PF is one of the most common foot and ankle problems. People with PF experience mild to severe pain that interferes moderately with activities of daily living (ADL). Due to chronic pain that interferes with ADL, people with PF often use non-steroidal anti-inflammatory medications and/or acetaminophen. These medications alleviate pain but cannot eliminate it. Additionally, with chronic use, these medications can cause well-known adverse side effects. The purposes of this study were to investigate the effect of Korean Hand Therapy (KHT) in (1) treating the pain experienced in patients with plantar fasciitis (PF), (2) evaluating its impact on functionality, and (3) assessing participants' self-adherence to treatment. A pre-post mixed methods pilot study was conducted with 28 participants. Baseline measures included a demographic questionnaire, height and weight, a 10-point pain scale, the foot function index (FFI), and measurement of the plantar fascia via ultrasound. As a group, participants were taught about KHT and how to self-administer it. Participants then self-administered KHT for four weeks. Three weekly electronic surveys were sent asking participants about their pain and use of KHT. After four weeks, participants returned for final data collection, including a focus group. Baseline measures, except the demographic questionnaire and height and weight, were repeated. Thickness of PF was not correlated with pain at baseline (r = -0.14, p = 0.47). Compared to baseline, pain was significantly reduced after the initial KHT treatment on the first visit (4.875 vs 2.625, p < 0.00) and at the 4-week follow up (4.875 vs 2.528, p < 0.05). On average for all four weeks, participants reported 5.48 (SD 1.50) days of self-guided KHT per week. PF thickness was not significantly reduced at the follow up session at 4 weeks (t =1.16, p = 0.26). FFI scores were significantly improved between baseline and four weeks: Pain (t = 3.80, p < 0.00), Activity Limitation (t = 2.64, p = 0.02), and Disability (t = 4.74, p < 0.00) and overall FFI (t = 4.83, p < 0.00). Findings suggest KHT may reduce pain and increase functionality for people who experience PF. While the sample was small, KHT is low-risk, low-cost, and easily self-administered. Further investigation is needed on the long-term effects of KHT and its ability to generally alleviate all types of pain.

Symptoms after surgery and anaesthesia influence the patient´s ability to resume daily activities. If postoperative symptoms are controlled rehabilitation may be accelerated. The aims of this dissertation were to identify disturbing symptoms reported by patients after gynaecological surgery, to investigate what effect prohylactic treatment with antiemetics has on these symptoms and whether or not sensory simulation of the P6-acupressure has an effect on postoperative nausea and vomiting (PONV) and motion sickness. Methods: Total 1138 women participated in three clinical trials (Studies I, II, III) and one experimental study (Study IV). A questionnaire investigating postoperative symptoms was constructed and validated. The questionnaire was used in a prospective, consecutive, doubleblind, randomised, multicentre, and controlled study to identify incidence, and intensity of postoperative symptoms and the effect of common antiemetics (droperidol and granisetron) (Study III). The patients were followed for 24 h. In two studies (I, II) P6-acupressure was compared (prospective, double-blind, ransomised, controlled) with placebo acupressure and a reference group where the effect on PONV was followed over 24 h. The effect of P6-acupressure and placebo acupressure on motion sickness induced by a nauseogenic motion challenge was studied (Study III). Results: A high incidence and severity of postoperative symptoms were found after gynaecological surgery in a group with a high risk (&gt;30%) for PONV. Sixty-four per cent (107/165) of the patients experienced disturbing symptoms after surgery and 46 % (76/165) scored their symptoms as moderate to very severe. Fourty-eight per cent (79/165) had two or more symptoms. A higher incidence of symptoms were reported in the groups with prophylactic treatment, granisetron 74% (123/165) and droperidol 80% (133/165) compared to the control group 41% (69/165) (P &lt;0.05). The relative risk reduction for PONV with granisetron or droperidol prophylaxis is 27% respective 22%. The relative risk increase for headache is 63% after granisetron, and 44% for difficulty with accommodation after droperidol. Less PONV was seen after P6-acupressure, 33% (44/135) compared to reference group 46% (63/136) (p = 0.019), number needed to treat (NNT) was 7 [95% confidence interval (CI) 4- 6]. When comparing laparoscopic and vaginal surgery (subgroup analysis) the main effect was in the vaginal group (day-case surgery), 36% (27/75) in the reference group to 27% (23/86) in the placebo group and to 20% (17/84) in the P6-acupressure group, (P = 0.017), NNT for the vaginal group was 6 [95% CI 3-18]. P6-acupressure increased time to nausea after a laboratory motion challenge and reduced the total number of symptoms reported (p &lt;0.009). Conclusions: There is no clinical efficacy in the form of reduced postoperative symptoms after prophylactic antiemetics (droperidol and granisetron) in females with a high risk (&gt;30%) for PONV undergoing gynaecological surgery. P6-acupressure reduces the incidence of PONV after gynaecological surgery in females with a high (&gt;30%) risk for PONV. The effect seems to be most prominent after vaginal surgery. P6-acupressure increased tolerance to experimental nausogenic stimuli and reduced the total number of symptoms reported in females with a history of motion sickness. / On the day of the public defence the status of article IV was: Submitted.

