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Amelia Pasqual Marques - One of the best experts on this subject based on the ideXlab platform.
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thu0492 hpr the effectiveness of shiatsu on pain sleep quality and balance confidence of fibromyalgia patients a controlled clinical trial
Annals of the Rheumatic Diseases, 2013Co-Authors: Susan Lee King Yuan, Ana Assumpcao Berssaneti, Amelia Pasqual MarquesAbstract:Background Fibromyalgia is a painful musculoskeletal disorder that compromises function and quality of life. Studies show that no single treatment is completely effective in all patients and many of them seek complementary and alternative medicine. However its evidence is still insufficient. Objectives This clinical trial aimed to verify the effectiveness of Shiatsu (Japanese massage technique) in the improvement of pain, sleep quality and balance confidence of fibromyalgia patients. Methods This study involved 34 women aged 33 to 62 years, divided into two groups: Shiatsu Group (SG; n=17), which received 16 sessions of Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), who received Educational Guidance through a booklet. Both groups were evaluated before and after 8 weeks. The following instruments were used: Visual Analog Pain Scale, Dolorimeter, Pittsburgh Sleep Quality Index and Activities-Specific Balance Confidence Scale. Intergroup statistical analysis was performed using the t-test for data sets with normal distribution and the same variance and Mann-Whitney Rank Sum Test for data sets without normal distribution or equal variance. The significance level was α=0.05. Results At baseline, both groups were similar for all variables. After eight weeks, SG showed statistically significant improvement in pain (p=0.015), tender point pain threshold (p Conclusions The results indicate that the Shiatsu technique is effective in improving pain, tenderness and sleep quality in fibromyalgia patients. References Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment Strategy in Fibromyalgia Syndrome: Where Are We Now? Semin Arthritis Rheum. 2008;37(6):353-65. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16-21. Baranowsky J, Klose P, Musial F, Hauser W, Dobos G, Langhorst J. Qualitative systemic review of randomized controlled trials on complementary and alternative medicine treatments in fibromyalgia. Rheumatol Int. 2009;30(1):1-21. Disclosure of Interest None Declared
Susan Lee King Yuan - One of the best experts on this subject based on the ideXlab platform.
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thu0492 hpr the effectiveness of shiatsu on pain sleep quality and balance confidence of fibromyalgia patients a controlled clinical trial
Annals of the Rheumatic Diseases, 2013Co-Authors: Susan Lee King Yuan, Ana Assumpcao Berssaneti, Amelia Pasqual MarquesAbstract:Background Fibromyalgia is a painful musculoskeletal disorder that compromises function and quality of life. Studies show that no single treatment is completely effective in all patients and many of them seek complementary and alternative medicine. However its evidence is still insufficient. Objectives This clinical trial aimed to verify the effectiveness of Shiatsu (Japanese massage technique) in the improvement of pain, sleep quality and balance confidence of fibromyalgia patients. Methods This study involved 34 women aged 33 to 62 years, divided into two groups: Shiatsu Group (SG; n=17), which received 16 sessions of Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), who received Educational Guidance through a booklet. Both groups were evaluated before and after 8 weeks. The following instruments were used: Visual Analog Pain Scale, Dolorimeter, Pittsburgh Sleep Quality Index and Activities-Specific Balance Confidence Scale. Intergroup statistical analysis was performed using the t-test for data sets with normal distribution and the same variance and Mann-Whitney Rank Sum Test for data sets without normal distribution or equal variance. The significance level was α=0.05. Results At baseline, both groups were similar for all variables. After eight weeks, SG showed statistically significant improvement in pain (p=0.015), tender point pain threshold (p Conclusions The results indicate that the Shiatsu technique is effective in improving pain, tenderness and sleep quality in fibromyalgia patients. References Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment Strategy in Fibromyalgia Syndrome: Where Are We Now? Semin Arthritis Rheum. 2008;37(6):353-65. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16-21. Baranowsky J, Klose P, Musial F, Hauser W, Dobos G, Langhorst J. Qualitative systemic review of randomized controlled trials on complementary and alternative medicine treatments in fibromyalgia. Rheumatol Int. 2009;30(1):1-21. Disclosure of Interest None Declared
