Complementary medicine for the management of chronic stress: superiority of active versus passive techniques

Lucini, Daniela; Malacarne, Mara; Solaro, Nadia; Busin, Silvano; Pagani, Massimo

doi:10.1097/hjh.0b013e3283312c24

Cited by 24 publications

(30 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results indicate that acute and long-term SLOWB diminished the effects of mental stress as suggested previously in a study using a breathing-guided relaxation training [39], which might be consistent with our hypothesis of a modulation of the white-coat effect by this intervention, as shown by the selective reduction in office BP only. We found, that paced breathing selectively attenuated pressor and tachycardic responses to mental stress without influencing the cardiovascular and autonomic responses to physical handgrip and cold pressor stressors.…”

Section: Discussionsupporting

confidence: 93%

Effects of acute and long-term slow breathing exercise on muscle sympathetic nerve activity in untreated male patients with hypertension

Hering

Kucharska

Kára

et al. 2013

Journal of Hypertension

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 93%

Effects of acute and long-term slow breathing exercise on muscle sympathetic nerve activity in untreated male patients with hypertension

Hering

Kucharska

Kára

et al. 2013

Journal of Hypertension

View full text Add to dashboard Cite

show abstract

“…Three studies compared two or more treatments with non-random group allocation, rather by preference [20], participants in another study [21] or staff on duty [22]. Lucini et al [20] evaluated Shiatsu for chronic stress; 70 volunteer patients chose either active (relaxation and breathing training), passive (Shiatsu) or sham treatment (stress management information).…”

Section: Resultsmentioning

confidence: 99%

“…Lucini et al [20] evaluated Shiatsu for chronic stress; 70 volunteer patients chose either active (relaxation and breathing training), passive (Shiatsu) or sham treatment (stress management information). Small sample, limited the validity of results.…”

Section: Resultsmentioning

confidence: 99%

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

Robinson

Lorenc

Liao

2011

BMC Complement Altern Med

View full text Add to dashboard Cite

BackgroundShiatsu, 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. MethodsAcupressure 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).ResultsSearches 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. ConclusionsEvidence 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.

show abstract

“…Different massage techniques are known to enhance vagal activity [42, 43]. A study on oriental massage demonstrated an improved profile of cardiovascular autonomic regulation [44]. The benefits of svedana (sudation) may be akin to that of thermal therapy in the saunas.…”

Section: Discussionmentioning

confidence: 99%

Modulation of Cardiac Autonomic Dysfunction in Ischemic Stroke following Ayurveda (Indian System of Medicine) Treatment

Jaideep

Nagaraja

Pal

et al. 2014

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objectives. Cardiac autonomic dysfunction in stroke has implications on morbidity and mortality. Ayurveda (Indian system of medicine) describes stroke as pakshaghata. We intended to study the effect of Ayurveda therapies on the cardiac autonomic dysfunction. Methods. Fifty patients of ischemic stroke (middle cerebral artery territory) (mean age 39.26 ± 9.88 years; male 43, female 7) were recruited within one month of ictus. All patients received standard allopathic medications as advised by neurologist. In addition, patients were randomized to receive physiotherapy (Group I) or Ayurveda treatment (Group II) for 14 days. Continuous electrocardiogram and finger arterial pressure were recorded for 15 min before and after treatments and analyzed offline to obtain heart rate and blood pressure variability and baroreflex sensitivity (BRS). Results were analysed by RMANOVA. Results. Patients in Group II showed statistically significant improvement in cardiac autonomic parameters. The standard deviation of normal to normal intervals,and total and low frequency powers were significantly enhanced (F = 8.16, P = 0.007, F = 9.73, P = 0.004, F = 13.51, and P = 0.001, resp.). The BRS too increased following the treatment period (F = 10.129, P = 0.004). Conclusions. The current study is the first to report a positive modulation of cardiac autonomic activity after adjuvant Ayurveda treatment in ischemic stroke. Further long term studies are warranted.

show abstract

Complementary medicine for the management of chronic stress: superiority of active versus passive techniques

Abstract: This active technique seems capable of beneficially addressing simultaneously the individual psychological and physiopathological dimensions of stress in clinical settings, with potentially beneficial effects on cardiovascular risk profile.

Cited by 24 publications

References 46 publications

Effects of acute and long-term slow breathing exercise on muscle sympathetic nerve activity in untreated male patients with hypertension

Effects of acute and long-term slow breathing exercise on muscle sympathetic nerve activity in untreated male patients with hypertension

The evidence for Shiatsu: a systematic review of Shiatsu and acupressure

Modulation of Cardiac Autonomic Dysfunction in Ischemic Stroke following Ayurveda (Indian System of Medicine) Treatment

Contact Info

Product

Resources

About