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Amelia Pasqual Marques - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of different styles of massage therapy in fibromyalgia a systematic review and meta analysis
Manual Therapy, 2015Co-Authors: Susan Lee King Yuan, Luciana Akemi Matsutani, Amelia Pasqual MarquesAbstract:Abstract The systematic review aimed to evaluate the effectiveness of massage in fibromyalgia. An electronic search was conducted at MEDLINE, SCiELO, EMBASE, ISI, PEDro, SPORTDiscus, CINAHL, Cochrane CENTRAL and LILACS (Jan 1990–May 2013). Ten randomized and non-randomized controlled trials investigating the effects of massage alone on symptoms and health-related quality of life of adult patients with fibromyalgia were included. Two reviewers independently screened records, examined full-text reports for compliance with the eligibility criteria, and extracted data. Meta-analysis (pooled from 145 participants) shows that myofascial release had large, positive effects on pain and medium effects on anxiety and depression at the end of treatment, in contrast with placebo; effects on pain and depression were maintained in the medium and short term, respectively. Narrative analysis suggests that: myofascial release also improves fatigue, stiffness and quality of life; connective tissue massage improves depression and quality of life; manual lymphatic drainage is superior to connective tissue massage regarding stiffness, depression and quality of life; Shiatsu improves pain, pressure pain threshold, fatigue, sleep and quality of life; and Swedish massage does not improve outcomes. There is moderate evidence that myofascial release is beneficial for fibromyalgia symptoms. Limited evidence supports the application of connective tissue massage and Shiatsu. Manual lymphatic drainage may be superior to connective tissue massage, and Swedish massage may have no effects. Overall, most styles of massage therapy consistently improved the quality of life of fibromyalgia patients.
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effects of Shiatsu in the management of fibromyalgia symptoms a controlled pilot study
Journal of Manipulative and Physiological Therapeutics, 2013Co-Authors: Susan L K Yuan, Ana Assumpcao Berssaneti, Amelia Pasqual MarquesAbstract:Abstract Objectives This pilot study aimed to evaluate the potential effects of Shiatsu massage on the symptoms of adult patients with primary fibromyalgia, propose a Shiatsu treatment protocol, verify patient acceptability, and evaluate the feasibility for a larger study. Methods Thirty-four patients aged 33 to 62 years were divided into a Shiatsu group (SG; n = 17), who received full-body Shiatsu twice a week for 8 weeks, and a control group (n = 17), who received an educational booklet. The patients were assessed at baseline and after 8 weeks. Pain intensity was evaluated by the visual analog scale, pressure pain threshold by dolorimetry, anxiety by the State-Trait Anxiety Inventory, sleep by the Pittsburgh Sleep Quality Index, and symptoms impact on patient's health by the Fibromyalgia Impact Questionnaire. The SG was also questioned about adverse effects and level of satisfaction. Results After treatment, the SG presented statistically significant differences (P Conclusion This pilot study showed the potential of Shiatsu in the improvement of pain intensity, pressure pain threshold, sleep quality, and symptoms impact on health of patients with fibromyalgia. The proposed Shiatsu treatment protocol was feasible and well accepted by the patients.
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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
Hamid Haghani - One of the best experts on this subject based on the ideXlab platform.
