Abstract:This systematic review found a medium effect of massage on SBP and a small effect on DBP in patients with hypertension or prehypertension. High-quality randomized controlled trials are urgently required to confirm these results, although the findings of this study can be used to guide future research.
“…Study results of Liao et al . 's (2016) showed that massage contributes to significantly enhanced reduction in SBP and as compared with control treatments in patients with hypertension and prehypertension[ 23 ] Chen et al . 's (2016) meta-analysis study demonstrated a medium effect of massage on SBP and a small effect on DBP in patients with hypertension or prehypertension.…”
BACKGROUND:Prehypertension is one of the cardiovascular disease predicators. Management of prehypertension is an appropriate objective for clinicians in a wide range of medical centers. Massage therapy is primarily nonpharmacological treatment that is used to control blood pressure (BP). This study intends to investigate the long-term effect of massage therapy on BP in prehypertensive women.METHODS:This was a single-blind clinical trial study conducted on 50 prehypertensive women who referred to Sedigheh Tahereh Cardiovascular Center, during 6 months in 2009. Participants were selected by simple random sampling and were divided into control and intervention groups. The test group (25 patients) received massage for 10–15 min, three times a week for 10 sessions, and the control group (25 patients) was relaxed in the same environment but with no massage. Their BP was measured before and after each session and 72 h and 2 weeks after finishing the massage therapy. Analyzing the data was done using descriptive and inferential statistical methods (Chi-square, Mann–Whitney, paired t-test, and Student's t-test) through SPSS software version 18 and a significant level was considered as P < 0.05.RESULTS:The results indicated that the mean systolic BP (SBP) and diastolic BP (DBP) in the massage group were significantly lower in comparison with the control group (P < 0.001). Evaluation of durability of the massage effects on BP also indicated that 72 h after finishing the study, still there was a significant difference between the test and control groups in SBP and DBP (P < 0.001), but after 2 weeks, there was not a significant difference in SBP and DBP (P > 0.05) between the two groups.CONCLUSIONS:Although massage therapy seems to be a safe, effective, applicable, and cost-effective intervention to control BP of prehypertensive women, its effects do not persist for a long time.
“…Study results of Liao et al . 's (2016) showed that massage contributes to significantly enhanced reduction in SBP and as compared with control treatments in patients with hypertension and prehypertension[ 23 ] Chen et al . 's (2016) meta-analysis study demonstrated a medium effect of massage on SBP and a small effect on DBP in patients with hypertension or prehypertension.…”
BACKGROUND:Prehypertension is one of the cardiovascular disease predicators. Management of prehypertension is an appropriate objective for clinicians in a wide range of medical centers. Massage therapy is primarily nonpharmacological treatment that is used to control blood pressure (BP). This study intends to investigate the long-term effect of massage therapy on BP in prehypertensive women.METHODS:This was a single-blind clinical trial study conducted on 50 prehypertensive women who referred to Sedigheh Tahereh Cardiovascular Center, during 6 months in 2009. Participants were selected by simple random sampling and were divided into control and intervention groups. The test group (25 patients) received massage for 10–15 min, three times a week for 10 sessions, and the control group (25 patients) was relaxed in the same environment but with no massage. Their BP was measured before and after each session and 72 h and 2 weeks after finishing the massage therapy. Analyzing the data was done using descriptive and inferential statistical methods (Chi-square, Mann–Whitney, paired t-test, and Student's t-test) through SPSS software version 18 and a significant level was considered as P < 0.05.RESULTS:The results indicated that the mean systolic BP (SBP) and diastolic BP (DBP) in the massage group were significantly lower in comparison with the control group (P < 0.001). Evaluation of durability of the massage effects on BP also indicated that 72 h after finishing the study, still there was a significant difference between the test and control groups in SBP and DBP (P < 0.001), but after 2 weeks, there was not a significant difference in SBP and DBP (P > 0.05) between the two groups.CONCLUSIONS:Although massage therapy seems to be a safe, effective, applicable, and cost-effective intervention to control BP of prehypertensive women, its effects do not persist for a long time.
“…A recent systematic review has highlighted that massage therapy significantly reduced both systolic blood pressure and diastolic blood pressure with no reported adverse effects among patients with hypertension and prehypertension when compared with control groups which included the use of placebo, no treatment, standard care, or any active treatment unrelated to massage therapy. 18 While massage is safe in general, it is not entirely risk free and the technique should be optimized to prevent adverse events. 19 Alt-text: Box 1 Effectiveness of ginseng in improving cognitive function among healthy older people Dementia is a prevalent problem among older people, characterized by progressive cognitive impairment which lowers the ability to perform daily activities and increases the likelihood of behavioral disturbances.…”
Section: Main Textmentioning
confidence: 99%
“…A recent systematic review has highlighted that massage therapy significantly reduced both systolic blood pressure and diastolic blood pressure with no reported adverse effects among patients with hypertension and prehypertension when compared with control groups which included the use of placebo, no treatment, standard care, or any active treatment unrelated to massage therapy. 18 While massage is safe in general, it is not entirely risk free and the technique should be optimized to prevent adverse events. 19 …”
Background
With increasing burden of chronic non-communicable diseases (NCD), ageing becomes a global public health concern, and the World Health Organization Western Pacific Region has no exception. To address the NCD challenge, priority should be given to promote healthy ageing across the life-course. As traditional and complementary medicine (T&CM) is popular within the Region, it is of policy interest to explore possibilities of applying T&CM for promoting healthy ageing.
