Effectiveness of Shiatsu Massage on First Stage Labour Pain among Parturient Mothers

Childbirth is an experience in a woman' s life that holds the power to transform her forever. The objective of the study was to assess the effectiveness of Shiatsu massage upon rst stage Labour pain among the parturient mothers. In this pre-test, post-test experimental study, 60 parturient mothers were selected by simple random sampling technique among which 30 were assigned to the control group and 30 mothers to the experimental group. The labour pain level was assessed by the visual pain analogue scale, and foeto maternal parameters using modi- ed WHO partograph before and after intervention for both control and experimental group of parturient mothers. The experimental group was provided with Shiatsu massage on UB30 of the sacro-meridian region for 10 minutes for every two hours along with the routine care and the control group was treated only with the routine care during the labour process. The results showed a signi cant difference in after therapy pain score, at p'lt;0.001 between the control and experimental group. The foeto maternal parameters like foetal heart rate, uterine contraction and cervical dilatation was stable throughout the labour process. The Shiatsu massage was effective in reducing the level of labour pain perception. The management of labour pain is a primary responsibility of the nurse. Midwives can be empowered to provide Shiatsu massage as non-pharmacological pain management during childbirth.

Shiatsu-associated physical therapy on pain and fatigue on people with multiple sclerosis / Shiatsu associado à fisioterapia na dor e fadiga em pessoas com esclerose múltipla

Abstract Introduction: Pain and fatigue are common symptoms in multiple sclerosis (MS). Shiatsu, a technique that uses the pressure of fingers, associated with manual therapy, exercises and stretching can be used to control these symptoms. Objective: To evaluate the effect of Shiatsu associated with physical therapy on pain and fatigue on people with MS. Methods: Randomized clinical trial with people diagnosed with MS divided into two groups: intervention group (IG) - Shiatsu-associated physical therapy (n = 9), and control group (CG, n = 8). Participants were assessed before and after treatment by the Expanded Disability Status Scale (EDSS), Neuropathic Pain Questionnaire (DN4), Visual Analog Scale (VAS) and Fatigue Impact Scale (MFIS), and description of sociodemographic. Results: Seventeen people with MS (9 men) aged 45.18 ± 3.06 years participated in this study. In the total sample, the average of DN4 was 1.65 ± 20.02, VAS was 2.29 ± 2.80, MFIS was 39.47 ± 29.67, and 52.9 % had a score > 38 in the MFIS that corresponds to presence of fatigue. The values pre/post-intervention/grade of p, respectively in the IG were DN4: 2.78 ± 2.16/2.0 ± 2.12/0.432, EVA: 3.22 ± 3.27/0.33 ± 1.00/0.023, total MFIS: 44.44 ± 35.91/35 ± 31.70/0.068. In the CG the values were DN4 : 0.38 ± 0.744/2.25 ± 2.71/0.054, EVA : 1.25 ± 1.83/3.63 ± 2.38/0.043, and MFIS : 33.88 ± 21.68/25.13 ± 24.22/0.379. Conclusion: Shiatsu associated with Physiotherapy was effective in improving pain and fatigue in individuals with MS.

Resumo Introdução: A dor e a fadiga são sintomas comuns na esclerose múltipla (EM). O Shiatsu, técnica que utiliza a pressão dos dedos, associado à terapia manual, exercícios e alongamentos pode ser utilizado para controlar esses sintomas. Objetivo: Avaliar o efeito do Shiatsu associado à fisioterapia na dor e fadiga em pessoas com EM. Métodos: Ensaio clínico randomizado com pessoas com diagnóstico de EM, divididas aleatoriamente em grupo intervenção (GI), que recebeu fisioterapia associada ao Shiatsu (n = 9), e grupo controle (GC, n = 8). Os participantes foram avaliados antes e após o tratamento pela Escala Expandida do Estado da Incapacidade (EDSS), questionário para dor neuropática (DN4), Escala Visual de Dor (EVA) e Escala de Impacto da Fadiga (MFIS), edescrição dos dados sociodemográficos. Resultados: Participaram deste estudo 17 pessoas com EM (9 homens), com idade média de 45,18 ± 3,06 anos. Na amostra total, a média do DN4 foi de 1,65 ± 20,02, da EVA foi de 2,29 ± 2,80, MFIS foi de 39,47 ± 29,67 e 52,9% apresentaram escore > 38 no MFIS, que corresponde à presença de fadiga. Os valores no pré/pós-intervenção/valor de p no GI foram, respectivamente, DN4: 2,78 ± 2,16/2,0 ± 2,12/0,432, EVA: 3,22 ± 3,27/0,33 ± 1,00/0,023, MFIS: 44,44 ± 35,91/35 ± 31,70/0,068. No GC foram DN4: 0,38 ± 0,744/2,25 ± 2,71/ 0,054, EVA: 1,25 ± 1,83/3,63 ± 2,38/0,043 e MFIS: 33,88 ± 21,68/25,13 ± 24,22/0,379. Conclusão: O Shiatsu associado à fisioterapia foi eficaz na melhora da dor e fadiga em indivíduos com EM.

