acupressure
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Acupressure is an alternative medicine technique often used in conjunction with
acupuncture 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 scientif ...
or
reflexology 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 ...
. It is based on the concept of life energy, which flows through "meridians" in the body. In treatment, physical pressure is applied to
acupuncture point 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 scientif ...
s, or ashi
trigger points Myofascial trigger points (MTrPs), also known as trigger points, are described as hyperirritable spots in the skeletal muscle. They are associated with palpable nodules in taut bands of muscle fibers. They are a topic of ongoing controversy, a ...
, with the aim of clearing blockages in these meridians. Pressure may be applied by hand, by elbow, or with various devices. Although some medical studies have suggested that acupressure may be effective at helping manage nausea and vomiting,
insomnia Insomnia, also known as sleeplessness, is a sleep disorder in which people have trouble sleeping. They may have difficulty falling asleep, or staying asleep as long as desired. Insomnia is typically followed by daytime sleepiness, low energy, ...
,
low back pain Low back pain (LBP) 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 feel ...
, migraines, and
constipation Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement ...
, among other things, such studies have been found to have a high likelihood of
bias Bias is a disproportionate weight ''in favor of'' or ''against'' an idea or thing, usually in a way that is closed-minded, prejudicial, or unfair. Biases can be innate or learned. People may develop biases for or against an individual, a group ...
. 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. Acupoints used in treatment may or may not be in the same area of the body as the targeted symptom. The
traditional Chinese medicine Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China. It has been described as "fraught with pseudoscience", with the majority of its treatments having no logical mechanism of acti ...
(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 Yin may refer to: *the dark force in the yin and yang from traditional Chinese philosophy and medicine *Yīn (surname) (), a Chinese surname *Yǐn (surname) (), a Chinese surname *Shang dynasty, also known as the Yin dynasty **Yinxu or Yin, the S ...
,
yang Yang may refer to: * Yang, in yin and yang, one half of the two symbolic polarities in Chinese philosophy * Korean yang, former unit of currency of Korea from 1892 to 1902 * YANG, a data modeling language for the NETCONF network configuration ...
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 Qinna () is the set of joint lock techniques used in the Chinese martial arts to control or lock an opponent's joints or muscles/tendons so they cannot move, thus neutralizing the opponent's fighting ability. ''Qinna Shu'' ( meaning "technique") ...
,
tui na ''Tui na'' (; ) is form of alternative medicine similar to shiatsu. As a branch of traditional Chinese medicine, it is often used in conjunction with acupuncture, moxibustion, fire cupping, Chinese herbalism, tai chi or other Chinese intern ...
). The points or combinations of points are said to be used to manipulate or incapacitate an opponent. Also, 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.


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." 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." 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". Another
Cochrane Collaboration Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health profess ...
review found that massage provided some long-term benefit for
low back pain Low back pain (LBP) 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 feel ...
, 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." An acupressure wristband that is claimed to relieve the symptoms of
motion sickness Motion sickness occurs due to a difference between actual and expected motion. Symptoms commonly include nausea, vomiting, cold sweat, headache, dizziness, tiredness, loss of appetite, and increased salivation. Complications may rarely include de ...
and other forms of
nausea Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. While not painful, it can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the ...
provides pressure to the P6 acupuncture point, a point that has been extensively investigated. The
Cochrane Collaboration Cochrane (previously known as the Cochrane Collaboration) is a British international charitable organisation formed to organise medical research findings to facilitate evidence-based choices about health interventions involving health profess ...
reviewed the use of P6 for nausea and vomiting, and found it to be effective for reducing post-operative nausea, but not vomiting. 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 A bandolier or a bandoleer is a pocketed belt for holding either individual bullets, or belts of ammunition. It is usually slung sash-style over the shoulder and chest, with the ammunition pockets across the midriff and chest. Though functiona ...
said that P6 in two studies showed 52% of patients with control having a success, compared with 75% with P6.
Quackwatch Quackwatch is a United States-based website, self-described as a "network of people" founded by Stephen Barrett, which aims to "combat health-related frauds, myths, fads, fallacies, and misconduct" and to focus on "quackery-related information th ...
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." Clinical use of acupressure frequently relies on the conceptual framework of
traditional Chinese medicine Traditional Chinese medicine (TCM) is an alternative medical practice drawn from traditional medicine in China. It has been described as "fraught with pseudoscience", with the majority of its treatments having no logical mechanism of acti ...
. There is no physically verifiable anatomical or
histological Histology, also known as microscopic anatomy or microanatomy, is the branch of biology which studies the microscopic anatomy of biological tissues. Histology is the microscopic counterpart to gross anatomy, which looks at larger structures vis ...
basis for the existence of
acupuncture point 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 scientif ...
s or meridians. Quoted by Proponents reply that TCM is a
prescientific system __NOTOC__ In the philosophy of science, there are several definitions of protoscience. Its simplest meaning (most closely reflecting its roots of ''proto-'' + ''science'') involves the earliest eras of the history of science, when the scientific m ...
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). Trials using placebo have not demonstrated any statistically significant effect but concluded that acupressure is safe to use along with conventional treatment.


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.


See also

*
Reflexology 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 ...
*
Shiatsu ''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 ...
, a Japanese form of acupressure massage * List of acupuncture points


References


External links

{{Pseudoscience, state=autocollapse Acupuncture Manual therapy