Acupressure

Last updated
Acupuncture point LI-4 (Hegu), known in Chinese as He Gu  (hegu) Acupuncture point Hegu (LI 4).jpg
Acupuncture point LI-4 (Hegu), known in Chinese as 合谷 (hégǔ)

Acupressure is an alternative medicine technique often used in conjunction with acupuncture or reflexology. It is based on the concept of life energy, which flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points, or ashi trigger points, with the aim of clearing blockages in these meridians. Pressure may be applied by hand, by elbow, or with various devices. [1]

Contents

Although some medical studies have suggested that acupressure may be effective at helping manage nausea and vomiting, insomnia, low back pain, migraines, and constipation, among other things, such studies have been found to have a high likelihood of bias. [2] There is no reliable evidence for the effectiveness of acupressure.

Background

Acupressure therapy was prevalent in India. After the spread of Buddhism to China, the acupressure therapy was also integrated into common medical practice in China and it came to be known as acupuncture. Scholars note these similarities because the major points of Indian acupressure and Chinese acupuncture are similar to each other. [3] [4]

Acupoints used in treatment may or may not be in the same area of the body as the targeted symptom. The traditional Chinese medicine (TCM) theory for the selection of such points and their effectiveness is that they work by stimulating the meridian system to bring about relief by rebalancing yin, yang and qi (also spelled "chi").

Many East Asian martial arts also make extensive study and use of acupressure for self-defense and health purposes, (chin na, tui na). The points or combinations of points are said to be used to manipulate or incapacitate an opponent. Some martial artists regularly massage their own acupressure points in routines to remove supposed blockages from their own meridians, claiming to thereby enhance their circulation and flexibility and keeping the points "soft" or less vulnerable to an attack. [1]

Effectiveness

A 2011 systematic review of 43 studies of acupressure's effectiveness at treating symptoms found that the nature of these 43 studies "indicated a significant likelihood of bias." [2] Thirty-five of the 43 studies had concluded that acupressure was effective at treating certain symptoms. The authors of this systematic review concluded that this "review of clinical trials from the past decade did not provide rigorous support for the efficacy of acupressure for symptom management. Well-designed, randomized controlled studies are needed to determine the utility and efficacy of acupressure to manage a variety of symptoms in a number of patient populations." [2]

A 2011 Cochrane review of four trials using acupuncture and nine studies using acupressure to control pain in childbirth concluded that "acupuncture or acupressure may help relieve pain during labour, but more research is needed". [5] Another Cochrane Collaboration review found that massage provided some long-term benefit for low back pain, and stated: "It seems that acupressure or pressure point massage techniques provide more relief than classic (Swedish) massage, although more research is needed to confirm this." [6]

An acupressure wristband that is claimed to relieve the symptoms of motion sickness and other forms of nausea provides pressure to the P6 acupuncture point, a point that has been extensively investigated. [7] The Cochrane Collaboration reviewed the use of P6 for nausea and vomiting, and found it to be effective for reducing post-operative nausea, but not vomiting. [8] The Cochrane review included various means of stimulating P6, including acupuncture, electro-acupuncture, transcutaneous nerve stimulation, laser stimulation, acustimulation device and acupressure; it did not comment on whether one or more forms of stimulation were more effective; it found low-quality evidence supporting stimulation of P6 compared with sham, with 2 out of 59 trials having low risk of bias. EBM reviewer Bandolier said that P6 in two studies showed 52% of patients with control having a success, compared with 75% with P6. [9]

Quackwatch includes acupressure in a list of methods which have no "rational place" as massage therapy and states that practitioners "may also use irrational diagnostic methods to reach diagnoses that do not correspond to scientific concepts of health and disease." [10]

Clinical use of acupressure frequently relies on the conceptual framework of traditional Chinese medicine. There is no physically verifiable anatomical or histological basis for the existence of acupuncture points or meridians. [11] Proponents reply that TCM is a prescientific system that continues to have practical relevance. Acupuncturists tend to perceive TCM concepts in functional rather than structural terms (e.g., as being useful in guiding evaluation and care of patients). [12] Trials using placebo have not demonstrated any statistically significant effect but concluded that acupressure is safe to use along with conventional treatment. [7] [13] [14]

Instruments

There are several different instruments for applying nonspecific pressure by rubbing, rolling, or applying pressure on the reflex zones of the body. The acuball is a small ball made of rubber with protuberances that is heatable. It is used to apply pressure and relieve muscle and joint pain. The energy roller is a small cylinder with protuberances. It is held between the hands and rolled back and forth to apply acupressure. The foot roller (also "krupa chakra") is a round, cylindrical roller with protuberances. It is placed on the floor and the foot is rolled back and forth over it. The power mat (also pyramid mat) is a mat with small pyramid-shaped bumps that you walk on. The spine roller is a bumpy roller containing magnets that is rolled up and down the spine. The Teishein is one of the original nine classical acupuncture needles described in the original texts of acupuncture. Even though it is described as an acupuncture needle it did not pierce the skin. It is used to apply rapid percussion pressure to the points being treated. [15]

See also

Related Research Articles

<span class="mw-page-title-main">Acupuncture</span> Pseudoscientific needling treatment

Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery.

