English Robert S, Barazesh James M
PerfectHairHealth.com, 180 Steuart St, P.O. #193606, San Francisco, CA, USA.
Department of Civil and Environmental Engineering, University of California at Berkeley, Berkeley, CA, USA.
Dermatol Ther (Heidelb). 2019 Mar;9(1):167-178. doi: 10.1007/s13555-019-0281-6. Epub 2019 Jan 22.
Standardized scalp massages (SSMs) improve hair thickness in nonbalding men, but their effects on androgenic alopecia (AGA) have not yet been evaluated. The objective of this study was to investigate the effect of SSMs on self-assessed AGA sufferers (SAGASs).
Between October 2016 and October 2017, 1899 SAGASs searching online for hair loss treatments beyond AGA management drugs accessed literature explaining SSMs as a potential therapy for AGA, then watched a demonstration video detailing twice-daily, 20-min SSMs segmented by three rotational scalp regions using hand-generated presses, pinches, and stretches. In December 2017, SAGASs were contacted once to participate in a retrospective survey study to assess SSM adherence and hair changes. Age, gender, hair loss region and gradient, diet, supplement and topical use, AGA management drug use, estimations for minutes daily and months of massaging, and self-perceived hair changes were reported. Some participants also submitted photosets documenting hair changes throughout SSM adherence.
A total of 340 (17.9%) respondents completed the survey, and 327 (17.2%) reported attempting the SSMs. SSM participants reported a median daily massage effort of 11-20 min and mean adherence of 7.4 ± 6.6 months, with 68.9% reporting hair loss stabilization or regrowth. Estimated minutes daily, months, and total SSM effort (i.e., minutes daily × months) were positively associated with self-perceived hair changes. On average, perceived hair loss stabilization and regrowth occurred after 36.3 h of SSM effort. Results did not vary across age, gender, Norwood gradient, or concomitant supplement, topical, finasteride, minoxidil, or microneedling use. However, hair change improvements were marginally lower for participants reporting diffuse versus frontal/temporal or vertex thinning.
While further research is warranted, these results align with previous findings and suggest the potential for SSMs to improve AGA.
标准化头皮按摩（SSMs）可增加非秃顶男性的头发厚度，但其对雄激素性脱发（AGA）的影响尚未得到评估。本研究的目的是调查标准化头皮按摩对自我评估的雄激素性脱发患者（SAGASs）的影响。
2016年10月至2017年10月期间，1899名在网上搜索除AGA管理药物之外的脱发治疗方法的SAGASs查阅了解释标准化头皮按摩作为AGA潜在治疗方法的文献，然后观看一段演示视频，该视频详细介绍了每天两次、每次20分钟的标准化头皮按摩，按摩通过手动按压、捏和拉伸将头皮分为三个旋转区域进行。2017年12月，研究人员联系SAGASs一次，邀请他们参与一项回顾性调查研究，以评估标准化头皮按摩的依从性和头发变化情况。研究人员收集了他们的年龄、性别、脱发区域和程度、饮食、补充剂和局部用药情况、AGA管理药物使用情况、每日按摩分钟数和按摩月数的估计值，以及自我感知的头发变化情况。一些参与者还提交了记录在坚持标准化头皮按摩过程中头发变化的照片集。
共有340名（17.9%）受访者完成了调查，327名（17.2%）报告尝试了标准化头皮按摩。标准化头皮按摩参与者报告的每日按摩时间中位数为11 - 20分钟，平均坚持时间为7.4±6.6个月，68.9%的人报告脱发得到稳定或有头发再生。估计的每日分钟数、月数和标准化头皮按摩的总时长（即每日分钟数×月数）与自我感知的头发变化呈正相关。平均而言，在进行36.3小时的标准化头皮按摩后，可观察到脱发稳定和头发再生。结果在年龄、性别、诺伍德分级或同时使用补充剂、局部用药、非那雄胺、米诺地尔或微针治疗方面没有差异。然而，报告弥漫性脱发的参与者与报告额颞部或头顶脱发的参与者相比，头发改善程度略低。
虽然需要进一步研究，但这些结果与之前的研究结果一致，表明标准化头皮按摩有可能改善雄激素性脱发。
