본문 바로가기
KERD
논문KCI 등재

취침 전 전신 근육이완 마사지가 수면과 피로에 미치는 영향

Effects of Electrical Automatic Massage of Whole Body at Bedtime on Sleep and Fatigue

0

조회

0

다운로드

6

인용

0

참고문헌

키워드

초록

Objectives: To investigate the effect of electrical automatic massage (EAM) at bedtime on sleep quality and fatigue. Methods: We recruited consecutively 35 adults (23 male, 48.7±8.07 y) who complained of poor sleep (Pittsburgh Sleep Quality Index≥5) and fatigue (Chalder Fatigue Scale≥4). This is a cross over study including two consecutive sleep studies with or without EAM. The EAM session includes preset ‘sleep mode’, which last 30 minutes covering whole body. Participants were seated in the commercially available massage chair (REX-L®) under the calm and dim light condition immediately before polysomnography. Participants reported perceived sleep latency, sleep duration, and fatigue using visual analogue scale following morning. Results: Polysomnography parameters and subjective reports were compared between sleep with EAM and sleep without EAM. Paired comparison on average revealed sleep structure improvement N1 (13.6→10.9%) and N2 sleep (59.3→57.2%) decreased, and N3 sleep increased (3.0→6.4%), as well as sleep latency (10.3→5.6 min). Improvement in arousal index (17.1→13.0/h) and apnea-hypopnea index (9.1→7.0/h) were also seen following sleep after EAM. Sleep efficiency and total sleep time were not changed by EAM. Participants subjective reports also indicated better sleep on EAM; more lengthened sleep (306→330 minutes) and more relieved fatigue significantly after EAM. Conclusions: This study demonstrated that muscle relaxation through EAM at bedtime may improve the sleep and alleviate fatigue. It suggests that EAM may be one of alternatives to promote sleep quality. Further studies in a clinical setting are warranted to support this finding.

Abstract

Objectives: To investigate the effect of electrical automatic massage (EAM) at bedtime on sleep quality and fatigue. Methods: We recruited consecutively 35 adults (23 male, 48.7±8.07 y) who complained of poor sleep (Pittsburgh Sleep Quality Index≥5) and fatigue (Chalder Fatigue Scale≥4). This is a cross over study including two consecutive sleep studies with or without EAM. The EAM session includes preset ‘sleep mode’, which last 30 minutes covering whole body. Participants were seated in the commercially available massage chair (REX-L®) under the calm and dim light condition immediately before polysomnography. Participants reported perceived sleep latency, sleep duration, and fatigue using visual analogue scale following morning. Results: Polysomnography parameters and subjective reports were compared between sleep with EAM and sleep without EAM. Paired comparison on average revealed sleep structure improvement N1 (13.6→10.9%) and N2 sleep (59.3→57.2%) decreased, and N3 sleep increased (3.0→6.4%), as well as sleep latency (10.3→5.6 min). Improvement in arousal index (17.1→13.0/h) and apnea-hypopnea index (9.1→7.0/h) were also seen following sleep after EAM. Sleep efficiency and total sleep time were not changed by EAM. Participants subjective reports also indicated better sleep on EAM; more lengthened sleep (306→330 minutes) and more relieved fatigue significantly after EAM. Conclusions: This study demonstrated that muscle relaxation through EAM at bedtime may improve the sleep and alleviate fatigue. It suggests that EAM may be one of alternatives to promote sleep quality. Further studies in a clinical setting are warranted to support this finding.

참고문헌 (36)

