoms. Similarly, Brennan and DeBate (2006) found that 10-minute chair massages provided a greater reduction in nurses' perceived stress compared to a 10-minute coffee break. ...
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... Conventional table massage is not the only type of massage therapy to provide anxiety reduction benefits. Engen and colleagues [7] found that one 15 minute chair massage per week for 10 weeks was associated with reductions in stress and anxiety among a sample of Mayo Clinic nurses during work hours. The chair massage offered the advantage that busy workers did not need to disrobe or require the extended time away from work to receive a full hour table massage. ...
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