FOR HELSEPERSONELL (og andre spesielt interesserte)

DaiKai Wellness Retreat skal være et “pusterom i hverdagen”, en opplevelse utenom det vanlige, en hjelp til å senke skuldrene og finne igjen roen etter en stressfylt tid. DaiKai’s massasjer er primært forebyggende, anti-stress, avslapning, og velvære. I tillegg til selve den fysiske berøringen ved massasje er også lav bakgrunnsmusikk og lyden av rislende vann, duften av aromatiske oljer, stille og vakre omgivelser og vennlig kundeservice viktige faktorer som påvirker hele opplevelsen og effekten av massasjen.

Vårt “wellness” formål er å hjelpe mennesker til å ha en livsstil som gjør at de kan ta godt vare på seg selv og holde seg friske. Vi tilbyr ikke å helbrede eller reparere allerede oppståtte sykdommer eller skader. DaiKai vil aldri anbefale massasje som alternativ til konvensjonell medisinsk behandling for de som allerede er syke eller har skader. I mange tilfeller, kan imidlertid massasje være komplementær behandling i samråd med og etter anbefaling fra lege, og slike pasienter er da selvfølgelig også hjertelig velkomne til DaiKai.

Såvidt vi kan se så er kosthold og fysisk aktivitet de klart viktigste påvirkbare faktorene i en sunn livsstil for å øke sannsynligheten for et langt liv med god helse. Massasje kommer lenger ned på listen, men kan for mange gi et viktig bidrag til et bedre liv på forskjellige måter.

EVIDENSBASERT MASSASJE

DaiKai har som mål å tilby massasjer som er trygge og mest mulig evidensbaserte. “Primum non nocere” gjelder også for massasje, det vil si først av alt sikre at man ikke gjør noe som kan være til skade. Det er ekstremt sjelden av noen blir skadet av normal massasje, men det er likevel viktig at massasjeterapeuten kjenner til de situasjoner der massasje kan være kontraindikert. Alle DaiKai’s terapeuter har solid utdannelse (flertallet har bachelor grad i fysioterapi og tilleggsutdannelse i massasje), og lang erfaring. Med en stab på ca 30 terapeuter på samme sted og omkring 30 000 utførte behandlinger per år er vi antagelig også Norges største fagmiljø for massasje.

Hva vet vi egentlig om effektene av massasje?. Foreligger det solide forskningsresultater om effektene av massasje?

DaiKai’s terapeuter og ledelse følger med løpende så godt vi kan på det som publiseres av forskningsresultater om massasje. Vi er fascinert av hvor mye plastisitet menneskekroppen har og hvor stor effekt livsstil har på helse og velvære. Generelt gjelder det fortsatt at selv om det er gjort mange studier på effekter av massasje er de fleste studiene små og ikke veldig solide. Så det er ofte vanskelig å trekke noen helt klare og entydige konklusjoner. Vi har imidlertid blitt positivt overrasket flere ganger over nye studier som gir indikasjoner på at massasje kan benyttes til mange formål og på områder som ikke har vært studert tidligere.

Vi har derfor lyst til å dele noen linker nedenfor fra PubMed til artikler vi har funnet som vi tror kan være interessante og relevante for helsepersonell som interesserer seg for massasje. Som “evidensbasert massasje entusiaster” så må vi jo innrømme at det er vanskelig for oss på DaiKai å være helt objektive når det gjelder å vurdere studier om massasje, men så veldig feil tror vi ikke vi skal ta. Og hvis det (svært usannsynlige) skulle skje at nye resultater skulle indikere at noen av våre massasjer ikke synes å bidra til å gjøre livet bedre for våre kunder så ville vi umiddelbart slutte å tilby dem og bruke våre ressurser og tid på andre måter. Både terapeuter og alle andre ansatte i DaiKai tar selvfølgelig massasje regelmessig selv.