Thesis (M.CM)--Hong Kong Baptist University, 2006. / Dissertation submitted to the School of Chinese Medicine. Includes bibliographical references (leaves 45-46).

Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 4 uppsatser.

Bakgrund: Postoperativt illamående och kräkningar (PONV) är en vanlig komplikation till anestesi och en utmaning för anestesisjuksköterskan att behandla. Behandlingen bör vara multimodal och innehålla både farmakologiska- och icke-farmakologiska åtgärder. Akupressur är en metod som tillämpas profylaktiskt för att lindra PONV. Syfte: Syftet med studien var att beskriva i vilken utsträckning anestesisjuksköterskor använder akupressur som preventiv metod för att minska postoperativt illamående ochkräkningar, om anestesisjuksköterskor har utbildning i akupressur, vilka lokala riktlinjer som finns och vilka erfarenheter de har av akupressur. Syftet var även att undersöka i vilken utsträckning akupressur används i dagligt arbete av anestesisjuksköterskor som har tidigare erfarenheter av metoden jämfört med anestesisjuksköterskor som inte har det. Metod: En tvärsnittsstudie med en beskrivande och jämförande design. Ansatsen är i huvudsak kvantitativ men innehåller kvalitativa inslag. Data har samlats in med webbenkäter från dec 2021 – feb 2022. Totalt deltog 36 anestesisjuksköterskor. Huvudresultat: Resultatet visade på låg frekvens av användning och utbildning av akupressur hos anestesisjuksköterskorna. Det fanns en signifikant skillnad mellan erfarenhet av akupressur och i vilken utsträckning metoden används. Resultatet tyder på en positiv inställning till metoden bland anestesisjuksköterskorna. Slutsats: Akupressurbehandling mot PONV används i låg utsträckning. Resultatet indikerar på att tidigare erfarenhet av akupressurbehandling kan bidra till ökad frekvens av användning av metoden. Anestesisjuksköterskor var positivt inställda till att använda metoden och beskriver brist på utbildning och riktlinjer som ett hinder. För att möjliggöra implementering av akupressurbehandling mot PONV behöver tydliga riktlinjer utarbetas och personalen utbildas.

