Showing posts with label dementia. Show all posts
Showing posts with label dementia. Show all posts

Thursday, September 24, 2020

Reflexology, Possible Therapeutic Approach to Alzheimer’s

US National Institute on Aging, Alzheimer's Disease Education and Referral Center / Public domain

Part 3 of 3

Could a reflexology technique serve as a therapeutic approach for those with Alzheimer’s?  The possibility exists that a targeted reflexology technique could mirror the researched effects of targeted light and sound techniques to help dissipate tangled amyloid plaque areas commonly found in the brains of those with Alzheimer’s. Linking sight, sound and the pressure techniques of reflexology is the sensory experience provided by each. 

Exposure of “Alzheimer’s mice” to specific sound and light has been demonstrated by MIT researchers to increase activity of gamma brain waves and, as a result, lessen amyloid plaque areas in the mice brains. (1) (2)

Pull Quote

“Gamma (brain wave) activity represents an important marker of successful memory formation, episodic recall and other behavioral and cognitive functions. Sensorimotor, learning memory, information processing, and behavioral functions are important in everyday life of humans and are also integral in execution of life processes.” (3)

Gamma brain waves are known to decrease in activity for those with Alzheimer’s. In both the light and sound studies it was found, “Once the brain is flushed with gamma waves, two effects come into play: fewer amyloid plaques are produced and more of these existing plaques are cleared out by immune cells known as microglia.” 

MIT researchers found specific light exposure created change in brain waves of the visual cortex of the brain while specific sound exposure created change in the auditory cortex as well as a nearby area, the hippocampos. Further areas of the brain were found to be effected by exposure to light over a longer period of time. 

The researchers hypothesize that other sensory experiences could impact further areas of the brain. ‘If we can activate gamma (brain waves) in many different brain regions, perhaps we can get a huge area of the brain involved,’ says (MIT researcher Dr. Li-Huei), Tsai. ‘Treating the whole brain will be important for people with Alzheimer’s disease.’” (1)

MIT researchers would like to determine “whether other modes of sensory stimulation, such as sound or touch, have similar effects on the regions of the brain that process those inputs. Ultimately, the goal is to find multiple ways to noninvasively stimulate the brain so that the induced gamma waves propagate strongly throughout it.”

Reflexology technique application provides the sensory experience of pressure to the feet and hands. Kunz and Kunz posited this theory in 1981 following work with paralyzed individuals.  Pressure sensors in the feet communicate information about movement as well as activities throughout the body including mechanisms such as the autonomic nervous system. (3) 

Researchers working with healthy male subjects found that targeted reflexology work created increased gamma and beta brain wave activity in the frontal cortex of the brain. (1)  


“The frontal lobe (cortex) is the part of the brain that controls important cognitive skills in humans, such as emotional expression, problem solving, memory, language, judgment, and sexual behaviors. It is, in essence, the “control panel” of our personality and our ability to communicate.… “It is also responsible for primary motor function, or our ability to consciously move our muscles, and the two key areas related to speech, including Broca’s area.” (5)


What specific sensory experiences created increase in gamma brain waves? 


Exposing “Alzheimer’s mice” for an hour a day for a week to lights flickering at the speed of 40 hertz per second “sharply reduced” by half the build-up of beta-amyloid plaque in the visual cortex of mice brains. Longer term treatment showed 

MIT researchers also studied using sound to increase activity of gamma waves in the brain. Mice were exposed to sound at a hum of 40 hertz for an hour a day. Results were even more promising than those of the light study. Reduced was the plaque in not only the auditory cortex of the brain but a near-by area the hippocampos where memories are stored.

A reflex area reflecting the cortex of the brain located in the ball of the big toe was targeted by reflexology researchers. Five minutes of application to each big toe for seven consecutive days resulted in an increase in gamma brain waves.

Further implications for targeted reflexology 

Does reflexology effect amyloid plaque? Such research has not been conducted. (Amyloid imaging using the PET (positron emission tomography) has emerged as a method other than post mortem autopsy. (6)) The possibilities are intriguing. As noted below in more recent research at MIT, longer term application of sensory stimulation of light included effects beyond those noted above. 

