چکیده:
Objectives: Diabetes mellitus (DM) is the most common endocrine disease in children. Massage therapy can improve glucose metabolism in DM. This study was conducted to determine the effect of Swedish massage on the Glycohemoglobin (HbA1c) in children with DM.Methods: This study was an semi-experimental (clinical trial) conducted on thirty-six children, 6-12 years old with (DM), recruited from a clinic of the Qom City, Iran. They were randomly assigned to intervention and control groups (18 patients in each group). Swedish massage was performed for fifteen minutes, three times weekly, for three months in intervention group. The HbA1c was evaluated before and after intervention in the two groups.Results: The average ages of children in the intervention and control groups were 9.05 (±1.55) and 9.83 (±2.03) years respectively. There was statistically no significant difference in Glycohemoglobin before intervention between two groups (P = 0.491), but the Glycohemoglobin was lower significantly in intervention group in comparison with control group after intervention (P < 0.0001).Conclusion: Massage therapy can be an assisted treatment in children with DM; reducing the drug consumption by patients for the control of DM.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 9, December 2011 Original Article The Effect of Swedish Massage on Glycohemoglobin in Children with Diabetes Mellitus Zahra Kashaninia, MSc Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Akram Abedinipoor, MSc Nursing Department, University of Qom, Qom, Iran Samaneh Hosainzadeh, PhD Tarbiat Modarres University, Tehran, Iran Firoozeh Sajedi*, MD Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Objectives: Diabetes mellitus (DM) is the most common endocrine disease in children.
This is a type of systematic massage that involves almost all muscles (11) and causes relaxation via hormones that is effective in raising insulin absorption and increases circulation that leads to decreased blood glucose level (10).
Hence, we decided to evaluate the effectiveness of Swedish massage as a relaxing method on Glycohemoglobin (HbA1c) level, as an important indicator of DM control.
There were no significant differences in age, weight, height, DM duration, medication duration, and insulin doses (NPH & regular) between two groups.
Discussion The results of this study demonstrated that Swedish massage is effective on HbA1c reduction in diabetic children.
In other study, the effects of massage therapy had been determined on Vital Signs (blood pressure, heart rate, skin temperature, O2 saturation), anxiety / depression; and Hemoglobin (HbA1c), Cortisol, and Insulin.
18١٨ Vol. 9 – Special Issue – Child Neurorehabilitation Conclusion Swedish massage as an alternative treatment accompanied with medication is an effective clinical intervention in reducing glycosylated hemoglobin as an important indicator of DM control in diabetic children.