Introdução: A fibromialgia é uma desordem reumatológica comum que compromete significativamente a qualidade de vida. Caracteriza-se por dor crônica generalizada e limiar de dor diminuído, associados normalmente a sintomas e comorbidades, como sono não reparador, distúrbios de equilíbrio e ansiedade. Dentre as modalidades de tratamento, vem crescendo o uso das terapias alternativas e complementares, porém mais evidências são necessárias. O objetivo principal deste estudo foi avaliar o efeito do Shiatsu na dor, qualidade de sono, ansiedade, nível de confiança no equilíbrio e qualidade de vida relacionada à saúde de indivíduos com fibromialgia. Método: participaram do estudo 34 sujeitos na faixa etária de 33 a 62 anos, divididos em: Grupo Shiatsu (GS; n=17), que realizou 16 sessões de Shiatsu corporal com duração de 50 minutos, duas vezes por semana, e Grupo Controle (GC; n=17), que recebeu orientações educativas através de uma cartilha. Os grupos foram avaliados na linha de base, após 4 e 8 semanas, quanto a: intensidade da dor pela Escala Visual Analógica (EVA), limiar de dor pela dolorimetria, qualidade de sono pelo Índice de Qualidade de Sono de Pittsburgh (IQSP), ansiedade pelo Inventário de Ansiedade Traço-Estado, confiança no equilíbrio pela Escala de Confiança no Equilíbrio em Atividades Específicas (Escala ABC) e qualidade de vida pelo Questionário de Impacto da Fibromialgia (QIF). Resultados: por regressão logística, verificou-se que o tratamento de oito semanas com Shiatsu está associado à melhora na EVA (p=0,043), limiar de dor (p=0,014), IQSP (p=0,006), Escala ABC (p=0,026) e QIF (p=0,016). Todas essas variáveis também apresentaram ganho percentual relativo clinicamente importante (EVA: 40,6%; limiar de dor: 76,4%; IQSP: 34,4%; Escala ABC: 44,2%; QIF: 22,3%). Não foram observadas melhoras estatisticamente significantes ou clinicamente relevantes para a ansiedade. Conclusão: o Shiatsu foi eficaz para melhorar a dor, qualidade de sono, confiança no equilíbrio e qualidade de vida de sujeitos com fibromialgia. / Introduction: Fibromyalgia is a common rheumatological disorder that greatly impairs quality of life. It is characterized by chronic widespread pain and decreased pain threshold, normally associated with symptoms and comorbidities, such as non-restorative sleep, balance disorders and anxiety. Among treatment modalities, the use of complementary and alternative therapies is increasing, but more evidence is needed. The main objective of this study was to evaluate the effect of Shiatsu in pain, sleep quality, anxiety, balance confidence level and health-related quality of life of individuals with fibromyalgia. Methods: 34 subjects aged 33 to 62 years participated in this study and were divided into: Shiatsu Group (SG; n=17), which received 16 sessions of full-body Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), which received educational guidance through a booklet. Groups were assessed at baseline, after 4 and 8 weeks, regarding: pain intensity by Visual Analogue Scale (VAS), pain threshold by dolorimetry, sleep quality by Pittsburgh Sleep Quality Index (PSQI), anxiety by State-Trait Anxiety Inventory, balance confidence level by Activities-specific Balance Confidence Scale (ABC Scale) and quality of life by the Fibromyalgia Impact Questionnaire (FIQ). Results: by logistic regression, it was found that the eight-week treatment with Shiatsu was associated with improvements in VAS (p=0.043), pain threshold (p=0.014), PSQI (p=0.006), ABC Scale (p=0.026) and FIQ (p=0.016). All these variables also presented clinically important relative percentage changes (VAS: 40.6%; pain threshold: 76.4%; PSQI: 34.4%; ABC Scale: 44.2%; FIQ: 22.3%). There were no statistically significant or clinically relevant improvements for anxiety. Conclusion: Shiatsu was effective for improving pain, sleep quality, balance confidence and quality of life of subjects with fibromyalgia.

No description available.

The abstract of the diploma thesis is focused on the acupressure and its influence of backache of medical staff. We chose the theme of acupressure because it is a non-invasive treatment method which can be practiced by everyone in the comfort of the home and no aid is necessary to have, just the basic knowledge and training how to perform acupressure. Acupressure is not physically or time consuming and that is why it is considered as a suitable means as an additional treatment of pain and other health disorders. It can improve nursing care. The theoretical part deals with pain and pain of medical staff who are the highest risk group of backache in the lumbar region. The backache is the most frequent cause of incapacity for work. Furthermore, in the theoretical part we deal with acupressure, one of the methods of alternative medicine. For the processing of the theoretical part, we used the available foreign and Czech literary sources. The empirical part of the diploma thesis is a quantitative method. The results obtained from the research were processed in the overview tables and case reports. For the thesis we set two research objectives. The first objective was to find out the experience of medical staff with acupressure. The second objective was to verify the influence of the techniques of acupressure for backache of medical staff. On the basis of the aim two hypotheses were created. The first hypothesis should show whether the backache will be softened by application of the acupressure techniques. The second one shows whether there is the difference in approach of nurses and doctors to perform acupressure.