Further results benefiting those with Alzheimer’s are possible. “… MIT researchers tested the effects of longer-term treatment by exposing mouse models with more advanced Alzheimer’s disease to up to 6 weeks of gamma entrainment by visual stimulation. Results showed stimulation increased gamma brain waves in the visual cortex and higher-order brain areas, including the hippocampus and prefrontal cortex. Continuing stimulation also preserved neuronal and synaptic density in these brain regions, improved performance on memory tasks, and reduced inflammation. Findings point to an overall neuroprotective effect, even in the later stages of neurodegeneration, the researchers reported.” (7)


(1) Dougherty, Elizabeth, “Seeing the Light, Aging Brain Initiative researchers discover a potential Alzheimer’s therapy,” Spectrum (MIT), Spring 2017

(2) “Low-Hum Therapy Seems to Counteract Alzheimer’s Symptoms in Mice” https://www.iflscience.com/health-and-medicine/low-hum-therapy-seems-to-counteract-alzheimer-s-symptoms-in-mice/

(3) Cevat Unal, Menizibeya O.Welcome, Mariam Salako, Faruk Abdullahi, Nuhu M. Abubakar, Vladimir A.Pereverzev, Siti Sugih Hartiningsih, Senol Dane, “The effect of foot reflexotherapy on the dynamics of cortical oscillatory waves in healthy humans: An EEG study,” Complementary Therapies in MedicineVolume 38, June 2018 , Pages 42-47

(4) Kunz, Barbara, Kunz, Kevin, The Complete Guide to Foot Reflexology (Third Edition), RRP Press, 2005

(5) https://www.healthline.com/human-body-maps/frontal-lobe#1

(6) Subapriya Suppiah, Melanie-Anne Didier, Sobhan Vinjamuri,” The Who, When, Why, and How of PET Amyloid Imaging in Management of Alzheimer’s Disease—Review of Literature and Interesting Images,”  Diagnostics (Basel). 2019 Jun; 9(2): 65., PMCID: PMC6627350, PMID: 31242587

(7) https://www.nia.nih.gov/news/noninvasive-brain-wave-treatment-reduces-alzheimers-pathology-improves-memory-mice


Books by Kunz and Kunz

Research Books

Medical Applications of Reflexology: Findings in Research About Post-operative care, Maternity Care and Cancer Care
Evidenced Based Reflexology Research: For Health Professionals and Researchers
Medical applications of Reflexology:: Findings in Research about Cancer Care

Bestselling Books


 Reflexology: Hands-on Treatment for Vitality and Well-being
Complete Reflexology for Life: Your Definitive Photographic Reference to the Best Techniques and Treatments  
 

Intermittent Moving Books

Intermittent Moving: How I Lost My Pants and Mastered My Weight
Un-Sit Your Life: The Reflex "Diet" Solution


Wednesday, September 23, 2020

Is There an Alzheimer’s Sign on the Foot?


Part 2 of 3

Could a part of the big toes associated with the cortex brain reflex area signal the presence of Alzheimer’s disease or the possibility for it? Would such an indicator on the foot have implications for diagnosis and treatment of Alzheimer’s? 

Clinical experience and research raise possibilities.

Our first inkling of such a possibility occurred some thirty years ago. One of the participants in a Winnipeg workshop stood to tell his story. He had observed a distinctive and similar appearance to twenty-one of twenty-three pairs of feet during a visit to his father and fellow residents. All lived in an Alzheimer’s ward. what he had observed was a fleshiness or protrusion on the ball of the big toe. For some individuals the protrusion created a flap of skin extending under the second toe on which they walked.

Years later there it was in a research report into reflexology work and brain wave activity related to Alzheimer’s: a black and white line drawing representing what was, in essence, the area of the big toe described years ago by the visitor to the Alzheimer’s ward. During the research reflexology work was applied to the broad central area of first segment of the big toe, a brain reflex area. The results showed gamma and beta brain waves significantly increased in activity following reflexology work. Gamma brain waves are known to decrease in activity for those with Alzheimer’s. (1)

“Gamma (brain wave) activity represents an important marker of successful memory formation, episodic recall and other behavioral and cognitive functions. Sensorimotor, learning memory, information processing, and behavioral functions are important in everyday life of humans and are also integral in execution of life processes.” (1)

Observation of this visual stress has been a part of Kevin’s practice since the Winnipeg class. When he sees a pronounced area on a client’s foot, he asks, Do you have memory problems? (2) One woman responded, only half joking, I forget where the kids are. He has observed the stress cue in mothers and in daughters, lessened with the younger woman but demonstrating the potential hereditary lineage of Alzheimer’s. One study found heredity to be 46% of the risk for Alzheimer’s.