Methods
We first summarized sources of clinical evidence supporting the use of T&CM. We then searched publications through MEDLINE from its inception to April 2020 to identify studies focusing on the perception of T&CM among older people. Finally, taking current evidence base and patient choice into account, we generated policy recommendations for of integrating T&CM into health systems.
Result
Experiences from countries with different income levels suggested that promoting evidence-based T&CM as self-care modalities would be the most efficient way of maximizing impact among the older population, especially via a train the trainer approach. Meanwhile, popularity of natural products in the Region mandates policy makers to implement appropriate regulation and quality assurance, and to establish pharmacovigilance to detect potential harm. The role of pharmacists in advising patients on self-medication using natural products needs to be strengthened.
Conclusion
Policy-makers will benefit from continued global dialogue and sharing of experience in T&CM policy development and implementation. Harmonizing regulatory frameworks for natural products at regional and global levels, including mutual recognition of regulatory approval, to improve standards and protect patients could be a priority.
“…Kardiyovasküler egzersiz ile aynı etkiyi yapan masaj uzun süre endotelyal koruma ve gevşeme sağladığından kan basıncının düşmesini sağlamaktadır. Masajın, kan basıncı üzerine etkisi değerlendirildiğinde, vücuttaki kan akışını dengelemesi ve gevşeme cevabının bir sonucu olduğu yapılan meta-analiz çalışmaları ile desteklenmektedir (10,12).…”
Section: Masajın Kan Basıncı üZerine Etkisiunclassified
“…Hipertansiyon tedavisinde bireylerin destekleyici olarak kullandığı tamamlayıcı ve bütünleşik (integratif) tedavi yöntemlerinden biri olan masaj birçok çalışmada farklı yöntemlerle uygulanmış ve kanıtları paylaşılmıştır. Masajla ilgili yapılan çalışmalar incelendiğinde; masajın anksiyete düzeyini, kan basıncını, solunum hızını azalttığı saptanmıştır (12,13,16). Bunların yanı sıra masajın uyku problemleri, baş ağrısı, sırt ağrısı, gerilimi azaltma ve kas kramplarını rahatlatma gibi etkilerinin de olduğu belirtilmektedir.…”
Hipertansiyon, dünya genelinde hem gelişmiş hem de gelişmekte olan ülkelerde yaklaşık bir milyar insanı etkilemekte olup kardiyovasküler hastalıklardan kaynaklanan ölümlerin en önemli nedenlerinden biridir. Kan basıncında meydana gelen düşüşün kardiyovasküler komplikasyonların önlenmesine katkı sağladığı bilinmektedir. Bu nedenle esansiyel hipertansiyonun önlenmesi ve etkin tedavisi büyük önem taşımaktadır. Farmakolojik tedavinin kan basıncını kontrol altına almada ve hipertansiyonu olan bireylerin yaşam kalitesini yükseltmede yeterli etkiyi oluşturamadığı düşünülmekte, günden güne hasta sayısının artması ve kullanılan antihipertansif ilaçların olumsuz etkileri nedeniyle bireyler farklı tedavi yöntemleri arayışına girmektedir. Günümüzde sıklıkla medikal tedaviyle birlikte tercih edilen tamamlayıcı ve bütünleşik (integratif) tedaviler arasında olan yoga, akupunktur ve masaj gibi iyileştirici ve yan etki düzeyi az olan yöntemler kronik hastalığı olan bireyler tarafından kullanılmaktadır. Tamamlayıcı ve bütünleşik (integratif) tedaviler arasında yaygın olan yöntemlerden biri masajdır. Yapılan çalışmalarda, tamamlayıcı ve bütünleşik (integratif) tedavi yöntemlerine başvuran hastaların yaklaşık yarısı masaj uygulamasını tercih etmektedir. Masaj; hipertansiyon, kardiyak cerrahi sonrası rehabilitasyon, baş ağrısı, demans, stres, fibromiyalji, osteoartrit, yorgunluk ve meme kanseri gibi birçok kanser türünün semptomlarını hafifletmek ve yaşam kalitesini artırmak için kullanılmaktadır. Masajın, kan basıncı üzerine vücuttaki kan akışını dengelemesi ve gevşeme cevabının bir sonucu olarak rahatlama sağladığı yapılan meta-analiz çalışmaları ile desteklenmektedir. Bu makalede, masajın olumlu etkileri göz önüne alındığında hipertansiyon yönetiminde nonfarmakolojik bir yöntem olarak uygulanabileceği önerilmektedir.
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