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www.wjps.ir /Vol.3/No.2/July 2014 The Effect of Shiatsu Massage on Pain Reduction in Burn
2016Co-Authors: Fatemeh Mohaddes Ardabili, Soybeh Purhajari, Tahereh Najafi Ghezeljeh, Hamid HaghaniAbstract:BACKGROUND Burn is a tragedy that follows multiple problems in a patient including pain, anxiety and lack of confidence into medical team. This study evaluated the effect of Shiatsu massage on pain intensity of burn patients. METHODS A total of 120 burn patients from Motahhari Burn Hospital and of both genders were randomly divided into 4 groups of undergoing hand massage, leg massage, both hand and leg massages, and the control group. The effect of Shiatsu massage in pain relief of burned patients was evaluated. The visual analog scale (VAS) was used to assess pain in burn patients. RESULTS Pain intensity in the control group before and after the intervention was not statistically significant (p=1). In all massage groups, the difference for pain intensity before and after the intervention was statistically significant. CONCLUSION According to our data, Shiatsu method over both hands and legs were effective in pain reduction and can be recommended together with analgesics to decrease the dose
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www.wjps.ir /Vol.4/No.1/January 2015 The Effect of Shiatsu Massage on Underlying Anxiety in Burn Patients
2016Co-Authors: Fatemeh Mohaddes Ardabili, Soybeh Purhajari, Tahereh Najafi Ghzeljeh, Hamid HaghaniAbstract:BACKGROUND Burn patients experience high levels of predictable anxiety during dressing changes while anti-anxiety drugs cannot control these anxieties. The nurses can limit the side effects of medications by undertaking complementary therapies. Hand pressure massage was introduced as a technique that can reduce these anxieties. This study aimed to investigate the effect of hand pressure massage using Shiatsu method on underlying anxiety in burn patients. METHODS In an available randomized study, 60 burn patients with underlying pain were enrolled. They were randomly allocated in two groups of hand massage and the control. The anxiety of underlying burn pain before and after the massage was evaluated using Burn Specific Pain Anxiety Scale (BSPAS). RESULTS The difference for anxiety scores in the hand Shiatsu massage group before and after massage were statistically significant, but in the control group was not significant. CONCLUSION Based on our findings, 20 minutes of hand Shiatsu massage in conjunction with analgesic medications can be beneficial to control the anxiety of burn patients
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the effect of Shiatsu massage on underlying anxiety in burn patients
World journal of plastic surgery, 2015Co-Authors: Fatemeh Mohaddes Ardabili, Soybeh Purhajari, Tahereh Najafi Ghzeljeh, Hamid HaghaniAbstract:BACKGROUND Burn patients experience high levels of predictable anxiety during dressing changes while anti-anxiety drugs cannot control these anxieties. The nurses can limit the side effects of medications by undertaking complementary therapies. Hand pressure massage was introduced as a technique that can reduce these anxieties. This study aimed to investigate the effect of hand pressure massage using Shiatsu method on underlying anxiety in burn patients. METHODS In an available randomized study, 60 burn patients with underlying pain were enrolled. They were randomly allocated in two groups of hand massage and the control. The anxiety of underlying burn pain before and after the massage was evaluated using Burn Specific Pain Anxiety Scale (BSPAS). RESULTS
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the effect of Shiatsu massage on pain reduction in burn patients
World journal of plastic surgery, 2014Co-Authors: Fatemeh Mohaddes Ardabili, Soybeh Pourhajari, Tahereh Najafi Ghzljeh, Hamid HaghaniAbstract:BACKGROUND Burn is a tragedy that follows multiple problems in a patient including pain, anxiety and lack of confidence into medical team. This study evaluated the effect of Shiatsu massage on pain intensity of burn patients. METHODS A total of 120 burn patients from Motahhari Burn Hospital and of both genders were randomly divided into 4 groups of undergoing hand massage, leg massage, both hand and leg massages, and the control group. The effect of Shiatsu massage in pain relief of burned patients was evaluated. The visual analog scale (VAS) was used to assess pain in burn patients. RESULTS Pain intensity in the control group before and after the intervention was not statistically significant ( p=1). In all massage groups, the difference for pain intensity before and after the intervention was statistically significant. CONCLUSION
Xing Liao - One of the best experts on this subject based on the ideXlab platform.
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the evidence for Shiatsu a systematic review of Shiatsu and acupressure
BMC Complementary and Alternative Medicine, 2011Co-Authors: Nicola Robinson, Ava Lorenc, Xing LiaoAbstract:Shiatsu, similar to acupressure, uses finger pressure, manipulations and stretches, along Traditional Chinese Medicine meridians. Shiatsu is popular in Europe, but lacks reviews on its evidence-base. Acupressure and Shiatsu clinical trials were identified using the MeSH term 'acupressure' in: EBM reviews; AMED; BNI; CINAHL; EMBASE; MEDLINE; PsycARTICLES; Science Direct; Blackwell Synergy; Ingenta Select; Wiley Interscience; Index to Theses and ZETOC. References of articles were checked. Inclusion criteria were Shiatsu or acupressure administered manually/bodily, published after January 1990. Two reviewers performed independent study selection and evaluation of study design and reporting, using standardised checklists (CONSORT, TREND, CASP and STRICTA). Searches identified 1714 publications. Final inclusions were 9 Shiatsu and 71 acupressure studies. A quarter were graded A (highest quality). Shiatsu studies comprised 1 RCT, three controlled non-randomised, one within-subjects, one observational and 3 uncontrolled studies investigating mental and physical health issues. Evidence was of insufficient quantity and quality. Acupressure studies included 2 meta-analyses, 6 systematic reviews and 39 RCTs. Strongest evidence was for pain (particularly dysmenorrhoea, lower back and labour), post-operative nausea and vomiting. Additionally quality evidence found improvements in sleep in institutionalised elderly. Variable/poor quality evidence existed for renal disease symptoms, dementia, stress, anxiety and respiratory conditions. Appraisal tools may be inappropriate for some study designs. Potential biases included focus on UK/USA databases, limited grey literature, and exclusion of qualitative and pre-1989 studies. Evidence is improving in quantity, quality and reporting, but more research is needed, particularly for Shiatsu, where evidence is poor. Acupressure may be beneficial for pain, nausea and vomiting and sleep.