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Efficacy of Shiatsu on pain, sleep, anxiety, balance confidence level and quality of life in individuals with fibromyalgia: a controlled clinical trial
Universidade de São Paulo, 2012Co-Authors: Susan Lee King YuanAbstract:Introdução: A fibromialgia é uma desordem reumatológica comum que compromete significativamente a qualidade de vida. Caracteriza-se por dor crônica generalizada e limiar de dor diminuído, associados normalmente a sintomas e comorbidades, como sono não reparador, distúrbios de equilíbrio e ansiedade. Dentre as modalidades de tratamento, vem crescendo o uso das terapias alternativas e complementares, porém mais evidências são necessárias. O objetivo principal deste estudo foi avaliar o efeito do Shiatsu na dor, qualidade de sono, ansiedade, nível de confiança no equilíbrio e qualidade de vida relacionada à saúde de indivíduos com fibromialgia. Método: participaram do estudo 34 sujeitos na faixa etária de 33 a 62 anos, divididos em: Grupo Shiatsu (GS; n=17), que realizou 16 sessões de Shiatsu corporal com duração de 50 minutos, duas vezes por semana, e Grupo Controle (GC; n=17), que recebeu orientações educativas através de uma cartilha. Os grupos foram avaliados na linha de base, após 4 e 8 semanas, quanto a: intensidade da dor pela Escala Visual Analógica (EVA), limiar de dor pela dolorimetria, qualidade de sono pelo Índice de Qualidade de Sono de Pittsburgh (IQSP), ansiedade pelo Inventário de Ansiedade Traço-Estado, confiança no equilíbrio pela Escala de Confiança no Equilíbrio em Atividades Específicas (Escala ABC) e qualidade de vida pelo Questionário de Impacto da Fibromialgia (QIF). Resultados: por regressão logística, verificou-se que o tratamento de oito semanas com Shiatsu está associado à melhora na EVA (p=0,043), limiar de dor (p=0,014), IQSP (p=0,006), Escala ABC (p=0,026) e QIF (p=0,016). Todas essas variáveis também apresentaram ganho percentual relativo clinicamente importante (EVA: 40,6%; limiar de dor: 76,4%; IQSP: 34,4%; Escala ABC: 44,2%; QIF: 22,3%). Não foram observadas melhoras estatisticamente significantes ou clinicamente relevantes para a ansiedade. Conclusão: o Shiatsu foi eficaz para melhorar a dor, qualidade de sono, confiança no equilíbrio e qualidade de vida de sujeitos com fibromialgia.Introduction: Fibromyalgia is a common rheumatological disorder that greatly impairs quality of life. It is characterized by chronic widespread pain and decreased pain threshold, normally associated with symptoms and comorbidities, such as non-restorative sleep, balance disorders and anxiety. Among treatment modalities, the use of complementary and alternative therapies is increasing, but more evidence is needed. The main objective of this study was to evaluate the effect of Shiatsu in pain, sleep quality, anxiety, balance confidence level and health-related quality of life of individuals with fibromyalgia. Methods: 34 subjects aged 33 to 62 years participated in this study and were divided into: Shiatsu Group (SG; n=17), which received 16 sessions of full-body Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), which received Educational Guidance through a booklet. Groups were assessed at baseline, after 4 and 8 weeks, regarding: pain intensity by Visual Analogue Scale (VAS), pain threshold by dolorimetry, sleep quality by Pittsburgh Sleep Quality Index (PSQI), anxiety by State-Trait Anxiety Inventory, balance confidence level by Activities-specific Balance Confidence Scale (ABC Scale) and quality of life by the Fibromyalgia Impact Questionnaire (FIQ). Results: by logistic regression, it was found that the eight-week treatment with Shiatsu was associated with improvements in VAS (p=0.043), pain threshold (p=0.014), PSQI (p=0.006), ABC Scale (p=0.026) and FIQ (p=0.016). All these variables also presented clinically important relative percentage changes (VAS: 40.6%; pain threshold: 76.4%; PSQI: 34.4%; ABC Scale: 44.2%; FIQ: 22.3%). There were no statistically significant or clinically relevant improvements for anxiety. Conclusion: Shiatsu was effective for improving pain, sleep quality, balance confidence and quality of life of subjects with fibromyalgia
Ana Assumpcao Berssaneti - One of the best experts on this subject based on the ideXlab platform.
