Appropriate duration for massage to increase peripheral blood flow and skin temperature of foot
Main Article Content
Abstract
Background: Massage is a popular technique to increase peripheral blood flow. However, no evidence that compared appropriate massage duration for improving peripheral blood flow.
Objectives: To investigate the immediate effects of massage at various time points on peripheral blood flow and skin temperature of foot.
Methods: The study is a time series research design. Thirty healthy volunteers aged 21.97±1.07 years received the Swedish massage at right lower leg and foot for 40 minutes in controlled-temperature room at 24-26°c. Ankle systolic blood pressure of Dorsalis pedis (aSBPd) and Posterior tibial artery (aSBPp), ankle brachial index (ABI), and skin temperature (T) of foot were measured before massage and every 10 minutes. Data were analyzed by one-way repeated measure ANOVA and Bonferoni test, except aSBPd and aSBPp were analyzed by Friedman test and Wilcoxon signed rank test.
Results: The time effect of massage was significantly detected on aSBPd (p = 0.001), aSBPp (p = 0.024) and ABI (p=0.002,), but not on a foot skin temperature. The aSBPd and aSBPp at 20, 30, and 40 minutes during massage significantly increased when compared to before massage while ABI significantly increased than before massage just only at 20 and 30 minutes during massage (P<0.01).
Conclusion: Massage (discontinuously or pause every 10 minutes) for 20 minutes or more may increase peripheral blood flow to the foot by increase the blood pressure gradient.
Article Details
References
2. Lind L, Lithell H. Decreased peripheral blood flow in the pathogenesis of the metabolic syndrome comprising hypertension, hyperlipidemia, and hyperinsulinemia. Am Heart J 1993;125(5):1494-7.
3. Cheing GL-Y, Sun J, Kwan RL-C, Zheng Y. The potential influence of diabetic history on peripheral blood flow in superficial skin. Microvasc Res 2013; 90: 112–6.
4. Cunningham JE, Kelechi T, Sterba K, Barthelemy N, Falkowski P, Chin SH. Case report of a patient with chemotherapy-induced peripheral neuropathy treated with manual therapy (massage). Support Care Cancer 2011; 19: 1473-6.
5. Kim JO, Kim IS. Effects of aroma self-foot reflexology massage on stress and immune responses and fatigue in middle-aged women in rural areas. Journal of Korean Academy of Nursing 2012; 42: 709-18.
6. .Aourell M, Skoog M, Carleson J. Effects of Swedish massage on blood pressure. Complement Ther Clin Pract 2005; 11: 242-6.
7. Ejindu A. The effects of foot and facial massage on sleep induction, blood pressure, pulse and respiratory rate: crossover pilot study. Complement Ther Clin Pract 2007; 13: 266-75.
8. Lapanantasin S, Songkhropol Y, Ritsamret N, Jamjuree S. Immediate effects of massage, Buerger-Allen exercise and weight bearing exercise on peripheral blood flow and skin temperature of foot in young adults. Thai Journal of Physical Therapy 2016; 38: 14-22. (In Thai)
9. WOCN® Clinical Practice Wound Subcommittee, 2005 Updated/Revised: WOCN® Wound Committee, 2010-2011. Ankle brachial index: quick reference guide for clinicians. J Wound Ostomy Continence Nurs 2012; 39 (2 Suppl): S21-9.
10. Boonsinsukh P. Manual therapy. Bangkok: SP Printing. 2009. (In Thai)
11. Nelson NL. Massage therapy: understanding the mechanisms of action on blood pressure: a
scoping review. J Am Soc Hypertens 2015; 9: 785-93.
12. Diego MA, Field T. Moderate pressure massage elicits a parasympathetic nervous system response. Int J Neurosci 2009; 119: 630-8.
13. Cassar M-P. Handbook of massage therapy: a complete guide for the student and professional massage therapist. Oxford; Boston: Butterworth-Heinemann; 1999.
14. Goats GC. Massage--the scientific basis of an ancient art: part 2 physiological and therapeutic effects. Br J Sports Med 1994; 28:153-6.
15. Kunikata H, Watanabe K, Miyoshi M, Tanioka T. The effects measurement of hand massage by the autonomic activity and psychological indicators. J Med Invest 2012; 59(1-2): 206-12.
16. Eguchi E, Funakubo N, Tomooka K, Ohira T, Ogino K, Tanigawa T. The effects of aroma foot massage on blood pressure and anxiety in Japanese community-dwelling men and women: a crossover randomized controlled trial. PLoS One 2016; 11(3): e0151712.