Susan Lee King Yuan - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of different styles of massage therapy in fibromyalgia a systematic review and meta analysis
Manual Therapy, 2015Co-Authors: Susan Lee King Yuan, Luciana Akemi Matsutani, Amelia Pasqual MarquesAbstract:Abstract The systematic review aimed to evaluate the effectiveness of massage in fibromyalgia. An electronic search was conducted at MEDLINE, SCiELO, EMBASE, ISI, PEDro, SPORTDiscus, CINAHL, Cochrane CENTRAL and LILACS (Jan 1990–May 2013). Ten randomized and non-randomized controlled trials investigating the effects of massage alone on symptoms and health-related quality of life of adult patients with fibromyalgia were included. Two reviewers independently screened records, examined full-text reports for compliance with the eligibility criteria, and extracted data. Meta-analysis (pooled from 145 participants) shows that myofascial release had large, positive effects on pain and medium effects on anxiety and depression at the end of treatment, in contrast with placebo; effects on pain and depression were maintained in the medium and short term, respectively. Narrative analysis suggests that: myofascial release also improves fatigue, stiffness and quality of life; connective tissue massage improves depression and quality of life; manual lymphatic drainage is superior to connective tissue massage regarding stiffness, depression and quality of life; Shiatsu improves pain, pressure pain threshold, fatigue, sleep and quality of life; and Swedish massage does not improve outcomes. There is moderate evidence that myofascial release is beneficial for fibromyalgia symptoms. Limited evidence supports the application of connective tissue massage and Shiatsu. Manual lymphatic drainage may be superior to connective tissue massage, and Swedish massage may have no effects. Overall, most styles of massage therapy consistently improved the quality of life of fibromyalgia patients.
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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
Andrew F Long - One of the best experts on this subject based on the ideXlab platform.
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the potential of complementary and alternative medicine in promoting well being and critical health literacy a prospective observational study of Shiatsu
BMC Complementary and Alternative Medicine, 2009Co-Authors: Andrew F LongAbstract:The potential contribution of complementary and alternative medicine (CAM) modalities to promote and support critical health literacy has not received substantial attention within either the health promotion or the CAM literature. This paper explores the potential of one CAM modality, Shiatsu, in promoting well-being and critical health literacy. Data are drawn from a longitudinal, 6 months observational, pragmatic study of the effects and experience of Shiatsu within three European countries (Austria, Spain and the UK). Client postal questionnaires included: advice received, changes made 6 months later, clients 'hopes' from having Shiatsu and features of the client-practitioner relationship. At baseline, three-quarters of clients (n = 633) received advice, on exercise, diet, posture, points to work on at home or other ways of self-care. At 6 months follow-up, about four-fifths reported making changes to their lifestyle 'as a result of having Shiatsu treatment', including taking more rest and relaxation or exercise, changing their diet, reducing time at work and other changes such as increased body/mind awareness and levels of confidence and resolve. Building on the findings, an explanatory model of possible ways that a CAM therapy could contribute to health promotion is presented to guide future research, both within and beyond CAM. Supporting individuals to take control of their self-care requires advice-giving within a supportive treatment context and practitioner relationship, with clients who are open to change and committed to maintaining their health. CAM modalities may have an important role to play in this endeavour.
