Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), Brazil.
Climacteric. 2012 Feb;15(1):21-9. doi: 10.3109/13697137.2011.587557. Epub 2011 Oct 23.
Physiological and psychological alterations in the climacteric period frequently influence women's quality of life. Hot flushes, nocturia, mood alterations, respiratory disturbances, insomnia and restless leg syndrome all affect sleep, and the altered hormonal state in this period impacts the aging process. As hormonal therapy is not indicated in some cases, the search for complementary therapies, such as massage therapy, to improve insomnia in the climacteric period is increasing.
To evaluate the effect of therapeutic massage on insomnia and climacteric symptoms in postmenopausal women.
Forty-four volunteers were randomly distributed into three groups: therapeutic massage (TM), passive movement (PM) and control (CTL). The women received 32 therapeutic massage sessions and passive movement twice a week. Questionnaires were given in the pre-trial and the 16th and 32nd sessions. The Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Menopause Quality of Life questionnaire (MENQOL), Kupperman Menopausal Index and Lipp Symptoms of Stress Inventory were assessed. In addition, the women underwent polysomnography at baseline and post-treatment. Statistical analyses were calculated using Friedman and Wilcoxon non-parametric tests. The level of significance was fixed at p ≤ 0.05.
There was an improvement in ISI in the TM group (p = 0.000) and in the PM group (p = 0.001). A decrease in the BDI occurred in the TM group (p = 0.004), and the MENQOL improved in the TM group (p = 0.015). Furthermore, there were no significant differences in polysomnography parameters in the TM group, with only an increase in minimal saturation (p = 0.053).
The TM group exhibited improved subjective data considering the changes in symptoms according to the ISI and the MENQOL and a decrease in symptoms according to the BDI.
更年期的生理和心理变化常常影响女性的生活质量。热潮、夜尿、情绪改变、呼吸紊乱、失眠和不宁腿综合征都会影响睡眠，而这个时期荷尔蒙状态的改变会影响衰老过程。由于某些情况下不建议使用荷尔蒙疗法，因此越来越多的人在寻找补充疗法，如按摩疗法，以改善更年期失眠。
评估治疗性按摩对绝经后妇女失眠和更年期症状的影响。
将 44 名志愿者随机分为三组：治疗性按摩（TM）、被动运动（PM）和对照组（CTL）。女性接受 32 次治疗性按摩和每周两次被动运动。在试验前和第 16 次和第 32 次治疗时进行问卷调查。评估了失眠严重程度指数（ISI）、贝克焦虑量表（BAI）、贝克抑郁量表（BDI）、绝经质量问卷（MENQOL）、库珀曼绝经指数和利普症状压力量表。此外，女性在基线和治疗后接受了多导睡眠图检查。使用 Friedman 和 Wilcoxon 非参数检验进行统计分析。显著性水平固定为 p ≤ 0.05。
TM 组的 ISI 改善（p = 0.000），PM 组的 ISI 改善（p = 0.001）。TM 组 BDI 下降（p = 0.004），TM 组 MENQOL 改善（p = 0.015）。此外，TM 组多导睡眠图参数无显著差异，仅最小饱和度增加（p = 0.053）。
TM 组在根据 ISI 和 MENQOL 评估症状变化时表现出改善的主观数据，在根据 BDI 评估症状时表现出下降。