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thu0492 hpr the effectiveness of shiatsu on pain sleep quality and balance confidence of fibromyalgia patients a controlled clinical trial
Annals of the Rheumatic Diseases, 2013Co-Authors: Susan Lee King Yuan, Ana Assumpcao Berssaneti, Amelia Pasqual MarquesAbstract:Background Fibromyalgia is a painful musculoskeletal disorder that compromises function and quality of life. Studies show that no single treatment is completely effective in all patients and many of them seek complementary and alternative medicine. However its evidence is still insufficient. Objectives This clinical trial aimed to verify the effectiveness of Shiatsu (Japanese massage technique) in the improvement of pain, sleep quality and balance confidence of fibromyalgia patients. Methods This study involved 34 women aged 33 to 62 years, divided into two groups: Shiatsu Group (SG; n=17), which received 16 sessions of Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), who received Educational Guidance through a booklet. Both groups were evaluated before and after 8 weeks. The following instruments were used: Visual Analog Pain Scale, Dolorimeter, Pittsburgh Sleep Quality Index and Activities-Specific Balance Confidence Scale. Intergroup statistical analysis was performed using the t-test for data sets with normal distribution and the same variance and Mann-Whitney Rank Sum Test for data sets without normal distribution or equal variance. The significance level was α=0.05. Results At baseline, both groups were similar for all variables. After eight weeks, SG showed statistically significant improvement in pain (p=0.015), tender point pain threshold (p Conclusions The results indicate that the Shiatsu technique is effective in improving pain, tenderness and sleep quality in fibromyalgia patients. References Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment Strategy in Fibromyalgia Syndrome: Where Are We Now? Semin Arthritis Rheum. 2008;37(6):353-65. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16-21. Baranowsky J, Klose P, Musial F, Hauser W, Dobos G, Langhorst J. Qualitative systemic review of randomized controlled trials on complementary and alternative medicine treatments in fibromyalgia. Rheumatol Int. 2009;30(1):1-21. Disclosure of Interest None Declared
Thierry Berthet - One of the best experts on this subject based on the ideXlab platform.
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any room for deliberation Educational Guidance in french schools
Critical Policy Studies, 2013Co-Authors: Thierry BerthetAbstract:This article aims at studying school Guidance from a policy analysis point of view. Based on the observation of French Educational Guidance practices, it discusses Thomas Risse’s logic of arguing thesis. Through focusing on the room left for deliberation within the micro decision-making process that is Educational Guidance in France, this analysis sets out to reveal the constraints that press upon a mechanism for, and a logic of, deliberation. Based upon a quantitative and qualitative study carried out in the Aquitaine region, it concludes that this procedure ultimately only rarely results in practices of debate that go beyond formalist commitments to open and equitable argumentation.
Ann Louise Kinmonth - One of the best experts on this subject based on the ideXlab platform.
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journeys and pathways exploring the role of professional development advice and Educational Guidance for practitioners expressing interest in research
Medical Education, 2001Co-Authors: Hilarie Bateman, Ann Louise KinmonthAbstract:Background Recent policy reports highlight the need to increase the number of primary care practitioners with academic experience, research skills and higher level qualifications. Various courses, training schemes and awards are available but it is not clear what advice and support might best assist practitioners to access and successfully pursue such opportunities. Aim To understand and document the professional development support needs of primary care practitioners who wish to develop their own paths forward in research. Method A research adviser based in the Unit of General Practice, University of Cambridge invited enquiries on any aspect of research activity from practitioners. Summaries of contacts, enquiries and other relevant issues were prepared on a monthly basis. Through the process of offering help and through reflexive engagement with the summaries we sought to understand and document practitioner support needs. Findings Many enquiries from practitioners concerned professional development. Practitioners requested help before embarking on a new course of action and during the course of their progress along a chosen track. The advice required went beyond the provision of information about the opportunities which existed and often evolved into a mentoring relationship. The impact of the advice offered can be viewed in terms of contribution to the journey of the individual practitioner and contribution to nationally recognized strategic aims. Conclusion The need for professional development advice and Educational Guidance for those interested in research may be more widespread than appreciated. If this need is to be successfully addressed we should consider the skills and expertise required of advisers and the specific outcomes to be anticipated from their roles.