<span class="mw-page-title-main">Massage</span> Manipulation of the body through stretching and pressure

Massage is the rubbing or kneading of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In European countries, a person professionally trained to give massages is traditionally known as a masseur (male) or masseuse (female). In the United States, these individuals are often referred to as "massage therapists". In some provinces of Canada, they are called "registered massage therapists."

<span class="mw-page-title-main">Back pain</span> Area of body discomfort

Back pain is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia based on the segment affected. The lumbar area is the most common area affected. An episode of back pain may be acute, subacute or chronic depending on the duration. The pain may be characterized as a dull ache, shooting or piercing pain or a burning sensation. Discomfort can radiate to the arms and hands as well as the legs or feet, and may include numbness or weakness in the legs and arms.

<i>Shiatsu</i> Japanese alternative medicine bodywork practice

Shiatsu is a form of Japanese bodywork based on concepts in traditional Chinese medicine such as qi meridians. Having been popularized in the twentieth century by Tokujiro Namikoshi (1905–2000), shiatsu derives from the older Japanese massage modality called anma.

<span class="mw-page-title-main">Fibromyalgia</span> Chronic pain of unknown cause

Fibromyalgia is a medical condition which causes chronic widespread pain, accompanied by fatigue, waking unrefreshed and cognitive symptoms. Other symptoms include headaches, lower abdominal pain or cramps, and depression. People with fibromyalgia can also experience insomnia and a general hypersensitivity.

<span class="mw-page-title-main">Dysmenorrhea</span> Pain during and sometimes before menstruation

Dysmenorrhea, also known as period pain, painful periods or menstrual cramps, is pain during menstruation. Its usual onset occurs around the time that menstruation begins. Symptoms typically last less than three days. The pain is usually in the pelvis or lower abdomen. Other symptoms may include back pain, diarrhea or nausea.

<span class="mw-page-title-main">Reflexology</span> Alternative medical practice involving pressure to parts of the body

Reflexology, also known as zone therapy, is an alternative medical practice involving the application of pressure to specific points on the feet, ears, and hands. This is done using thumb, finger, and hand massage techniques without the use of oil or lotion. It is based on a pseudoscientific system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work on the feet and hands causes a physical change to the supposedly related areas of the body.

<span class="mw-page-title-main">Peripheral neuropathy</span> Nervous system disease affecting nerves beyond the brain and spinal cord

Peripheral neuropathy, often shortened to neuropathy, refers to damage or disease affecting the nerves. Damage to nerves may impair sensation, movement, gland function, and/or organ function depending on which nerves are affected. Neuropathies affecting motor, sensory, or autonomic nerves result in different symptoms. More than one type of nerve may be affected simultaneously. Peripheral neuropathy may be acute or chronic, and may be reversible or permanent.

<span class="mw-page-title-main">Low back pain</span> Medical condition

Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. Low back pain may be classified by duration as acute, sub-chronic, or chronic. The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain. The symptoms of low back pain usually improve within a few weeks from the time they start, with 40–90% of people recovered by six weeks.

Postoperative nausea and vomiting (PONV) is the phenomenon of nausea, vomiting, or retching experienced by a patient in the post-anesthesia care unit (PACU) or within 24 hours following a surgical procedure. PONV affects about 10% of the population undergoing general anaesthesia each year. PONV can be unpleasant and lead to a delay in mobilization and food, fluid, and medication intake following surgery.

Electroacupuncture is a form of acupuncture where a small electric current is passed between pairs of acupuncture needles.

<span class="mw-page-title-main">Emotional Freedom Techniques</span> Form of pseudoscientific counseling intervention

Emotional Freedom Techniques (EFT) is a technique that stimulates acupressure points by pressuring, tapping or rubbing while focusing on situations that represent personal fear or trauma. EFT draws on various theories of alternative medicine – including acupuncture, neuro-linguistic programming, energy medicine, and Thought Field Therapy (TFT). EFT also combines elements of exposure therapy, cognitive behavioral therapy and somatic stimulation. It is best known through Gary Craig's EFT Handbook, published in the late 1990s, and related books and workshops by a variety of teachers. EFT and similar techniques are often discussed under the umbrella term "energy psychology."

<span class="mw-page-title-main">Traditional Korean medicine</span> Traditional medicine practiced in Korea

Traditional Korean medicine refers to the forms of traditional medicine practiced in Korea.

Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation. It is also used by Rolfers, massage therapists, athletic trainers, osteopaths, and physicians.

<span class="mw-page-title-main">Nabilone</span> Synthetic cannabinoid

Nabilone, sold under the brand name Cesamet among others, is a synthetic cannabinoid with therapeutic use as an antiemetic and as an adjunct analgesic for neuropathic pain. It mimics tetrahydrocannabinol (THC), the primary psychoactive compound found naturally occurring in Cannabis.

Myofascial pain syndrome (MPS), also known as chronic myofascial pain (CMP), is a syndrome characterized by chronic pain in multiple myofascial trigger points ("knots") and fascial constrictions. It can appear in any body part. Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure.