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a typology of negative responses a case study of Shiatsu
Complementary Therapies in Medicine, 2009Co-Authors: Andrew F Long, Lisa Esmonde, Seamus ConnollyAbstract:Summary Objective To develop and apply a client-centred typology for classifying negative responses to a CAM therapy. Design Prospective, 6 months cohort, pragmatic study of the effects and experience of Shiatsu within three countries (Austria, Spain and the UK). Data collected via postal questionnaires, including on client-perceived negative responses. Classification of negative responses situated within a theoretical framework of Zen or Masunaga model of Shiatsu . Interventions Shiatsu as delivered by the practitioner in routine practice. Main outcome measures Prevalence of negative responses and response types. Results 633 clients provided full follow-up data, a response rate of 67%. A prevalence rate of 12–22 per 100 of client-perceived ‘negative responses' was found across the three countries. Transitional effects accounted for 82% of all the client-described ‘negative' responses. Nine clients (1.4% of the total), relating to 10 sets of written comments, reported a negative response that was classified as ‘a potentially adverse event or effect' that might represent a risk to client safety. None of these clients ceased Shiatsu . Conclusions A typology of negative responses has an important role for practitioners, clients and researchers in drawing up evidence on the safety of a therapy. For researchers and policy makers, use of such a typology informs insight into what might cause harm (that is, ‘definite' adverse events). For clients, the typology takes seriously the clients' own view. For practitioners, the typology draws on the modality's guiding theory and suggests ways to improve the delivery of treatments. Applying the typology to a cross-European prospective study of Shiatsu supports the argument of Shiatsu being inherently a safe modality.
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the effectiveness of Shiatsu findings from a cross european prospective observational study
Journal of Alternative and Complementary Medicine, 2008Co-Authors: Andrew F LongAbstract:Abstract Objective: The objective of this study was to explore client perceptions of the short-term and longer-term effects of Shiatsu. Design: The study design was a prospective, 6-month observational, pragmatic study. Setting: There were 85 Shiatsu practitioners in three countries involved in the study: Austria, Spain, and the United Kingdom. Subjects: There were 948 clients receiving Shiatsu from 1 of these practitioners. Interventions: Shiatsu as delivered by the practitioner in routine practice. Outcome measures: The outcomes measures were symptom severity, changes in health care use (baseline, 3 and 6 months), Shiatsu-specific effects, uptake of advice (3 and 6 months), achieved expectations and occurrence of adverse events (4–6 days after first session, 3 and 6 months). Results: Six hundred and thirty-three (633) clients provided full follow-up data (a response rate of 67%). A typical Shiatsu user was female, in her 40s, in paid employment, and had used Shiatsu before. At “first-ever” use, the most...
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advice giving and advice taking potential contribution of Shiatsu in promoting health and well being
European Journal of Integrative Medicine, 2008Co-Authors: Andrew F Long, S ConnollyAbstract:Background Interventions to enhance health literacy and, in particular, ways to support and enable individuals to take control of their care are central to health promotion and the delivery of healthcare. Rarely, however, is their discussion or exploration of the potential contribution of complementary and alternative medicine (CAM) modalities to this endeavour. Objective To explore the potential of one CAM therapy, Shiatsu, to enhance critical health literacy and possible mechanisms through which this occurs. Methods Prospective, 6 months cohort, pragmatic study of the effects and experience of Shiatsu within three European countries. Client postal questionnaires included: advice received at baseline, changes made (at 6 months), clients ‘hopes’ from having Shiatsu , features of the client–practitioner relationship. Results At baseline, 74–76% of clients ( n =633) received advice, on exercise, diet, posture, points to work on at home or other ways of self-care. At 6 months follow-up, 77–80% reported making changes to their lifestyle ‘as a result of having Shiatsu treatment’, including taking more rest and relaxation or exercise, changing their diet, reducing time at work and other changes such as increased body/mind awareness and levels of confidence and resolve. Clients highly valued the quality of their relationship with the practitioner. Conclusion The findings are strongly suggestive of a potentially powerful contribution of Shiatsu to critical health literacy and population health. Practice implications Supporting individuals to take control of their self-care requires advice giving within a supportive treatment context and practitioner relationship, with clients who are open to change and committed to maintaining their health. CAM modalities may have an important role to play in this endeavour.
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the effects of Shiatsu findings from a two country exploratory study
Journal of Alternative and Complementary Medicine, 2003Co-Authors: Andrew F Long, Hannah C MackayAbstract:Objectives: To provide insight into client and practitioner perceptions of the effects of Shiatsu, in the short and longer term, and positive and negative in nature. Design: A two-country, exploratory study was undertaken in the United Kingdom and Germany. In-depth interviews were undertaken with a purposive sample of 14 Shiatsu practitioners and 15 clients. Client interviews focused on the experience of Shiatsu and perceptions of its effects, both positive and negative. Practitioners were also asked about factors that enhanced or inhibited successful treatment. The taped and transcribed data were analyzed using grounded theory, assisted by NVivo (QSR, Markham, Ontario, Canada) software. To enhance generalizability, the findings from the alternative country data set were presented to a further set of practitioners in each country and as a whole to an international meeting of practitioners from seven European countries. Results: There was similarity in the perspectives of the clients and practitioners and ...