The effects of ear acupressure, massage therapy and no therapy on symptoms of dementia: a randomized controlled trial
Open accessAbstract
OBJECTIVE: To assess the effectiveness of ear acupressure and massage vs. control in the improvement of pain, anxiety and depression in persons diagnosed with dementia. DESIGN: A pilot randomized controlled trial. SETTING: Residential homes in Extremadura (Spain). SUBJECTS: A total of 120 elders with dementia institutionalized in residential homes. INTERVENTION: The participants were randomly allocated, in three groups. Control group - they continued with their routine activities; ear acupressure intervention group - they received ear acupressure treatment (pressure was applied to acupressure points on the ear); and massage therapy intervention group - they received relaxing massage therapy. MAIN MEASURES: The variables pain, anxiety and depression were assessed with the Doloplus2, Cornell and Campbell scales. The study was carried out during five months; three months of experimental treatment and two months with no treatment. The assessments were done at baseline, each month during the treatment and at one and two months of follow-up. In the statistical analysis the three groups were compared with each other. RESULTS: A total of 111 participants completed the study. Their aged ranged from 67 to 91 years old and 86 of them (77.4%) were women. The ear acupressure intervention group showed better improvements than the massage therapy intervention group in relation to pain and depression during the treatment period and at one month of follow-up. The best improvement in pain was achieved in the last (3rd) month of ear acupressure treatment (p < 0.001) being the average improvement 8.55 (4.39) with IC 95% (7.14, 9.95). Regarding anxiety, the best results were also observed in the last month of treatment. The average improvement in anxiety was 9.63 (5.00) with IC 95% (8.02, 11.23) CONCLUSIONS: Ear acupressure and massage therapy showed better results than the control group in relation to pain, anxiety and depression. However, ear acupressure achieved more improvements.
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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 [248]
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 [248]
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 [248]
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- Authors
- Rodríguez-Mansilla, J., González López-Arza, M. V., Varela-Donoso, E., Montanero-Fernández, J., González Sánchez, B., & Garrido-Ardila, E. M.
- Affiliations
- Universidad de Extremadura (ES)
- Department of Medical-Surgical Therapy, Extremadura University, Badajoz, Spain
- Universidad Complutense de Madrid (ES)
- Mathematics Department, Extremadura University, Badajoz, Spain
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2014-10-16
- Volume
- 29
- Issue
- 7
- Pages
- 683-693
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2121499999
- Cited by
- 68
- References
- 24
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 7 · 2022: 15 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 10 · 2017: 5 · 2016: 4 · 2015: 1 · 2014: 1
- FWCI
- 7.89
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repository University of Extremadura (University of Extremadura) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Acupuncture Treatment Research Studies
- 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
- auricular acupressure, massage, dementia, pain, anxiety, depression, older adults, institutionalized residents, complementary therapy
- MeSH terms
- Aged, Aged, 80 and over, Analysis of Variance, Anxiety, Dementia, Depression, Ear, Female, Humans, Male, Massage, Pilot Projects, Severity of Illness Index, Spain, Statistics, Nonparametric, Acupressure, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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