Aside from serving as a possible indicator of memory problems and more, such a stress cue serves as a target area for reflexology work. It is a basic tenet of reflexology that such work creates change.

(1) Cevat Unal, Menizibeya O.Welcome, Mariam Salako, Faruk Abdullahi, Nuhu M. Abubakar, Vladimir A.Pereverzev, Siti Sugih Hartiningsih, Senol Dane, “The effect of foot reflexotherapy on the dynamics of cortical oscillatory waves in healthy humans: An EEG study,” Complementary Therapies in MedicineVolume 38, June 2018 , Pages 42-47

 

Books by Kunz and Kunz

Research Books

Medical Applications of Reflexology: Findings in Research About Post-operative care, Maternity Care and Cancer Care
Evidenced Based Reflexology Research: For Health Professionals and Researchers
Medical applications of Reflexology:: Findings in Research about Cancer Care

Bestselling Books


 Reflexology: Hands-on Treatment for Vitality and Well-being
Complete Reflexology for Life: Your Definitive Photographic Reference to the Best Techniques and Treatments  
 

Intermittent Moving Books

Intermittent Moving: How I Lost My Pants and Mastered My Weight
Un-Sit Your Life: The Reflex "Diet" Solution


Friday, September 25, 2015

Is Preventing Alzheimer’s a Possibility?

Can we build better brains lessening cognitive decline and risks for dementia and Alzheimer’s? 

According to researchers, the answer is, yes. Choices we make every day impact the functioning of our brains. And these choices can lead to a better future, lessening risk not only for Alzheimer’s but also for dementia and cognitive decline.
Choices about how much we sit and move around today and every day are being implicated in how well our brains and cognitive functions will work in the future. 
Physical inactivity, sitting too much, has a specific impact while metabolic factors resulting from sitting too much have an effect as well. Walking abilities and what we do as we sit, television watching in particular, impact risk.
Read more and find out what these indicators are. Then we’ll talk about what you can do to target these risks. Is it an Alzheimer’s preventive? Research shows the possibility.
Indicators for cognitive decline and risks for dementia and Alzheimer’s
Indicators linked to increased risk for Alzheimer’s include:
• heredity (46%)
  • physical inactivity (21%)
  • depression (15%)
  • midlife obesity (7%) (linked to physical inactivity)
  • midlife hypertension (8%) (linked to physical inactivity)
  • diabetes (3%) (linked to physical inactivity)
  • smoking (11%) 
  • low education (with limited mental stimulation into adulthood)(7%)
Metabolic indicators
Indicators linked to increased risk for cognitive decline, dementia and Alzheimer’s are also linked to metabolic processes that are impacted by sitting too much and moving too little including:
  • elevated levels of blood sugar, 
  • elevated levels of fats (cholesterol, triglycerides) 
  • elevated levels of lipoprotein lipase (helps fat utilization by muscles as movement takes place)
  • high blood pressure 
  • “overweight/obese (individuals) could have a greater risk of AD than those with a more active, healthy lifestyle”
Walking abilities and falls
A risk of falling may be an early indicator of Alzheimer’s. The slower the walk among senior citizens, the more the signs of dementia. 
Sitting too long and too much creates musculoskeletal stress and, over time, dysfunction. Impacted in particular is loss of flexibility in the lower back.  “Flexibility, particularly in your lower body, is a key determinant in how well you age, including your risk of falling and your ability to get around.”.
Mental stimulation
Did you know that researchers link television watching and risk for Alzheimer’s? It is thought to be because it is the least mentally stimulating of seated activities.
What’s a person to do? 
First, recognize your chair dwelling lifestyle does not match your cave dwelling metabolism and muscles. 
Next, get up and get moving is the answer. But how much and how often? 
The answer: two hour more a day than you currently move with two minute breaks from sitting every 20 minutes. Also consider practicing exercises that effect the stability of the lower back. See below.
Why the program to un-sit your life? This is what the body, designed to live a much more active lifestyle than our chair dwelling culture, needs to maintain its metabolism and muscles. Moving 2 hours more a day with breaks from sitting resets both metabolism and muscles.
The result is improved indicators for metabolism as well as flexibility for  competent movement and mobility. The bottom line is improved indicators for risk of cognitive decline, dementia and Alzheimer’s.
What’s the link to reflexology?
It’s all about pressure to the feet. The reflexologist provides quality pressure to the feet. Un-sitting provides quantity pressure to the feet.
We became interested in sitting too much as we realized sitting too much translates into feet not receiving enough pressure to maintain the body as intended. Over four years of exploring the research, it became apparent that 2 hours a day with breaks from sitting every 20 minutes that created needed change in biomarkers and other indicators of the body’s operating system. The result is improved health and lessened risk for a long list of lifestyle conditions including those impacting cognitive function.
For more information, see Un-sit Your Life, the Reflex Diet Solution, Change your sitting habits, Empower your life by Barbara and Kevin Kunz

