DOI QR코드

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경혈 및 경락 안마자극 프로그램이 적용된 안마의자 사용이 수면의 질에 미치는 영향

The Effect of Using Massage Chair with Acupoint and Meridian Massage Program on Sleep Disorder

  • 최수지 (동국대학교 일산한방병원 한방여성의학과, 동국대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 일산한방병원 한방여성의학과, 동국대학교 한의과대학 부인과교실)
  • Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 투고 : 2018.04.25
  • 심사 : 2018.03.16
  • 발행 : 2018.05.25

초록

Objectives: The purpose of this study was to investigate the effect of the massage program stimulating the acupuncture points and meridians on the improvement of sleep quality. Methods: 16 subjects suffering from sleep disorders were recruited and the massage program was conducted 3 times a week for a month. VAS (Visual Analog Scale) and KPSQI (Korean Pittsburgh Sleep Quality Index) were collected through questionnaires, and salivary cortisol concentration test and HRV (Heart Rate Variability) were also used to evaluate the effect. The collected data were analyzed by independent statisticians. Results: VAS and KPSQI values decreased significantly after 4 weeks of massage chair application. There was no significant difference in salivary cortisol concentration and HRV test results. In the group with normal HRV test results and salivary cortisol concentration, the change of VAS and KPSQI values was not significant, while the group with abnormal range showed a statistically significant decrease. Conclusions: The massage chair program stimulating meridians according to Korean medicine theory was effective in improving sleep quality. Massage of acupoints and meridians through a massage chair is expected to be useful as an adjunctive therapy in addition to standard Korean medicine therapy.

