Reflexology and Neuropathy
Symptom management and self-care for peripheral neuropathy in HIV/AIDS.
Nicholas PK, Kemppainen JK, Canaval GE, Corless IB, Sefcik EF, Nokes KM, Bain CA, Kirksey KM, Eller LS, Dole PJ, Hamilton MJ, Coleman CL, Holzemer WL, Reynolds NR, Portillo CJ, Bunch EH, Wantland DJ, Voss J, Phillips R, Tsai YF, Mendez MR, Lindgren TG, Davis SM, Gallagher DM.
Peripheral neuropathy is the most common neurological complication in HIV and is often associated with antiretroviral therapy. As part of a larger study on self-care for symptoms in HIV disease, this study analyzed the prevalence and characteristics of peripheral neuropathy in HIV disease, sociodemographic and disease-related correlates and self-care strategies. A convenience sample of 1,217 respondents was recruited from data collection sites in several US cities, Puerto Rico, Colombia and Taiwan. Results of the study indicated that respondents with peripheral neuropathy (n=450) identified 20 self-care behaviors including complementary therapies, use of medications, exercise and rest and/or elevation of extremities. Ratings of frequency and effectiveness were also included. An activities checklist summarized into five categories of self-care behaviors including activities/thoughts, exercise, medications, complementary therapies and substance was used to determine self-care behaviors. Taking a hot bath was the most frequent strategy used by those with peripheral neuropathy (n=292) and received the highest overall rating of effectiveness of any self-management strategies included in this study at 8.1 (scale 1-10). Other self-care strategies to manage this symptom included: staying off the feet (n=258), rubbing the feet with cream (n=177), elevating the feet (n=236), walking (n=262), prescribed anti-epileptic agent (n=80), prescribed analgesics (n=84), over-the-counter medications (n=123), vitamin B (n=122), calcium supplements (n=72), magnesium (n=48), massage (n=156), acupuncture (n=43), reflexology (n=23) and meditation (n=80). Several behaviors that are often deemed unhealthy were included among the strategies reported to alleviate peripheral neuropathy including use of marijuana (n=67), cigarette smoking (n=139), drinking alcohol (n=81) and street drugs (n=30).
Plantar pressure in Chinese patients with diabetes
"Chinese Journal of Diabetes>> 2002 05 Zhang Jianhua, Zhang Mu-hun, Gang Yuan
Understanding of the purpose of the Chinese people with diabetes to change the dynamic plantar pressure and its relationship with peripheral neuropathy. The use of methods developed by the dynamic plantar pressure measurement, detection of 58 normal people (C), 75 patients had no significant peripheral neuropathy Diabetes (DM group) and 30 patients with peripheral neuropathy in diabetic patients (DN), the site of the dynamic plantar pressure. Outcome of the 3 groups had no significant difference between the average weight of [C group (64 ± 10) kg; DM group (66 ± 12) kg: DN group (64 ± 11) kg, P> 0.05]. DN group average peak pressure for foot (3.71 ± 0.79) kg/cm2, significantly higher than that of DM group [(3.00 ± 0.80) kg/cm2, P <0.001] and the c group [(2.84 ± 0.57) kg/cm2, p <0.001]. dm group c with the average peak pressure enough there was no significant difference (p = 0.055). DN group with the C group, arch Pressure [(0.49 ± 0.23) kg/cm2 ratio (0.60 ± 0.28) kg/cm2, P = 0.037] and 2 toe pressure [(0.66 ± 0.21) kg/cm2 ratio (0.73 ± 0.32) kg/cm2, P = 0.048] decreased significantly, No. 2 in the first metatarsal pressure increased [(3.01 ± 0.78) kg/cm2 ratio (2.36 ± 0.63) kg/cm2, P <0.001]. Conclusions of the peripheral neuropathy in diabetic patients with foot pressure on the dynamic changes in arch And reduce the pressure on the toe, the first metatarsal foot peak pressure and abnormally high pressure, may increase the risk of foot ulcers.