Introdução: A fibromialgia é uma desordem reumatológica comum que compromete significativamente a qualidade de vida. Caracteriza-se por dor crônica generalizada e limiar de dor diminuído, associados normalmente a sintomas e comorbidades, como sono não reparador, distúrbios de equilíbrio e ansiedade. Dentre as modalidades de tratamento, vem crescendo o uso das terapias alternativas e complementares, porém mais evidências são necessárias. O objetivo principal deste estudo foi avaliar o efeito do Shiatsu na dor, qualidade de sono, ansiedade, nível de confiança no equilíbrio e qualidade de vida relacionada à saúde de indivíduos com fibromialgia. Método: participaram do estudo 34 sujeitos na faixa etária de 33 a 62 anos, divididos em: Grupo Shiatsu (GS; n=17), que realizou 16 sessões de Shiatsu corporal com duração de 50 minutos, duas vezes por semana, e Grupo Controle (GC; n=17), que recebeu orientações educativas através de uma cartilha. Os grupos foram avaliados na linha de base, após 4 e 8 semanas, quanto a: intensidade da dor pela Escala Visual Analógica (EVA), limiar de dor pela dolorimetria, qualidade de sono pelo Índice de Qualidade de Sono de Pittsburgh (IQSP), ansiedade pelo Inventário de Ansiedade Traço-Estado, confiança no equilíbrio pela Escala de Confiança no Equilíbrio em Atividades Específicas (Escala ABC) e qualidade de vida pelo Questionário de Impacto da Fibromialgia (QIF). Resultados: por regressão logística, verificou-se que o tratamento de oito semanas com Shiatsu está associado à melhora na EVA (p=0,043), limiar de dor (p=0,014), IQSP (p=0,006), Escala ABC (p=0,026) e QIF (p=0,016). Todas essas variáveis também apresentaram ganho percentual relativo clinicamente importante (EVA: 40,6%; limiar de dor: 76,4%; IQSP: 34,4%; Escala ABC: 44,2%; QIF: 22,3%). Não foram observadas melhoras estatisticamente significantes ou clinicamente relevantes para a ansiedade. Conclusão: o Shiatsu foi eficaz para melhorar a dor, qualidade de sono, confiança no equilíbrio e qualidade de vida de sujeitos com fibromialgia. / Introduction: Fibromyalgia is a common rheumatological disorder that greatly impairs quality of life. It is characterized by chronic widespread pain and decreased pain threshold, normally associated with symptoms and comorbidities, such as non-restorative sleep, balance disorders and anxiety. Among treatment modalities, the use of complementary and alternative therapies is increasing, but more evidence is needed. The main objective of this study was to evaluate the effect of Shiatsu in pain, sleep quality, anxiety, balance confidence level and health-related quality of life of individuals with fibromyalgia. Methods: 34 subjects aged 33 to 62 years participated in this study and were divided into: Shiatsu Group (SG; n=17), which received 16 sessions of full-body Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), which received educational guidance through a booklet. Groups were assessed at baseline, after 4 and 8 weeks, regarding: pain intensity by Visual Analogue Scale (VAS), pain threshold by dolorimetry, sleep quality by Pittsburgh Sleep Quality Index (PSQI), anxiety by State-Trait Anxiety Inventory, balance confidence level by Activities-specific Balance Confidence Scale (ABC Scale) and quality of life by the Fibromyalgia Impact Questionnaire (FIQ). Results: by logistic regression, it was found that the eight-week treatment with Shiatsu was associated with improvements in VAS (p=0.043), pain threshold (p=0.014), PSQI (p=0.006), ABC Scale (p=0.026) and FIQ (p=0.016). All these variables also presented clinically important relative percentage changes (VAS: 40.6%; pain threshold: 76.4%; PSQI: 34.4%; ABC Scale: 44.2%; FIQ: 22.3%). There were no statistically significant or clinically relevant improvements for anxiety. Conclusion: Shiatsu was effective for improving pain, sleep quality, balance confidence and quality of life of subjects with fibromyalgia.

No description available.