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Objective Evidence for the Effectiveness of Single-session Treatment with a Spinal Thermal Massage Device: A Pilot Study

척추온열마사지기기의 1회 치료의 효과에 대한 객관적 증거: 선행 연구

  • Na, Yeong-Il (Dept. of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Kim, Si-Yun (Dept. of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Baek, Seung-Min (Dept. of Rehabilitation Medicine, Presbyterian Medical Center) ;
  • Lee, Jong-Hoo (Dept. of Rehabilitation Medicine, Presbyterian Medical Center)
  • 나영일 (전주예수병원 재활의학과) ;
  • 김시윤 (전주예수병원 재활의학과) ;
  • 백승민 (전주예수병원 재활의학과) ;
  • 이정후 (전주예수병원 재활의학과)
  • Received : 2022.09.20
  • Accepted : 2022.10.20
  • Published : 2022.10.28

Abstract

Individuals often report significant relief from pain and stress even after a single session of massage therapy; however, no previous studies have provided objective evidence supporting the effectiveness of a solitary massage therapy session. In the present study, we aimed to investigate the effectiveness of one-time treatment with a spinal thermal massage device reported to exert the same therapeutic effects as massage therapy in terms of pain reduction and stress relief. A man with chronic low back pain (LBP) underwent two rounds of experiments involving spinal massage treatment and bed rest, respectively. Pain was assessed using a visual analog scale, and heart rate variability (HRV) was measured in real-time to examine autonomic nervous system (ANS) activity. Blood samples were obtained at five points during each round of the experiment to examine changes in cortisol, epinephrine, and norepinephrine. Spinal massage significantly reduced pain and enhanced parasympathetic activity when compared with the bed rest condition. In addition, both epinephrine and norepinephrine levels were lower following spinal massage than following bed rest. These results are consistent with the reported effects of conventional massage therapy and support the effectiveness of one-time treatment using a spinal thermal massage device.

마사지 치료는 1회 치료만으로 통증을 경감시키고 스트레스를 이완시킵니다. 그러나 아직까지 1회 마사지 치료의 효과에 대한 객관적인 데이터를 확인한 연구가 없었습니다. 그래서 본 연구에서는 마사지 치료와 동일한 효과가 있는 것으로 보고된 척추 마사지 기구로 1회 치료를 실시하여 통증 경감과 스트레스 이완의 효과의 증거를 확인하고자 하였습니다. 10년 전부터 시각적상사척도 4점의 요통이 있었던 45세 남자 환자 1인을 대상으로 척추 마사지 기구를 실시한 1차 실험과 침상안정을 실시한 2차 실험을 실시하였습니다. 시각적상사척도 측정과 실시간으로 심박 변이도를 측정하여 자율신경계를 확인하였고 총 5회 혈액검사를 실시하여 스트레스 관련 혈액검사(코르티솔, 에피네프린, 노르에피네프린)를 실시하였습니다. 침상안정을 취한 2차 실험에 비해 척추 마사지 기구로 1회 치료를 받은 1차 실험에서 유의미한 통증 감소효과를 보였습니다. 또한 1차 실험에서 자율신경계 활성도 및 부교감 신경계의 활성도가 증가되어 있었으며 혈중 에피네프린과 노르에피네프린이 감소되어 있었습니다. 이것은 기존의 마사지 치료 효과와 동일한 결과이며 1회 척추 마사지 기구를 통해 얻어지는 효과의 증거라 사료됩니다.

Keywords

References

  1. Y. D. Kim, Y. S. Chang, D. H. Choi, H. J. Lee, & K. S. Tae. (2010). Evaluation of immediate effects of an electrical massager on stress relaxation using the heart rate variability (HRV). Journal of the Korean Society for Precision Engineering, 27(6), 75-81.
  2. T. Ogura, M. Tashiro, M. Masud, S. Watanuki, K. Shibuya, K. Yamaguchi, M. Itoh, H. Fukuda & K. Yanai. (2011). Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain. Alternative Therapies in Health & Medicine, 17(6), 12-7.
  3. A. Moraska, R. A. Pollini, K. Boulanger, M. Z. Brooks & L. Teitlebaum. (2010). Physiological adjustments to stress measures following massage therapy: a review of the literature. Evidence-Based Complementary and Alternative Medicine, 7(4), 409-418. DOI : 10.1093/ecam/nen029
  4. J. H. Jang, K. H. Kim & J. H. Kim. (2000). Effect of the Ceragem Master Heat Bed for Posterior Neck Pain and Low Back Pain. The Journal of Pediatrics of Korean Medicine, 14(2), 133-140.
  5. Y. H. Lee, B. N. R. Park & S. H. Kim. (2011). The effects of heat and massage application on autonomic nervous system. Yonsei medical journal, 52(6), 982-989. DOI : 10.3349/ymj.2011.52.6.982
  6. K. E. Kim, J. S. Park, I. Y. Cho, Y. S. Yoon, S. K. Park & Nam, S. Y. (2020). Use of a spinal thermal massage device for anti-oxidative function and pain alleviation. Frontiers in Public Health, 8, 493. DOI : 10.3389/fpubh.2020.00493
  7. M. V. Kamath & E. L. Fallen. (1993). Power spectral analysis of heart rate variability: a noninvasive signature of cardiac autonomic function. Critical reviews in biomedical engineering, 21(3), 245-311.
  8. J. Born, I. Ditschuneit, M. Schreiber, C. Dodt & H. L. Fehm. (1995). Effects of age and gender on pituitary-adrenocortical responsiveness in humans. European Journal of Endocrinology, 132(6), 705-711. DOI : 10.1530/eje.0.1320705
  9. B. S. Kim & J. A. Min. (2015). Utilization and interpretation of HRV in a stress clinic. Seoul : Panmun Education
  10. D. W. Lee, J. H. Park, S. N. Eom, D. W. Kim, S. H. Cho, C. Y. Ko & H. S. Kim. (2012). Effects of Combined Stimulus on Stress Relief. Journal of Biomedical Engineering Research, 33(4), 194-201. DOI : 10.9718/JBER.2012.33.4.194
  11. M. N. Murphy, M. Mizuno, J. H. Mitchell & S. A. Smith. (2011). Cardiovascular regulation by skeletal muscle reflexes in health and disease. American Journal of Physiology-Heart and Circulatory Physiology, 301(4), H1191-H1204. DOI : 10.1152/ajpheart.00208.2011
  12. C. A. Moyer, J. Rounds & J. W. Hannum. (2004). A meta-analysis of massage therapy research. Psychological bulletin, 130(1), 3. DOI : 10.1037/0033-2909.130.1.3
  13. J. P. Delaney, K. S. Leong, A. Watkins & D. Brodie. (2002). The short-term effects of myofascial trigger point massage therapy on cardiac autonomic tone in healthy subjects. Journal of advanced nursing, 37(4), 364-371. DOI : 10.1046/j.1365-2648.2002.02103.x
  14. K. Takamoto, S. Sakai, E. Hori, S. Urakawa, K. Umeno, T. Ono & H. Nishijo. (2009). Compression on trigger points in the leg muscle increases parasympathetic nervous activity based on heart rate variability. The Journal of Physiological Sciences, 59(3), 191-197. DOI : 10.1007/s12576-009-0025-y