Evolução da cicatrização de úlceras nos membros inferiores de pacientes em uso de bota de Unna associado ao uso de shiatsu / Evolution of healing ulcers in the lower limbs of patients using Unna boot associated with shiatsu / Evolución de las úlceras de las extremidades inferiores de uso bota de Unna curación en pacientes asociados con el uso de shiatsu

Objetivo: Avaliar a evolução da cicatrização de úlceras nos membros inferiores de pacientes em uso de bota de Unna associada ao shiatsu. Método: Estudo de caso realizado na Policlínica Regional no interior de Minas Gerais com sete indivíduos portadores de úlceras nos membros inferiores. A coleta de dados foi realizada durante o tratamento associado a terapia alternativa/complementar shiatsu. Os dados foram analisados por estatística descritiva. Resultados: A média de idade foi de 61,5 anos, dentre as patologias de base, seis tinham diabetes mellitus, quatro eram hipertensos. Na avaliação dos membros inferiores, observou-se: área média inicial da ferida: 73 cm2 área média final 24 cm2 . PUSH inicial 14,8 e final 8,8. Dor inicial 2,7 e final 0,14. Conclusão: Percebeu-se redução na área das feridas, na intensidade da dor, e no número de feridas, indicando que o tratamento convencional associado a terapia alternativa complementar pode ser benéfico

Objective: To evaluate the evolution of healing ulcers in the lower limbs of patients using Unna boot associated with shiatsu. Method: A case study carried out in the Regional Polyclinic in the interior of Minas Gerais, Brazil, with seven individuals with ulcers in the lower limbs. Data collection was performed during treatment associated with alternative/complementary shiatsu therapy. Data were analyzed by descriptive statistics. Results: The mean age was 61.5 years, among the underlying pathologies, six had diabetes mellitus, four were hypertensive. In the evaluation of the lower limbs, we observed: initial mean wound area: 73 cm2 final mean area 24 cm2 . Initial PUSH 14.8 and final 8.8. Initial pain 2.7 and final 0.14. Conclusion: Reduction in wound area, pain intensity, and number of wounds was observed, indicating that conventional treatment associated with complementary alternative therapy may be beneficial

Objetivo: Evaluar la evolución de la cicatrización de úlceras en los miembros inferiores de pacientes en uso de bota de Unna asociada al shiatsu. Método: Estudio de caso realizado en la Policlínica Regional en el interior de Minas Gerais con siete individuos portadores de úlceras en los miembros inferiores. La recolección de datos fue realizada durante el tratamiento asociado a shiatsu. Los datos fueron analizados por estadística descriptiva. Resultados: El promedio de edad fue de 61,5 años, entre las patologías de base, seis tenían diabetes mellitus, cuatro eran hipertensos. En la evaluación de los miembros inferiores, se observó: área media inicial de la herida: 73 cm2 área media final 24 cm2 . PUSH inicial 14,8 y final 8,8. Dolor inicial 2,7 y final 0,14. Conclusión: Se percibió reducción en el área de las heridas, en la intensidad del dolor, y en el número de heridas, indicando que el tratamiento convencional asociado a terapia alternativa complementaria puede ser benéfico

Education Curriculum Reform for the Training of Amma-Massage-Shiatsu, Acupuncture and Moxibustion Therapists / 全日本鍼灸学会雑誌

[Objective] The increasing number of acupuncture and moxibustion training schools as well as the diversity of new student and patient needs is changing the educational environment of practitioners of Amma massage, acupuncture, and moxibustion. This raises the question whether the present curriculum can meet the challenges presented by these changes. This study presents the findings of a questionnaire survey designed to elucidate basic data relevant to the creation of the ideal curriculum.<br>[Methods] A questionnaire was sent to a total of 111 schools nationwide, comprising 70 training schools for the visually impaired and 41 vocational schools affiliated with the Society of Oriental Medicine. The staff member responsible for curriculum organization in each school completed the questionnaire.<br>[Concluding remarks] The response rate was 70.3% (78/111 schools). The questionnaire survey revealed that one group of individuals was responsible for the curriculum. It was also made clear that education was advancing, not by a fundamental curriculum-based teaching system, but by individual teaching staff.<br>Ensuring future development in the education system for practitioners of Amma massage, acupuncture, and moxibustion will require introducing a core curriculum. Discussion is also necessary.

The Transition and State of Japanese Colleges, Schools and Training Centers for Anma-Massage-Shiatsu, Acupuncture and Moxibustion Therapists / 全日本鍼灸学会雑誌

[Objective] We analyzed the transition and state of Japanese 141 colleges, schools and training centers for anma-massage-shiatsu, acupuncture and moxibustion therapists in 2004.<BR>[Methods] We collected a basic data from Japanese 141 colleges, schools and training centers and several sources : a list published by the foundation for the Training and Licensure Examination in Anma-Massage-Shiatsu, Acupuncture and Moxibustion, an investigation of the state of Japanese schools for the visually impaired students, the 10th Anniversary report of Oriental Medicine Colleges Association and school guides of each school. We considered and analysed this basic data.<BR>[Result] Data was collected from 141 different sources : 5 universities and colleges, 61 schools for the visually impaired students, 66 vocational colleges and 9 training centers for the visually impaired students. Most of the schools and training centers for the visually impaired students are public. All colleges for the non-visually impaired students are private. We analysed and verified 3 periods in the history of these institutions of 141 colleges, schools and a training centers. The 1 st period concerns the establishment of schools for the visually impaired students the early 1900's. The 2nd period is concerns the establishment of older vocational colleges after World War II in the 50's. And the 3 rd period is a sudden increase of new vocational colleges following the 1998 Fukuoka district court judgement.<BR>[Conclusion] We analyzed the changes and the situations regarding 141 Japanese colleges, schools and training centers for anma-massage-shiatsu, acupuncture, moxibustion therapists from their foundation to the present. The rapid increase of vocational colleges for acupuncture and moxibustion represents a phenomenon we have never experienced. With this condition, acupuncture and moxibustion markets must expand. In the future Japanese anma-massage-shiatsu, acupuncture and moxibustion education should be researched and hopefully we will benefit from this new situation.