Effects of shiatsu on pain in people with limb fractures: clinical trial

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202328914

Keywords:

Shiatzu, Bone fractures, Pain

Abstract

The postoperative period for limbs fractures is characterized by different levels of pain intensity. Shiatsu is a therapy applied with the hands on meridians and tsubos (points similar to acupuncture) related to pain. Objective: To evaluate the effect of shiatsu on postoperative pain in men with arm and leg fractures. Method: Non-randomized and uncontrolled clinical trial, with assessment of pain levels using the Visual Numerical Scale (VNS) (0–10) and measurement of salivary cortisol. The R software and the Wilcoxon test and Fisher’s exact test were used. Results: 41 people participated in the research; the initial mean value of salivary cortisol concentration was 0.39 µg/dl and, after shiatsu intervention, it decreased to 0.32 µg/dl (p<0.0001). The Mean pain value was 4.93 (VNS) before the intervention and 3.90 (p<0.0001) after. Conclusion: The application of shiatsu contributed to reducing pain and cortisol levels in people undergoing orthopedic surgery.

References

Kobayashi D, Shimbo T, Hayashi H, Takahashi O. Shiatsu for chronic lower back pain: randomized controlled study. Complement Ther Med. 2019;45:33-7. https://doi.org/10.1016/j.ctim.2019.05.019 DOI: https://doi.org/10.1016/j.ctim.2019.05.019

Boscarol GT, Domingos CS, Souza CC, Tannure MC, Chianca TCM, Salgado PO. Avaliação do diagnóstico de enfermagem “dor aguda” em pacientes internados em uma clínica médico-cirúrgica. Rev Enferm Cent-Oeste Min. 2019;9:e3312. https://doi.org/10.19175/recom.v9i0.3312 DOI: https://doi.org/10.19175/recom.v9i0.3312

Rodríguez-Acelas AL, Cañon-Montañez W, Mantovani VM, Figueiredo MS, Silva MB, Almeida MA. Resultado de enfermagem para avaliação da dor após artoplastia de quadril. Rev Cuid. 2019;10(2):e651. http://dx.doi.org/10.15649/cuidarte.v10i2.651 DOI: https://doi.org/10.15649/cuidarte.v10i2.651

Pegado E. Medicinas complementares e alternativas: uma reflexão sobre definições, designações e demarcações sociais. Sociologia, Problemas e Práticas. 2020;93:1-18. DOI: https://doi.org/10.7458/SPP20209314996

Kaye AD, Cornett EM, Helander E, Menard B, Hsu E, Hart B, et al. An update on nonopioids: intravenous or oral analgesics for perioperative pain management. Anesthesiol Clin. 2017;35(2):e55-e71. https://doi.org/10.1016/j.anclin.2017.01.006 DOI: https://doi.org/10.1016/j.anclin.2017.01.006

Song HJ, Seo HJ, Lee H, Son H, Choi SM, Lee S, et al. Effect of self-acupressure for symptom management: a systematic review. Complement Ther Med. 2015;23(1):68-78. https://doi.org/10.1016/j.ctim.2014.11.002 DOI: https://doi.org/10.1016/j.ctim.2014.11.002

Newman TB, Browner WS, Cummings SR, Hulley SB. Delineando estudos de testes médicos. In: Hulley SB, Cummings SR, Browner WS, Grady DG, Hearst NB, Newman TB, eds. Delineando a pesquisa clínica: uma abordagem epidemiológica. Porto Alegre: Artmed; 2003. p. 203-24.

Morales KO, Passarelli BS, Casimiro EF, Pereira JC, Deliberato PCP, Santos BRM. O uso da técnica manual Shiatsu no alívio dos sintomas decorrentes da fibromialgia. Unisanta Health Science. 2019;3(1):1-17

Sadigursky D, Santos NAM, Queiroz GC, Oliveira L, Souza MP, Carneiro RJF, et al. Customized footwear for motion control to treat anterior knee pain among runners. MedicalExpress (São Paulo, Online). 2017;4(2):M170202. https://doi.org/10.5935/MedicalExpress.2017.02.02 DOI: https://doi.org/10.5935/MedicalExpress.2017.02.02