Samleoversikt

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467308/
T. Fields (Ph.D.) ved Touch Research Institute, University of Miami School of Medicine, har publisert i 2014 en samleoversikt over status for forskning på massasje:
Complement Ther Clin Pract. 2014 Nov;20(4):224-9. doi: 10.1016/j.ctcp.2014.07.002. Epub 2014 Aug 1.
Massage therapy research review.
Field,T.
Author information
Touch Research Institute, University of Miami Medical School, USA; Fielding Graduate University, USA. Electronic address: tfield@med.miami.edu.
Abstract
Moderate pressure massage has contributed to many positive effects including increased weight gain in preterm infants, reduced pain in different syndromes including fibromyalgia and rheumatoid arthritis, enhanced attentiveness, reduced depression and enhanced immune function (increased natural killer cells and natural killer cell activity).Surprisingly, these recent studies have not been reviewed, highlighting the need for the current review. When moderate and light pressure massage have been compared in laboratory studies, moderate pressure massage reduced depression, anxiety and heart rate, and it altered EEG patterns, as in a relaxation response. Moderate pressure massage has also led to increased vagal activity and decreased cortisol levels. Functional magnetic resonance imaging data have suggested that moderate pressure massage was represented in several brain regions including the amygdala, the hypothalamus and the anterior cingulate cortex, all areas involved in stress and emotion regulation. Further research is needed to identify underlying neurophysiological and biochemical mechanisms associated with moderate pressure massage. Copyright © 2014 Elsevier Ltd. All rights reserved.

Ryggsmerter

https://www.ncbi.nlm.nih.gov/pubmed/19561560
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Spine (Phila Pa 1976). 2009 Jul 15;34(16):1669-84. doi: 10.1097/BRS.0b013e3181ad7bd6.
Massage for low back pain: an updated systematic review within the framework of the Cochrane Back Review Group.
Furlan AD1, Imamura M, Dryden T, Irvin E.
Author information
Abstract
STUDY DESIGN:
Systematic Review.
OBJECTIVES:
To assess the effects of massage therapy for nonspecific low back pain.
SUMMARY OF BACKGROUND DATA:
Low back pain is one of the most common and costly musculoskeletal problems in modern society. Proponents of massage therapy claim it can minimize pain and disability, and speed return to normal function.
METHODS: We searched MEDLINE, EMBASE, CINAHL from their beginning to May 2008. We also searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, issue 3), HealthSTAR and Dissertation abstracts up to 2006. There were no language restrictions. References in the included studies and in reviews of the literature were screened. The studies had to be randomized or quasi-randomized trials investigating the use of any type of massage (using the hands or a mechanical device) as a treatment for nonspecific low back pain. Two review authors selected the studies, assessed the risk of bias using the criteria recommended by the Cochrane Back Review Group, and extracted the data using standardized forms. Both qualitative and meta-analyses were performed.
RESULTS: Thirteen randomized trials were included. Eight had a high risk and 5 had a low risk of bias. One study was published in German and the rest in English. Massage was compared to an inert therapy (sham treatment) in 2 studies that showed that massage was superior for pain and function on both short- and long-term follow-ups. In 8 studies, massage was compared to other active treatments. They showed that massage was similar to exercises, and massage was superior to joint mobilization, relaxation therapy, physical therapy, acupuncture, and self-care education. One study showed that reflexology on the feet had no effect on pain and functioning. The beneficial effects of massage in patients with chronic low back pain lasted at least 1 year after the end of the treatment. Two studies compared 2 different techniques of massage. One concluded that acupuncture massage produces better results than classic (Swedish) massage and another concluded that Thai massage produces similar results to classic (Swedish) massage.
CONCLUSION: Massage might be beneficial for patients with subacute and chronic nonspecific low back pain, especially when combined with exercises and education. The evidence suggests that acupuncture massage is more effective than classic massage, but this need confirmation. More studies are needed to confirm these conclusions, to assess the impact of massage on return-to-work, and to determine cost-effectiveness of massage as an intervention for low back pain.