키워드

참고문헌

  1. Min SG, et al. Modern Psychiatry. 5th edition. Seoul:Iljogak. 2008:574-6.
  2. Morin CM, et al. The natural history of insomnia: a population-based 3-year longitudinal study. Archives of internal medicine. 2009;169(5):447-53. https://doi.org/10.1001/archinternmed.2008.610
  3. Choi WJ, et al. The present state and characteristics of sleep disorders and coexisting diseases using national health insurance data. Goyang:NHIS Research report. 2015:233-50.
  4. Shin C, et al. Prevalence of insomnia and its relationship to menopausal status in middle-aged Korean women. Psychiatry and Clinical Neurosciences. 2005;59: 395-402. https://doi.org/10.1111/j.1440-1819.2005.01391.x
  5. Ancoli-Israel S, Roth T. Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I. Sleep. 1999;22: S347-53.
  6. Sadock BJ, Sadock VA, Ruiz pedro. Kaplan & Sadock's synopsis of psychiatry : behavioral sciences/clinical psychiatry. 11th edition. Philadelphia, Pennsylvania: Wolter Kluwer/Lippincott Williams & Wilkins. 2015:1822-6.
  7. Partinene M. Sleep disorders and stress. J Psychosom Res. 1994;38(1):89-91. https://doi.org/10.1016/0022-3999(94)90139-2
  8. American Academy of Sleep Medicine. NIH State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults statement. J Clin Sleep Med. 2005;1(4):412-21.
  9. Glass J, et al. Sedative hypnotics in older people with insomnia: meta analysis of risks and benefits. Bmj. 2005;331(7526):1169. https://doi.org/10.1136/bmj.38623.768588.47
  10. Sivertsen B, et al. Sleep and sleep disorders in chronic users of zopiclone and drug-free insomniacs. J Clin Sleep Med. 2009;5(4):349-54.
  11. So UL, et al. Clinical Study on Effect of Auricular acupuncture theraphy and Auricular acupuncture theraphy with common acupuncture theraphy (Shinmun HT7) on Insomnia in stroke patients. J Acupunct Res. 2003;20(5) :38-49.
  12. Lee GE, et al. Analysis of Quantitative Electroencephalography (QEEG) Following Acupuncture Treatment in Patients with Insomnia: Z Scored Absolute Power and sLORETA. J. of Oriental Neuropsychiatry. 2016;27(3):169-84. https://doi.org/10.7231/jon.2016.27.3.169
  13. Kim YD, et al. Massage Therapy of Electrical Chair-Massager Effects on EEG Patterns. J Digital Contents Society. 2010;10(6):364-72.
  14. Moyer CA, et al. Does massage therapy reduce cortisol? A comprehensive quantitative review. J Bodyw Mov Ther. 2011;15(1):3-14. https://doi.org/10.1016/j.jbmt.2010.06.001
  15. Field T, et al. Cortisol decreases and serotonin and dopamine increase following massage therapy. Int J Neurosci. 2005;115(10):1397-413. https://doi.org/10.1080/00207450590956459
  16. Park SO, et al. Reduction Effect of Aromatherapy on Stress and Insomnia. Korean J of Rural Med. 2002;27(2) :17-26.
  17. Aloba OO, et al. Validity of the Pittsburgh Sleep Quality Index (PSQI) among Nigerian University Students. Sleep Medicine. 2007;8(3):266-70. https://doi.org/10.1016/j.sleep.2006.08.003
  18. Nader N, Chrousos GP, Kino T. Interactions of the circadian CLOCK system and the HPA axis. Trends Endocrinol Metab. 2010;21(5):277-86. https://doi.org/10.1016/j.tem.2009.12.011
  19. Woods DL, Mentes JC. Spit : Saliva in nursing research, uses and methodological considerations in older adults. Biol Res Nurs. 2011;13(3): 320-27. https://doi.org/10.1177/1099800411404211
  20. Corbett BA, et al. Variable cortisol circadian rhythms in children with autism and anticipatory stress. J Psychiatry Neurosci. 2008;33(3):227-34.
  21. Kwak MA, et al. Effect of Lavender Essential Oil on Autonomic Nervous System by Power Spectrum Analysis of Heart Rate Variability in Healthy Adults : A Randomized Controlled Trial. Korean J Intern Med. 2003; 24(3):569-78.
  22. Stein PK. Assessing heart rate variability from real-world Holter reports. Card Electrophysiol Rev. 2002;6(3):293-44.
  23. Lee S, Suh M. Exploring Subjective Stress, Sleep and Diurnal Variation of Salivary Cortisol in Korean Female Adults. J Korean Biol Nurs Sci. 2016;18(1):9-16. https://doi.org/10.7586/jkbns.2016.18.1.9
  24. Kang HW, et al. Oriental Neuropsychology. 1st edition. Seoul:Jipmoondang. 2012: 249-63.
  25. Song HS, et al. The acupuncture and moxibustion medicine. 1st edition. Paju: Jipmundang. 2014:759-60.
  26. Lee HE, Cho SH. A study on applying a Korean medical integrative program for sleep disorder. J of Oriental Neuropsychiatry. 2013;24(1):103-8. https://doi.org/10.7231/jon.2013.24.1.103
  27. Hong NJ, et al. A case report of sleep disorder with anxiety. J of the Korea institute of oriental medical informatics. 2013;19(2):29-37.
  28. Hwang JH, et al. Practical use of HRV as barometer of climacteric symptom. J Korean Obstet Gynecol. 2005;18(3):192-202.
  29. Barksdale DJ, Woods-Giscombe C, Logan JG. Stress, cortisol, and nighttime blood pressure dipping in nonhypertensive Black American women. Biol Res Nurs. 2013;15(3): 330-7. https://doi.org/10.1177/1099800411433291
  30. Choi SJ, Yun SH, Joo EY. Effects of Electrical Automatic massage of whole body at bedtime on sleep and fatigue. J sleep Med. 2017;14(1):10-7. https://doi.org/10.13078/jsm.17002
  31. Oh JJ. The effect of hand-massage on the relaxation of dementia patients. J Korean Acad Nurs. 2000;30(4): 825-35. https://doi.org/10.4040/jkan.2000.30.4.825