Foot massage and physiological stress in people with dementia: a randomized controlled trial
Open accessAbstract
BACKGROUND: The anxiety associated with unfamiliar surroundings, the disorientation and mental confusion, and the social isolation that accompanies dementia can often create increased stress for people living in long-term care settings. Such a response is thought to affect the autonomic nervous system and result in emotional and physical symptoms of distress that may be manifested as agitation. There is the potential for such distress to influence the physiological response and in particular Blood Pressure and Heart Rate. A relaxation intervention such as massage may influence the physiological stress response. METHODS: This randomized controlled trial aimed to compare the effect of foot massage (FM) versus a control activity (quiet presence, QP) on physiological stress response (i.e., blood pressure [BP] and heart rate [HR]) in people living with moderate-to-severe dementia in long-term-care settings. RESULTS: Fifty-three residents were randomized to intervention (10-minute FM) or control group (QP). While the FM group experienced a greater reduction in HR than the control group, these reductions were not significantly different between groups (p=0.83; see Table 1 ), or across time (p=0.46). Both groups experienced a reduction in systolic BP and diastolic BP, while the mean reduction in systolic BP was greater for those in the FM group. CONCLUSIONS: While the findings do not provide strong support for FM, the finding that both conditions allowed the person with dementia to rest in the presence of another human being is of importance in the care of people with dementia. The close presence of another person may in fact promote relaxation and therefore improve BP and HR measures.
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Evidence suggests that massage and touch may relax older people with dementia.
“Evidence suggests that massage and touch may relax older people with dementia, reduce some BPSD, such as pacing, wandering and resisting care, improve appetite, sleep and communication problems, and, to some extent, counteract cognitive decline (244–250).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [249]
Evidence suggests that massage and touch may reduce some BPSD, such as pacing, wandering and resisting care.
“Evidence suggests that massage and touch may relax older people with dementia, reduce some BPSD, such as pacing, wandering and resisting care, improve appetite, sleep and communication problems, and, to some extent, counteract cognitive decline (244–250).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [249]
Evidence suggests that massage and touch may to some extent counteract cognitive decline.
“Evidence suggests that massage and touch may relax older people with dementia, reduce some BPSD, such as pacing, wandering and resisting care, improve appetite, sleep and communication problems, and, to some extent, counteract cognitive decline (244–250).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [249]
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- Authors
- Moyle, W., Cooke, M. L., Beattie, E., Shum, D. H. K., O'Dwyer, S. T., Barrett, S., & Sung, B.
- Affiliations
- Griffith University (AU)
- Queensland University of Technology (AU)
- Griffith Health Institute, Griffith University, Brisbane, Australia.
- Corresponding author
- Moyle, Wendy
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2014-04
- Volume
- 20
- Issue
- 4
- Pages
- 305-311
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- PMC
- PMC3994911
- OpenAlex
- W1983351081
- Cited by
- 44
- References
- 36
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 11 · 2021: 1 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 1
- FWCI
- 4.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by-nc-nd)
- Griffith Research Online (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Funders
- Medical Research Council
- National Health and Medical Research Council (597415)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Keywords
- foot massage, dementia, physiological stress response, blood pressure, heart rate, long-term care residents, relaxation intervention, agitation, autonomic nervous system, social presence
- MeSH terms
- Aged, Aged, 80 and over, Blood Pressure, Dementia, Female, Foot, Heart Rate, Humans, Long-Term Care, Male, Massage, Stress, Psychological
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