https://www.ncbi.nlm.nih.gov/pubmed/28340086
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Pain Med. 2017 Mar 14. doi: 10.1093/pm/pnw347. [Epub ahead of print]
Real-World Massage Therapy Produces Meaningful Effectiveness Signal for Primary Care Patients with Chronic Low Back Pain: Results of a Repeated Measures Cohort Study.
Elder WG1, Munk N2, Love MM1, Bruckner GG3, Stewart KE1, Pearce K1.
Author information
Abstract
OBJECTIVE.:
 While efficacy of massage and other nonpharmacological treatments for chronic low back pain is established, stakeholders have called for pragmatic studies of effectiveness in "real-world" primary health care. The Kentucky Pain Research and Outcomes Study evaluated massage impact on pain, disability, and health-related quality of life for primary care patients with chronic low back pain. We report effectiveness and feasibility results, and make comparisons with established minimal clinically important differences.
METHODS.:
 Primary care providers referred eligible patients for 10 massage sessions with community practicing licensed massage therapists. Oswestry Disability Index and SF-36v2 measures obtained at baseline and postintervention at 12 and 24 weeks were analyzed with mixed linear models and Tukey's tests. Additional analyses examined clinically significant improvement and predictive patient characteristics.
RESULTS.:
 Of 104 enrolled patients, 85 and 76 completed 12 and 24 weeks of data collection, respectively. Group means improved at 12 weeks for all outcomes and at 24 weeks for SF-36v2's Physical Component Summary and Bodily Pain Domain. Of those with clinically improved disability at 12 weeks, 75% were still clinically improved at 24 weeks ( P  CONCLUSIONS.:  Results provide a meaningful signal of massage effect for primary care patients with chronic low back pain and call for further research in practice settings using pragmatic designs with control groups.

Skuldersmerter

https://www.ncbi.nlm.nih.gov/pubmed/28603376
Format:
Abstract
J Phys Ther Sci. 2017 May;29(5):936-940. doi: 10.1589/jpts.29.936. Epub 2017 May 16.
Effectiveness of massage therapy for shoulder pain: a systematic review and meta-analysis.
Yeun YR1.
Abstract
[Purpose] This study performed an effect-size analysis of massage therapy for shoulder pain. [Subjects and Methods] The database search was conducted using PubMed, CINAHL, Embase, PsycINFO, RISS, NDSL, NANET, DBpia, and KoreaMed. The meta-analysis was based on 15 studies, covering a total of 635 participants, and used a random effects model. [Results] The effect size estimate showed that massage therapy had a significant effect on reducing shoulder pain for short-term efficacy (SMD: -1.08, 95% CI: -1.51 to -0.65) and for long-term efficacy (SMD: -0.47, 95% CI: -0.71 to -0.23). [Conclusion] The findings from this review suggest that massage therapy is effective at improving shoulder pain. However, further research is needed, especially a randomized controlled trial design or a large sample size, to provide evidence-based recommendations.

Reduksjon av ettervirkninger etter brystkreft

https://www.ncbi.nlm.nih.gov/pubmed/28436999
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CA Cancer J Clin. 2017 May 6;67(3):194-232. doi: 10.3322/caac.21397. Epub 2017 Apr 24.
Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment.
Greenlee H1,2, DuPont-Reyes MJ3, Balneaves LG4, Carlson LE5, Cohen MR6,7, Deng G8, Johnson JA9, Mumber M10, Seely D11,12, Zick SM13,14, Boyce LM15, Tripathy D16.
Author information
Abstract
Answer questions and earn CME/CNE Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided. CA Cancer J Clin 2017;67:194-232. © 2017 American Cancer Society. © 2017 American Cancer Society.

10-dagers intensivt helsefremmende program inkludert massasje

Kintensive 10-day health promotion program significantly reduced body weight, body mass index, triglyceride, total cholesterol, low-density lipoprotein cholesterol, blood glucose, and the homeostasis model assessment of insulin resistance. At the same time, participants demonstrated increased back muscle, leg muscle, and grip strength; waist and shoulder flexibility; balance; and cardiorespiratory endurance. CONCLUSIONS The intensive 10-day health promotion program is a viable intervention for improving body composition, physical fitness, glycemic control, and blood lipid levels in young adults.
PMID: 28399076 PMCID: PMC5398424
Free PMC Article
Hvis noen har lyst til å få organisert en gruppe for å gjennomføre et slikt 10-dagers program i Norge så ta kontakt med DaiKai på daikai@daikai.no så vil vi gjerne bistå med å organisere dette.

