Is exercise beneficial for Neck & Shoulder pain?
The first reaction when we are in pain is often to take a painkiller. I know from experience in clinic, when that the painkiller stops working that is when our clients book a massage. But would exerise help? To me it is counter-intuitive to exercise when in pain so I was interested in a recent study that looked into this.
A study of 176 people investigated if the standard Fustra20Neck&Back exercise programme (scroll to bottom for full details) for reducing pain and increasing fitenss of office workers with neck or lower back pain works. All the participants sat for at least 6 hours a day at a desk and had experienced at least 2 episodes of moderate pain in the last month before the study started. The study participants included both men and women between 30 – 50 years old. Half were asigned to the exericse group and half to the control group. The exercise group carried out the Fustra20Neck&Back exercise programme for 1 hour twice a week for 10 weeks.
More than 90% of the particpants in the exercise group found that the intensity of the pain and fequency of the pain decreased significantly. Improvements in neck & shoulder flexibility and quality of life were also recorded. However there was no significant differences in lower back pain.
Reference
Fustra20Neck&Back exercise programme
The programme comprised a 10 minute aerobic warm-up on a cross-trainer. Then 10 functional flexibility exercises, four strength exercises, five core exercises and a 10 minute cool down.
Click below to see the 10 functional exercises for your shoulders.
Click below to see the strenght and core exercises.
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Reflexology: Scientific Evidence of it’s effects physiological anxiety signs
Recently a scientific study (see details below) was published which evaluated the physiological anxiety signs and sedation needs of patients in intensive care units in a Turkish hospital.
Background It is an accepted medical fact that when it is necessary to mechanically ventilate patients in intensive care units of hospitals, the patients experience stress and anxiety. It is standard medical practice to relieve anxiety, pain, agitation with sedatives to ensure patient comfort. Sedatives however also have side effects causing high blood pressure, slow heart beat, coma, respiratory depression, muscle weakness and atrophy, increased risk of pneumonia, kidney problems and immunosuppression. It may also prolong the need for ventilation which in turn increases the risk of complications. Method 60 patients were split into two groups one of which was the control group. Sedation (Propofol) was reduced 30 min before treatment (or no treatment) which resulted in patients with mixed consciousness to which the outcome measure was administered. This was the American Association of critical care nurses sedation assessment scale (AACNSAS) and the vital signs recorded. Reflexology applied to ears, hands and feet bilaterally was given twice a day for a total of 30 minutes per day, over 5 days. The reflexology focussed on the brain, cortex, hypothalamus, hypophysis and subcortex; areas though to influence anxiety, agitation and stress response. No reflexology was given to the control group but the sedation was reduced and all the same measurements were taken. Results The physiological signs of anxiety and stress i.e. blood pressure, heart rate and respiratory rate were are reduced in the group that received reflexology on each of the 5 days. In addition there was a reduction in the requirement for sedatives in the group that received reflexology. Conclusions These findings ‘show that reflexology is an effective treatment in reducing the physiological signs of anxiety and stress in patients receiving mechanically ventilated support.’ This study provides scientific evidence to underpin the idea that reflexology has a beneficial effect on anxiety and stress.Title: Reflexology: It’s effects on Physiological Anxiety Signs and Sedation Needs Journal: Holistic Nursing Practioner Authors: E. Korhan, L. Khorshid, M Uyar Reference: 2014; 28 (1);6-23 Study Type: Randomised Controlled Trial - with control group receiving no treatment Can acupressure improve chronic lower back pain?
A recent randomised control trail looked at the impact of on acupressure on people with chronic lower back pain. Researchers randomly assigned 67 participants with chronic low back pain into three groups
- relaxing acupressure
- stimulating acupressure
- usual care
What can assist you with anxiety?
Like most people there are times when I feel anxious. I appreicate I am luck in that this isn't a permanent state. Based on anetdotal evidence I am aware that there seems to be a rise in our clients feeling anxious. So I wanted to share some latest scientfic evidence of what may be able to assist you. Recently researches in Iran conducted a randomised control trail to compare the effectivness of hand reflexology and acupressure for reducing anxiety in patients with coronary artery diseases undergoing procedures in hospital. One hundred and thirty-five women with coronary artery disease were randomly assigned to three groups, receiving hand reflexology, acupressure or a placebo. For the first group, hand reflexology was performed on each hand for 10 minutes. The acupressure was also performed for 10 minutes on each hand. For the placebo, similar conditions to the intervention groups were created, but a thumb touching method was used without applying acupressure or hand reflexology. The patients were asked to complete a questionnaire to examine the effects of treatments. The results revealed significant changes in anxiety in the hand reflexology and acupressure groups, when compared to the placebo group. Mean anxiety scores reduced similarly with both treatments, indicating that they were equally effective. So if you have been feeling anxious recently why not try a reflexology treatment or a Seated Acupressure Neck & Shoulder massage. To book click here. Reference https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473738/