Diabetes Mellitus: Peripheral Blood Circulation and Peripheral Neuropathy
PURPOSE: This study was done to investigate the effect of self-foot reflexology on peripheral blood circulation, peripheral neuropathy and to determine the feasibility of self-foot reflexology as a nursing intervention. METHOD: This was nonequivalent control pretest-posttest study with 76 patients with type 2 diabetes mellitus (ages between 40-79) recruited from public health centers in Busan city. Intervention was a 6 week (2 days per week at research center, 5 days at home) self-foot reflexology (Preparation of 15 minute foot soak followed by 15 work on each foot), and outcome variables were peripheral blood circulation and peripheral neuropathy (tactile response to monofilament, intensity of symptoms of peripheral neuropathy). ANCOVA was used to do the statistical analysis. A .05 significance level was set for evaluating the effects of self-foot reflexology. RESULTS: The self-foot reflexology was relatively effective not only in reducing peripheral neuropathy(especially tingling sensation and pain) but also in improving ability to sense the 10-g force monofilament. CONCLUSION: Even though self-foot reflexology was not effective in improving peripheral circulation, it had good effect on improving peripheral neuropathy. Therefore self-foot reflexology can be used as a nursing intervention program for promoting foot care for patients with DM patients.
Diabetes: Peripheral neuropathy
Objective To investigate the foot massage for diabetic peripheral neuropathy (DPN) in the treatment. Methods 60 cases of diabetic peripheral neuropathic pain change were randomly divided into intervention and control groups of 30 cases of the control group to be conventional diet, exercise, drop A sugar processing and cobalt ammonium 1000 ?? intravenous day, the intervention group, in addition to dealing with the control group, and to Chinese medicine foot a day, a month for a course of treatment. compared between the two groups before and after treatment clinical symptoms and the common peroneal nerve tibial nerve motor nerve conduction velocity (MNCV) and the superficial peroneal nerve sensory nerve conduction velocity (SNCV). result of the intervention group and the control group and the common peroneal nerve MNCV tibial nerve and superficial peroneal nerve SNCV after treatment than before treatment significantly increased compared with the control group, the intervention group of clinical symptoms after treatment significant efficiency and total efficiency were significantly higher (P <0.001), after treatment intervention group and the common peroneal nerve, and the tibial nerve and superficial peroneal nerve mncv the sncv significantly higher. conclusions of the joint chinese foot massage is the treatment of diabetic peripheral neuropathy pain of a simple and effective method, it is clinical. zhang jing hui, wong fung hair, liu xinhua, zhou yi hui, liu ouyang, "foot massage treatment of 60 patients with diabetic peripheral neuropathy effect ofŠ "observation of effect of applying foot soak and massage to 60 patients with diabetic peripheral neuropathy," chinese nursing journal, 2007 07
Diabetes: Peripheral neuropathy
Objective To observe the effect of the bath and hand-foot-point massage treatment of diabetic peripheral neuropathy (DPN) results. Methods 82 cases were divided into two groups, the control group using conventional drug treatment, observation group in the conventional drug treatment on the basis of the use of Chinese medicine bath and hand-foot-point massage of the 12 weeks of treatment, and effects. result of the efficient observation group (81.0%) than the control group (52.5%, P <0.05) between nerve conduction velocity has improved after treatment ( p <0.05), and the improvement of the observation group than the control group (p <0.05). medicine bath and hand-foot-acupressure for the department of diabetic peripheral neuropathy rehabilitation better than purely western medicine. "chinese ministry of bath and hand-foot-point massage treatment of diabetic peripheral neuropathy in 42 casesŠ" "effect of medicated bath plus acupoint massage on limbs in treating 42 patients with diabetic peripheral neuropathy effect of medicated bath plus acupoint massage on limbs in treating 42 patients with diabetic peripheral neuropathy" (journal of integrative medicine in china) chinese journal of integrated traditional and western medicine, 2006, no. 11