Reflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial.

2.50
Hdl Handle:
http://hdl.handle.net/10541/54053
Title:
Reflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial.
Authors:
Mackereth, Peter A; Booth, Catherine; Hillier, Valerie F; Caress, Ann-Louise
Abstract:
PURPOSE: To compare the effects of reflexology and progressive muscle relaxation training for people with multiple sclerosis, provided by nurse therapists, on psychological and physical outcomes. METHODS: A crossover design was chosen with a 4-week break between treatment phases. The Short Form 36 and General Health Questionnaire 28 were completed by patients (n=50) pre and post each of the 6-week treatment phases. Salivary cortisol levels, State Anxiety Inventory, systolic and diastolic blood pressure and heart rate data were collected pre and post the weekly sessions. RESULTS: All of the chosen measures except for three SF-36 scales recorded significant changes, however, despite the 4-week break (washout period), most outcome measures did not return to their pre-treatment baseline levels. This meant that the analysis of the data was complicated by significant effects involving ordering of treatment occurring for eight of the variables (one from SF-36, two from the GHQ, SAI, Salivary Cortisol, Systolic BP and HR). However, there was a difference in the State Anxiety Inventory values between the treatments of the order of 1.092 units (95%CI 0.211-1.976) (p=0.016, Wilks lambda=0.885, df=1, 48) in favour of reflexology. Changes in salivary cortisol comparing levels pre 1st to post 6th session favoured reflexology (95%CI 0.098-2.644) (p=0.037, Wilks lambda=0.912, df=1, 48). A significant difference was found in the way the treatments affected change in systolic blood pressure following sessions; this favoured progressive muscle relaxation training (p=0.002, Wilks lambda=0.812, df=1, 48). CONCLUSION: Positive effects of both treatments following sessions and over the 6 weeks of treatment are reported, with limited evidence of difference between the two treatments, complicated by ordering effects.
Affiliation:
Christie Hospital NHS Trust, University of Derby (Buxton campus), Rehabilitation Unit, Wilmslow Road, Manchester M20 4BX, UK. peter.mackereth@christie.nhs.uk
Citation:
Reflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial. 2009, 15 (1):14-21notComplement Ther Clin Pract
Journal:
Complementary Therapies in Clinical Practice
Issue Date:
Feb-2009
URI:
http://hdl.handle.net/10541/54053
DOI:
10.1016/j.ctcp.2008.07.002
PubMed ID:
19161949
Type:
Article
Language:
en
ISSN:
1873-6947
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMackereth, Peter A-
dc.contributor.authorBooth, Catherine-
dc.contributor.authorHillier, Valerie F-
dc.contributor.authorCaress, Ann-Louise-
dc.date.accessioned2009-03-11T09:36:31Z-
dc.date.available2009-03-11T09:36:31Z-
dc.date.issued2009-02-
dc.identifier.citationReflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial. 2009, 15 (1):14-21notComplement Ther Clin Practen
dc.identifier.issn1873-6947-
dc.identifier.pmid19161949-
dc.identifier.doi10.1016/j.ctcp.2008.07.002-
dc.identifier.urihttp://hdl.handle.net/10541/54053-
dc.description.abstractPURPOSE: To compare the effects of reflexology and progressive muscle relaxation training for people with multiple sclerosis, provided by nurse therapists, on psychological and physical outcomes. METHODS: A crossover design was chosen with a 4-week break between treatment phases. The Short Form 36 and General Health Questionnaire 28 were completed by patients (n=50) pre and post each of the 6-week treatment phases. Salivary cortisol levels, State Anxiety Inventory, systolic and diastolic blood pressure and heart rate data were collected pre and post the weekly sessions. RESULTS: All of the chosen measures except for three SF-36 scales recorded significant changes, however, despite the 4-week break (washout period), most outcome measures did not return to their pre-treatment baseline levels. This meant that the analysis of the data was complicated by significant effects involving ordering of treatment occurring for eight of the variables (one from SF-36, two from the GHQ, SAI, Salivary Cortisol, Systolic BP and HR). However, there was a difference in the State Anxiety Inventory values between the treatments of the order of 1.092 units (95%CI 0.211-1.976) (p=0.016, Wilks lambda=0.885, df=1, 48) in favour of reflexology. Changes in salivary cortisol comparing levels pre 1st to post 6th session favoured reflexology (95%CI 0.098-2.644) (p=0.037, Wilks lambda=0.912, df=1, 48). A significant difference was found in the way the treatments affected change in systolic blood pressure following sessions; this favoured progressive muscle relaxation training (p=0.002, Wilks lambda=0.812, df=1, 48). CONCLUSION: Positive effects of both treatments following sessions and over the 6 weeks of treatment are reported, with limited evidence of difference between the two treatments, complicated by ordering effects.en
dc.language.isoenen
dc.subjectReflexologyen
dc.subjectRelaxation Trainingen
dc.subjectMultiple Sclerosisen
dc.subjectProgressive Muscle Relaxationen
dc.subjectMuscle Relaxationen
dc.subjectMSen
dc.titleReflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial.en
dc.typeArticleen
dc.contributor.departmentChristie Hospital NHS Trust, University of Derby (Buxton campus), Rehabilitation Unit, Wilmslow Road, Manchester M20 4BX, UK. peter.mackereth@christie.nhs.uken
dc.identifier.journalComplementary Therapies in Clinical Practiceen
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