Gotfryd AO, Franzin FJ, Poletto PR, Abreu LC, Valenti VE, Rodrigues LMR. Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution. MedicalExpress (São Paulo, Online). 2014;1(4):170-3. https://doi.org/10.5935/MedicalExpress.2014.04.02 DOI: https://doi.org/10.5935/MedicalExpress.2014.04.02

Di Nubila MFS, Matarazzo CG, Lopes-Albers A, Gobbi FCM. Self-reported outcomes of patients undergoing total hip replacement surgery assessed by the WOMAC questionnaire. Einstein (São Paulo). 2011;9(3 Pt 1):313-8. https://doi.org/10.1590/S1679-45082011AO1982 DOI: https://doi.org/10.1590/s1679-45082011ao1982

Liu C, Chen X, Wu S. The effect of massage therapy on pain after surgery: a comprehensive meta-analysis. Complement Ther Med. 2022:102892. https://doi.org/10.1016/j.ctim.2022.102892 DOI: https://doi.org/10.1016/j.ctim.2022.102892

Abdolreza AM, Fakhari S. The comparison of the effect of acupressure point SP6 with ST36 on pain due to fistula implantation in hemodialysis patients. International Journal of New Chemistry. 2022:587-95.

Trevizol AP, Barros MD, Silva PO, Osuch E, Cordeiro Q, Shiozawa P. Transcranial magnetic stimulation for posttraumatic stress disorder: an updated systematic review and meta-analysis. Trends Psychiatry Psychother. 2016;38(1):50-5. https://doi.org/10.1590/2237-6089-2015-0072

Trevizol AP, Barros MD, Silva PO, Osuch E, Cordeiro Q, Shiozawa P. Transcranial magnetic stimulation for posttraumatic stress disorder: an updated systematic review and meta-analysis. Trends Psychiatry Psychother. 2016;38(1):50-5. https://doi.org/10.1590/2237-6089-2015-0072 DOI: https://doi.org/10.1590/2237-6089-2015-0072

Pereira EF, Kothe F, Bleyer FTS, Teixeira CS. Estresse relacionado ao trabalho e queixas musculoesqueléticas em músicos de orquestra. Rev Dor. 2014;15(2):112-6. https://doi.org/10.5935/1806-0013.20140025 DOI: https://doi.org/10.5935/1806-0013.20140025

Abou-Kassem D, Kurita GP, Sjøgren P, Diasso PDK. Long-term opioid treatment and endocrine measures in patients with cancer-related pain: a systematic review. Scand J Pain. 2022;22(3):421-35. https://doi.org/10.1515/sjpain-2021-0196 DOI: https://doi.org/10.1515/sjpain-2021-0196

Platzer LH, Silveira T, Vilagra JM. Os efeitos da quick massage sobre o estresse ocupacional. Revista Thêma et Scientia. 2013;3(2):130-3.

Albuquerque AC, Feliciano GD, Mattos DMM, Loureiro SS, Belloni DT, Dantas EHM. Efeitos de cinco semanas de um programa de Shiatzuterapia sobre a fase do estresse e níveis pressóricos de adultos hipertensos. Fisioter Mov. 2008;21(3):51-8.

Juncker RB, Mirza FM, Gagnier JJ. Reduction in opioid use with perioperative non-pharmacologic analgesia in total knee arthroplasty and ACL reconstruction: a systematic review. SICOT J. 2021;7:63. https://doi.org/10.1051/sicotj/2021063 DOI: https://doi.org/10.1051/sicotj/2021063

Fu Z, Xu C, Wang Y, Qu X, Yang C. Traditional Chinese acupressure massage of the quadriceps femoris can relieve flexion pain after undergoing total knee arthroplasty. Evid Based Complement Alternat Med. 2022:2022:1091174. https://doi.org/10.1155/2022/1091174 DOI: https://doi.org/10.1155/2022/1091174

Published

2023-12-18

How to Cite

Martins, D. A. (2023). Effects of shiatsu on pain in people with limb fractures: clinical trial. Revista SOBECC, 28. https://doi.org/10.5327/Z1414-4425202328914

Issue

Section

ORIGINAL ARTICLES