The 캐나다 밤알바 aim of this systematic review is thus to analyse evidence of therapeutic massage in improving motor function, spasticity, activities of daily living, anxiety, pain, balance, gait, stroke disability, and quality of life of adults who have had stroke. The major findings from this systematic review and meta-analysis are that Chinese therapeutic massage (Tuina) combined with usual physical therapy is an effective technique to improve motor function and decrease spasticity in stroke survivors, particularly at the subacute phase. According to studies, therapeutic massage is effective for improving mood, creating feelings of enjoyment, and decreasing major adverse events and injuries in patients suffering from cancer , para-athletes , certain neurological conditions like Parkinsons , in patients suffering from dementia , and in post-stroke constipation .
Gentle massage can also support recovery from stroke and enhance muscle function. The long, sliding, circular frictions of Swedish massage may aid in improving muscular coordination and mobility. Similarly, massage may help with hypotonia, a weak point that occurs in stroke patients, where the muscles have diminished in tone quickly from being used.
Massage is great at decreasing muscle hypertone, which may result in stiffness and pain in some stroke patients. Massage in areas affected by stroke may decrease pain and spasticity through improved flexibility and posture. Recent scientific studies show that stroke patients feel increased mobility and reduced pain and depression when they are massaged, potentially decreasing dependence on medications.
While each stroke is different, there are a number of common effects that occur with a stroke, and massage therapy can support stroke patients in many ways that can help with recovery, including potentially improving overall function and re-education of muscles, decreasing pain, aches, and inflammation, increasing range of motion and strengthening muscles, decreasing spasticity and water retention, and improving mental health. A broad spectrum of treatments may be used to help improve disabilities following a stroke, including physical therapy, occupational therapy, and massage therapy.
With the right practitioners, integration of massage therapy with other post-stroke care may speed up the recovery process and promote complete mental-body well-being in survivors. In addition to the techniques in slow-strike massage, the clients recovery can be helped with the use of a familiar complementary therapy, such as reflexology, aromatherapy, or shiatsu.
Beginning this type of stroking therapy (neuromassage) also allows a client to become used to how massage feels, encouraging relaxation, especially if it is a first time experience. Any person suffering from a neurological movement disorder may be benefited both physically and psychologically from a therapeutic massage, which can also help to enhance their mood and general energy levels. Getting a massage after suffering from stroke can not only provide relief from depression, but it can reduce the chance that an individual will experience another stroke.
Among many beneficial effects massage has on individuals after having a stroke is improved blood circulation. The results from this review suggest a positive effect, since massage reduced anxiety among people with a stroke. Although definitive studies proving the effectiveness of massage for stroke prevention or reduction are likely absent, it has been shown to have positive effects on prognostic factors, such as improved circulation and decreased stress and blood pressure.
While research remains all-inclusive, there is some evidence that suggests some types of massage can positively impact the reduction in spasticity. There are many different forms of massage, and an individual might respond better to one type of massage technique over another. If the patient can afford massage regularly, that can have benefits, but there is not enough research to be able to tell you which massage type is best.
It is absolutely critical that massage therapists know the right techniques to use with specific patients, so that not only do they deliver the best possible relief, but that they also avoid inflicting injuries. I should emphasize, though, that the stroke patient must be cleared by their doctor to receive massage, and one must select a massage therapist who has medical training and prior experience working with stroke patients.
Although massage therapy cannot offer a treatment for stroke, as part of a multidisciplinary approach working alongside a number of other therapists, massage therapy may provide the benefits described above, which may be of considerable value to a stroke patients rehabilitation process. Whilst neuro-massage cannot provide a cure for paralysis and immobility caused by a stroke, these benefits have the potential to make a significant positive difference for a patient and his or her overall life.
Kalyani Premkumar, M.D., in her book, Pathology A-Z–A Manual for Massage Therapists, suggests that the essential goals for stroke patients are to resolve joint rigidity, reduce muscle spasticity, decrease changes to skin, resolve changes to posture, and re-educate clients movement patterns through improved sensory stimulation.
Remedial massage techniques may be applied to the affected areas to decrease stiffness, and to resolve specific muscular contractions in order to increase range of motion. Using a variety of massage techniques when manipulating affected muscles encourages blood flow, regenerative muscle tissue, and increases range of movement for patients. The researchers speculate that these findings would support post-stroke massage therapy to improve sensory-motor functions, enhance motor skills, reduce anxiety and physiological stress, and enhance general health and quality of life.
As one study from 2004 indicates, slow-stroke massage reduced two factors that are probably most critical for recovery from stroke: pain and anxiety. In the 2004 study, the Department of Nursing at Hong Kong Polytechnic University, Wong Chuk Hang Hospital, in Hung Hom, Lowerloon, Hong Kong, found that slow-stroke massage for older stroke patients who were treated for anxiety and shoulder pain led to significant reductions in pain, anxiety, blood pressure, and heart rate. Studies have shown that performing a gentle massage to stroke survivors helps to enhance their memory and prevents them from developing a brain disorder such as dementia or Alzheimers.
Adding aromatherapy and a foot bath to treatments for stroke patients showed benefits like decreased stress, better mood, and increased sleep satisfaction of stroke patients (even more so than patients who received massage alone), according to research published August 2017 in The Journal of Physical Therapy Science.