Nei guan is an acupoint, a point of the skin that is stimulated with various techniques in the practice of acupuncture. It is located on the anterior forearm, two cun above to the wrist crease, between the tendons of palmaris longus and flexor carpi radialis muscles, along the pericardium meridian.

<span class="mw-page-title-main">Neck pain</span> Medical condition

Neck pain, also known as cervicalgia, is a common problem, with two-thirds of the population having neck pain at some point in their lives.

Preventive treatment of migraine can be an important component of migraine management. Such treatments can take many forms, including everything from surgery, taking certain drugs or nutritional supplements, to lifestyle alterations such as increased exercise and avoidance of migraine triggers.

<span class="mw-page-title-main">Pain management during childbirth</span>

Pain management during childbirth is the partial treatment and a way of reducing any pain that a woman may experience during labor and delivery. The amount of pain a woman feels during labor depends partly on the size and position of her baby, the size of her pelvis, her emotions, the strength of the contractions, and her outlook. Tension increases pain during labor. Virtually all women worry about how they will cope with the pain of labor and delivery. Childbirth is different for each woman and predicting the amount of pain experienced during birth and delivery can not be certain.

References

  1. 1 2 "Diagnostic Ashi Points: A Focus on Muscle Motor Points". Pacific College. 2019-07-26. Retrieved 2020-12-27.
  2. 1 2 3 Lee EJ, Frazier SK (October 2011). "The efficacy of acupressure for symptom management: a systematic review". Journal of Pain and Symptom Management. 42 (4): 589–603. doi:10.1016/j.jpainsymman.2011.01.007. PMC   3154967 . PMID   21531533.
  3. S.V. Govindan (2000). Ayurvedic Massage: For Health and Healing. Abhinav Publications. p. 121. ISBN   9788170173939.
  4. Joseph S. Alter (2013). Asian Medicine and Globalization. University of Pennsylvania Press. p. 27. ISBN   9780812205251.
  5. Smith, Caroline A.; Collins, Carmel T.; Levett, Kate M.; Armour, Mike; Dahlen, Hannah G.; Tan, Aidan L.; Mesgarpour, Bita (7 February 2020). "Acupuncture or acupressure for pain management during labour". The Cochrane Database of Systematic Reviews. 2 (2): CD009232. doi:10.1002/14651858.CD009232.pub2. ISSN   1469-493X. PMC   7007200 . PMID   32032444.
  6. Furlan AD, Giraldo M, Baskwill A, Irvin E, Imamura M (September 2015). "Massage for low-back pain". The Cochrane Database of Systematic Reviews. 2015 (9): CD001929. doi:10.1002/14651858.CD001929.pub3. PMC   8734598 . PMID   26329399.
  7. 1 2 Dent HE, Dewhurst NG, Mills SY, Willoughby M (June 2003). "Continuous PC6 wristband acupressure for relief of nausea and vomiting associated with acute myocardial infarction: a partially randomised, placebo-controlled trial". Complementary Therapies in Medicine. 11 (2): 72–7. doi:10.1016/s0965-2299(03)00058-x. PMID   12801491.
  8. Lee A, Chan SK, Fan LT (November 2015). "Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting". The Cochrane Database of Systematic Reviews. 2016 (11): CD003281. doi:10.1002/14651858.CD003281.pub4. PMC   4679372 . PMID   26522652.
  9. "Nausea and vomiting in early pregnancy". 1999. Archived from the original on 2012-12-23.
  10. Barrett S (March 9, 2006). "Massage Therapy: Riddled with Quackery". Quackwatch. Retrieved 3 June 2013.
  11. Mann F (1996). Reinventing Acupuncture: A New Concept of Ancient Medicine. London: Butterworth Heinemann. p. 14. ... acupuncture points are no more real than the black spots that a drunkard sees in front of his eyes. Quoted by Bauer M (August 2006). "The Final Days of Traditional Beliefs? - Part One". Chinese Medicine Times. 1 (4). Archived from the original on 2009-01-22.
  12. "Acupuncture". NIH Consensus statement. National Institutes of Health: Consensus Development Conference Statement. November 1997. Archived from the original on 25 August 2011. Retrieved 30 January 2007. Despite considerable efforts to understand the anatomy and physiology of the 'acupuncture points', the definition and characterization of these points remains controversial. Even more elusive is the basis of some of the key traditional Eastern medical concepts such as the circulation of Qi, the meridian system, and the five phases theory, which are difficult to reconcile with contemporary biomedical information but continue to play an important role in the evaluation of patients and the formulation of treatment in acupuncture
  13. Colquhoun D, Novella SP (June 2013). "Acupuncture is theatrical placebo". Anesthesia and Analgesia. 116 (6): 1360–3. doi: 10.1213/ANE.0b013e31828f2d5e . PMID   23709076. S2CID   207135491.
  14. William Chi-Sing Cho (2013). Evidence-based Non-pharmacological Therapies for Palliative Cancer Care. Springer Science & Business Media. ISBN   9789400758339.
  15. Sharma R (2003). Medicina Alternativa. Alpha Science Int'l Ltd. pp. 196–200. ISBN   9781842651414 . Retrieved 2009-01-05.