The short‐term effects of myofascial trigger point massage therapy on cardiac autonomic tone in healthy subjects

Journal of Advanced Nursing - Tập 37 Số 4 - Trang 364-371 - 2002
Jennifer Delaney1, King Sun Leong2, Alan Watkins3, David A. Brodie4
1Lecturer in Behavioural Sciences, Wirral Metropolitan College, and Department of Medicine, Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK,
2Consultant, Diabetes Centre, Whiston Hospital, Prescot, Merseyside, UK,
3Honorary Research Fellow, Department of Medicine, University Hospital Southampton, Southampton, UK,
4Professor, Research Centre for Health Studies, Buckinghamshire Chilterns University College, Chalfont St Giles, UK

Tóm tắt

The short‐term effects of myofascial trigger point massage therapy on cardiac autonomic tone in healthy subjects Aim of the study. To investigate the effects of myofascial trigger‐point massage therapy to the head, neck and shoulder areas on cardiac autonomic tone. Background. No studies have reported on the effect of back massage on autonomic tone as measured by heart rate variability. This is especially relevant to the nursing profession, as massage is increasingly available as a therapy complementary to conventional nursing practice. Design/Methods. An experimental study in which subjects were initially placed in age‐ and sex‐matched groups and then randomized to treatment or control by alternate allocation. The study involved 30 healthy subjects (16 female and 14 male, aged 32·47 ± 1·55 years, mean ± standard error). A 5‐minute cardiac interbeat interval recording, systolic and diastolic blood pressure and subjective self‐evaluations of muscle tension and emotional state were taken before and after intervention. Autonomic function was measured using time and frequency domain analysis of heart rate variability. Results. Following myofascial trigger‐point massage therapy there was a significant decrease in heart rate (P < 0·01), systolic blood pressure (P=0·02) and diastolic blood pressure (P < 0·01). Analysis of heart rate variability revealed a significant increase in parasympathetic activity (P < 0·01) following myofascial trigger‐point massage therapy. Additionally both muscle tension and emotional state, showed significant improvement (P < 0·01). Conclusions. In normal healthy subjects myofascial trigger‐point massage therapy to the head, neck and shoulder areas is effective in increasing cardiac parasympathetic activity and improving measures of relaxation.

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Tài liệu tham khảo

10.1152/ajpheart.1985.249.4.H867

10.1080/00332747.1974.11023785

10.1097/00002820-200106000-00003

10.2466/PMS.84.1.157-158

10.1016/S0002-9149(99)80155-6

Corner J., 1995, An evaluation of the use of massage and essential oils on the wellbeing of cancer patients, International Journal of Palliative Nursing, 1, 67, 10.12968/ijpn.1995.1.2.67

Davy K.P., 1996, Elevated heart rate variability in physically active postmenopausal women: a cardioprotective effect?, American Journal of Physiology, 271, H455

10.2466/pms.2000.91.2.515

10.3928/0098-9134-19870201-09

10.1016/S0965-2299(99)80007-7

10.1097/00002820-199304000-00002

10.1037/0003-066X.53.12.1270

10.1136/aim.9.1.4

10.1046/j.1365-2648.1993.18020238.x

10.1007/BF01831395

10.1016/S0304-3959(98)00084-0

10.1136/bjsm.28.3.149

10.1007/BF00435970

10.1097/00004872-198809000-00004

10.1016/s0165-1838(99)00090-9

10.1038/233339a0

10.1093/oxfordjournals.aje.a113541

10.1016/0002-9149(87)90795-8

Kontopoulos A.G., 1997, Effect of angiotensin‐converting enzyme inhibitors on the power spectrum of heart rate variability in post‐myocardial infarction patients, Coronary Artery Diseases, 8, 517

10.5271/sjweh.15

10.1093/aje/145.8.696

10.1016/S0022-0736(96)80082-3

10.1007/BF00261703

10.2307/2136940

10.1161/01.HYP.26.5.719

10.1016/S0002-9149(99)80309-9

10.1111/j.1547-5069.1993.tb00748.x

10.1016/0304-3959(77)90032-X

10.1016/0165-1838(88)90078-1

Peppard A., 1983, Trigger‐point massage therapy, The Physician and Sportsmedicine, 11, 159, 10.1080/00913847.1986.11708544

10.1046/j.1365-2648.2001.01777.x

10.1152/ajpheart.1985.248.1.H151

10.1016/0165-0327(94)90091-4

Reed B.V., 1988, Effects of sequential connective tissue massage on autonomic nervous system of middle‐aged and elderly adults, Physical Therapy, 68, 1231

10.1016/0002-9149(88)91172-1

10.1002/clc.4960181011

10.1016/0022-0736(88)90055-6

10.1111/j.1445-5994.1997.tb02220.x

10.1016/0965-2299(94)90156-2

Stewart K., 2000, Massage for children with cerebral palsy, Nursing Times, 96, 50

10.1161/01.CIR.93.5.1043

10.1161/01.CIR.98.6.547

TravellJ.G.&SimonsD.G.(1983)Myofascial pain and dysfunction. InThe Trigger Point Manual vol. 1. Williams & Wilkins Baltimore MD USA.

10.1161/01.CIR.90.2.878

10.1136/bmj.319.7219.1254

Wilkinson S., 1996, Palliative care. Get the massage, Nursing Times, 92, 61

10.1191/026921699678148345

10.1080/08870448708400338

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Journal of Advanced Nursing

Tập 37 Số 4

364-371

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