Effects of Aromatherapy Acupressure on Hemiplegic Shoulder Pain And Motor Power in Stroke Patients: A Pilot Study

ArticleinThe Journal of Alternative and Complementary Medicine 13(2):247-51 · April 2007with166 Reads
DOI: 10.1089/acm.2006.6189 · Source: PubMed
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.
    • "However, the number of side effects associated with these drugs has increased, and cerebrovascular adverse events, including stroke, have been noted in elderly patients with dementia taking first-generation or second-generation antipsychotic drugs [1]. Compared with pharmacological treatments, non-pharmacological treatments, such as acupressure and aromatherapy, have ameliorated agitation and cognitive impairment in dementia patients [2][3][4]. Non-pharmacological treatments are non-invasive, have fewer side effects and are safer to use [5]. Although medical scientists from many backgrounds have used acupressure in their studies to alleviate symptoms such as agitation and sleeplessness [6,7], these studies did not measure the physiological parameters associated with agitation, which weakened their evidence in support of non-pharmacological treatment effects. "
    [Show abstract] [Hide abstract] ABSTRACT: One of the most common symptoms observed in patients with dementia is agitation, and several non-pharmacological treatments have been used to control this symptom. However, because of limitations in research design, the benefit of non-pharmacological treatments has only been demonstrated in certain cases. The purpose of this study was to compare aroma-acupressure and aromatherapy with respect to their effects on agitation in patients with dementia. In this experimental study, the participants were randomly assigned to three groups: 56 patients were included in the aroma-acupressure group, 73 patients in the aromatherapy group, and 57 patients in the control group who received daily routine as usual without intervention. The Cohen-Mansfield Agitation Inventory (CMAI) scale and the heart rate variability (HRV) index were used to assess differences in agitation. The CMAI was used in the pre-test, post-test and post-three-week test, and the HRV was used in the pre-test, the post-test and the post-three-week test as well as every week during the four-week interventions. The CMAI scores were significantly lower in the aroma-acupressure and aromatherapy groups compared with the control group in the post-test and post-three-week assessments. Sympathetic nervous activity was significantly lower in the fourth week in the aroma-acupressure group and in the second week in the aromatherapy group, whereas parasympathetic nervous activity increased from the second week to the fourth week in the aroma-acupressure group and in the fourth week in the aromatherapy group. Aroma-acupressure had a greater effect than aromatherapy on agitation in patients with dementia. However, agitation was improved in both of the groups, which allowed the patients with dementia to become more relaxed. Future studies should continue to assess the benefits of aroma-acupressure and aromatherapy for the treatment of agitation in dementia patients. ChiCTR-TRC-14004810 ; Date of registration: 2014/6/12.
    Full-text · Article · Dec 2015
    • "Yet there is still no single rehabilitation intervention that has unequivocally demonstrated improved recovery for stroke patients [12]. In stroke recovery some complementary therapies such as herbal therapies have been effective in reducing depression [13] and pain relief [14] whilst other modalities such as massage and combined modalities of aromatherapy and acupressure have resulted in a reduction in shoulder pain [15]. There remains considerable variability in the complementary alternative medicine (CAM) evidence base. "
    [Show abstract] [Hide abstract] ABSTRACT: Introduction Worldwide, stroke is the principal cause of adult disability and second leading cause of death. Traditional and complementary therapies such as yoga, tai chi, massage and herbal therapies are widely used to treat a variety of illnesses in developing countries and recent research has shown that they may be of some benefit in stroke rehabilitation. Materials and Methods A quasi-experimental controlled before-and-after study that recruited 40 stroke patients from Thung Bo Paen rehabilitation centre (treatment group) and Lampang hospital (control group), located in Northern Thailand. Measures included activities of daily living (ADLs), Barthel Index scores, and pain, emotion and sleep scores. Results There was a statistically significant difference between the changes in Barthel Index scores in patients from the two treatment locations, where patients from Thung Bo Paen showed greater improvement compared to patients from Lampang hospital (p = 0.020). However, there were no significant differences between the changes in pain scores (p = 0.492), emotion scores (0.671) or sleep scores (p = 0.197) in patients from the two treatment locations. Conclusions Patients receiving traditional Thai therapies had significant improvements in ADLs at 3 months compared to conventional treatments. Future research on the use of traditional Thai therapies for stroke recovery should be conducted using a RCT, to avoid biases such as the differences in baseline measures, and should also contain an evaluation of cost, because if both approaches are shown to be equivalent, the next issue to be addressed is which approach is less expensive.
    Full-text · Article · Feb 2014
    • "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[24] and the rest of the time (18 min) was for acupressure of the determined six acupoints (3 min for each acupoint).[25] The researcher and a male co-researcher were trained under the supervision of the second supervisor, and then the intervention started by her approval. "
    [Show abstract] [Hide abstract] 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.
    Article · Mar 2013
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