  1. "Sleep disorder, 2015"[URL]
  2. Goats GC, "Massage--the scientific basis of an ancient art: part 2. Physiological and therapeutic effects", Br J Sports Med, 28, pp.153~156 (1994)
  3. Hachul H, "The beneficial effects of massage therapy for insomnia in postmenopausal women", Sleep Sci, 7, pp.114~116 (2014)
  4. Field T, "Massage therapy research review", Complement Ther Clin Pract, 24, pp.19~31 (2016)
  5. 한미숙, "등마사지가 위암 수술 환자의 통증 정도, 상태불안 및 수면의 질에 미치는 효과", Asian Oncology Nursing, 12(1), pp.69~76 (2012), 대한종양간호학회
  6. 김기봉, "안마의자 시장 현황 및 IT를 융합한 미래 기술 분석", 한국융합학회논문지, 6(3), pp.29~36 (2015), 한국융합학회[DOI]
  7. Iber C, "The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications" (2007), American Academy of Sleep Medicine
  8. Chalder T, "Development of a fatigue scale", J Psychosom Res, 37, pp.147~153 (1993)
  9. Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16, pp.803~812 (2012)
  10. Buysse DJ, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
  11. Johns MW, "A new method for measuring daytime sleepiness: the Epworth sleepiness scale", Sleep, 14, pp.540~545 (1991)
  12. Bastien CH, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", Sleep Med, 2, pp.297~307 (2001)
  13. Gooneratne NS, "Complementary and alternative medicine for sleep disturbances in older adults", Clin Geriatr Med, 24, pp.121~138 (2008)
  14. Morin CM, "Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors", Sleep Med, 7, pp.123~130 (2006)
  15. Sood A, "Use of complementary and alternative medicine treatments by patients with obstructive sleep apnea hypopnea syndrome", J Clin Sleep Med, 3, pp.575~579 (2007)
  16. Hwang E, "Effectiveness of non-pharmacological intervention for insomnia: a systematic review and meta-analysis", Indian J Sci Technol, 9, pp.1~9 (2016)
  17. Field T, "Massage therapy", Med Clin North Am, 86, pp.163~171 (2002)
  18. Baglioni C, "Sleep changes in the disorder of insomnia: a meta-analysis of polysomnographic studies", Sleep Med Rev, 18, pp.195~213 (2014)
  19. Oliveira D, "Effect of massage in postmenopausal women with insomnia: a pilot study", Clinics (Sao Paulo), 66, pp.343~346 (2011)
  20. Nissen C, "Sleep-related memory consolidation in primary insomnia", J Sleep Res, 20(1 Pt 2), pp.129~136 (2011)
  21. Walker MP, "Sleep, memory and emotion", Prog Brain Res, 185, pp.49~68 (2010)
  22. Choi SJ, "Sleep misperception in chronic insomnia patients with obstructive sleep apnea syndrome: implications for clinical assessment", J Clin Sleep Med, 12, pp.1517~1525 (2016)
  23. Lee KA, "Validity and reliability of a scale to assess fatigue", Psychiatry Res, 36, pp.291~298 (1991)
  24. Hall M, "Psychological stress is associated with heightened physiological arousal during NREM sleep in primary insomnia", Behav Sleep Med, 5, pp.178~193 (2007)
  25. American Academy of Sleep Medicine, "The International Classification of sleep disorders: diagnostic and coding manual", American Academy of Sleep Medicine, ~ (2005)
  26. Lee W, "Epidemiology of obstructive sleep apnea: a population-based perspective", Expert Rev Respir Med, 2, pp.349~364 (2008)
  27. Joo EY, "Localized cortical thinning in patients with obstructive sleep apnea syndrome", Sleep, 36, pp.1153~1162 (2013)
  28. Rodgers ZB, "Cerebral metabolic rate of oxygen in obstructive sleep apnea at rest and in response to breath-hold challenge", J Cereb Blood Flow Metab, 36, pp.755~767 (2016)
  29. Somers VK, "Sympathetic-nerve activity during sleep in normal subjects", N Engl J Med, 328, pp.303~307 (1993)
  30. Carlson JT, "Augmented resting sympathetic activity in awake patients with obstructive sleep apnea", Chest, 103, pp.1763~1768 (1993)
  31. Narkiewicz K, "The sympathetic nervous system and obstructive sleep apnea: implications for hypertension", J Hypertens, 15(12 Pt 2), pp.1613~1619 (1997)
  32. Goya TT, "Increased muscle sympathetic nerve activity and impaired executive performance capacity in obstructive sleep apnea", Sleep, 39, pp.25~33 (2016)
  33. Engleman HM, "Improving CPAP use by patients with the sleep apnoea", hypopnoea syndrome (SAHS), 2003, pp.7, 81~99
  34. Aurora RN, "Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults", Sleep, 33, pp.1408~1413 (2010)
  35. Phillips CL, "Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial", Am J Respir Crit Care Med, 187, pp.879~887 (2013)
  36. Wang W, "Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients", Sleep Breath, 16, pp.1049~1057 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (5건)