Artritt

https://www.ncbi.nlm.nih.gov/pubmed/28177937
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Am J Phys Med Rehabil. 2017 Feb 7. doi: 10.1097/PHM.0000000000000712. [Epub ahead of print]
Massage Therapy for Pain and Function in Patients With Arthritis: A Systematic Review of Randomized Controlled Trials.
Nelson NL1, Churilla JR.
Author information
Abstract
BACKGROUND:
Massage therapy is gaining interest as a therapeutic approach to managing osteoarthritis and rheumatoid arthritis symptoms. To date, there have been no systematic reviews investigating the effects of massage therapy on these conditions.
DESIGN:
Systematic review was used.
OBJECTIVES:
The primary aim of this review was to critically appraise and synthesize the current evidence regarding the effects of massage therapy as a stand-alone treatment on pain and functional outcomes among those with osteoarthritis or rheumatoid arthritis.
METHODS:
Relevant randomized controlled trials were searched using the electronic databases Google Scholar, MEDLINE, and PEDro. The PEDro scale was used to assess risk of bias, and the quality of evidence was assessed with the GRADE approach.
RESULTS:
This review found seven randomized controlled trials representing 352 participants who satisfied the inclusion criteria. Risk of bias ranged from four to seven. Our results found low- to moderate-quality evidence that massage therapy is superior to nonactive therapies in reducing pain and improving certain functional outcomes. It is unclear whether massage therapy is more effective than other forms of treatment.
CONCLUSIONS:
There is a need for large, methodologically rigorous randomized controlled trials investigating the effectiveness of massage therapy as an intervention for individuals with arthritis.

Øyne - hornhinnen

https://www.ncbi.nlm.nih.gov/pubmed/28471879
En studie som undersøkte kortsiktige effekter av øyelokk-massasje
Format: Abstract
Optom Vis Sci. 2017 Jun;94(6):700-706. doi: 10.1097/OPX.0000000000001076.
Investigating the Short-term Effect of Eyelid Massage on Corneal Topography.
Riede-Pult BH1, Evans K, Pult H.
Abstract
PURPOSE:
The aim of this study was to evaluate the short-term effect of eyelid massage, after the use of warm compresses, on corneal topography.

METHODS:
Corneal topography was evaluated on 20 subjects (mean age, 47.0 [SD ±17.3] years) using the Oculus Keratograph (Oculus, Wetzlar, Germany). Corneal eccentricity (Epsilon) was compared between topography measurements before eyelid warming (using warm compresses) (T1), after eyelid warming (T2), directly after eyelid massage (T3), and 30 minutes after eyelid massage (T4). Differences in corneal eccentricity between the enrolment measurement (T1) and consecutive measurements (T1-4) were analyzed. The contralateral eye-treated by warm compresses, but not by eyelid massage-was the control. Visual acuity (decimal), bulbar conjunctival hyperemia, and corneal staining (Cornea and Contact Lens Research Unit grading scale) were evaluated at T1 and T4 to assess clinical safety.


RESULTS:
No significant differences were found between consecutive eccentricity measurements overall and with the central radii (repeated-measures analysis of variance, P > .238 (massaged eyelid: Epsilon T1: 0.48 [95% confidence interval, ±0.07], T2: 0.49 [±0.05], T3: 0.49 [±0.06], T4: 0.48 [±0.06]; horizontal radii T1: 7.76 [±0.13] mm, T2: 7.74 [±0.13] mm, T3: 7.75 [±0.13] mm, T4: 7.76 [±0.13] mm; vertical radii T1: 7.56 [±0.12] mm, T2: 7.55 [±0.10] mm, T3: 7.54 [±0.10] mm, T4: 7.58 [±0.11] mm). Decimal visual acuity significantly improved at the end of the study (massaged eyelid: T1: 1.1 [±0.1]; T4: 1.3 [±0.1]; P < .032). No significant differences were detected between the consecutive evaluation of corneal staining (Wilcoxon test; P > .285). Redness was not significantly different between time points (repeated-measures analysis of variance; P = .187) in the colateral eyes. Hyperemia was significantly reduced in the massaged eyes (T1: 2.0 grade units [±0.3]; T4: 1.9 [±0.3]; P = .021).

CONCLUSIONS:
Eyelid warming followed by eyelid massage appears to be a safe procedure, without any clinically relevant short-term effects on the cornea.