Wednesday, September 16, 2015

Don't go to Mars with NASA!!!

NASA Challenge: Space Pioneering – Achieving Earth Independence

**************************************************************************************************************
Okay so the challenge was how to achieve independence from Earth for Mars colonists. I didn't expect to win but I was taken back by their response. Here is my response to their response. The response i got back was a form letter. Blah blah blah!!!

So no, I would not go to Mars with people with this point of view. Here is my proposal!
**************************************************************************************************************
My concept of virtual reality for the feet was rejected for the following reason.


"While this concept may be useful for mitigating some of the effects of microgravity, it is unclear if it has any effect on other parts of the body besides the feet."

What drives me crazy is that it is clear that pressure to the feet have a profound effect on other parts of the body.

Your belief if I am correct is that the feet are isolated from other parts of the body and not truly integrated with the systems of the body like the nervous system.

So what you are saying is that pressure to the feet (proprioception) has no other effect on other parts of the body like the vestibular apparatus, the postural muscles, the internal organs ( fuel and oxygen to make locomotion possible) and the brain. 

Am I correct that this is what the Seeker believes? In other words the feet play a very limited role in the nervous system kind of like wheels on a cart. 

The feet are inert and not really interactive with the locomotive system or survival mechanism or metabolism or even as a contributor to human thought.

 Also that pressure to the feet doesn't cause an increase in blood flow to the brain. Walking is not really necessary for blood perfusion to the brain. 

If you don't stimulate the proprioception in the feet you may face the cascading effects of metabolic disorders such as heart problems, lung problems, Alzheimer's, cognitive decline, diabetes and autoimmune disorders. How will you treat these on Mars? 

Furthermore a lack of stimulation to the feet mean a lack of tone in the postural muscles. Musclo-skeletal problems are sure to follow. Weight gain and waistline expansion are probables. 

I am just puzzled how you can have such a view of proprioception. It is not just microgravity in the space flight to Mars but also the diminished gravity on Mars that could cause chaos in a number of systems. 

I am sorry but I have to say I can't understand the grounds on which this proposal was rejected. I don't care about winning. 

Yours truly, 



Friday, September 11, 2015

Un-Sit Your Life

Dear Reader,

Just to let you know we have started a new blog for our new book, Un-Sit Your Life. This book is for years in the making. And if we do say so ourselves it came out very well.

You might be wondering why two reflexologist would get into the issue of prolonged sitting. The short answer is that we see it as related via pressure to the bottom of the feet. The long answer is here.

We are changing course somewhat. We are looking more and more at the reflex. In this case reflexes are involved in weight control as well as keeping our metabolism in healthy shape.

We hope you enjoy our latest work. And we hope it helps you achieve your goals.

Warmest regards

Kevin Kunz





Tuesday, March 15, 2011

How Useful Is Reflexology? Part 7

Multiple Sclerosis
“Reflexology for the treatment of pain in people with multiple sclerosis: a double-blind randomised sham-controlled clinical trial” (Northern Ireland)
“Multiple sclerosis (MS) results in pain and other symptoms which may be modified by conventional treatment, however, MS is still not curable. Several studies have reported positive effects of reflexology in the treatment of pain, however, no randomised controlled clinical trials for the treatment of pain have been conducted within this population. The objective of this study was to investigate the effectiveness of reflexology on pain in and MS population. We randomly allocated 73 participants to receive either precision or sham reflexology weekly for 10 weeks. Outcome measures were taken pre-and post-treatment with follow-up at 6 and 12 weeks by a researcher blinded to group allocation. The primary outcome measure recorded pain using a Visual Analogue Scale (VAS). A significant (p < 0.0001) and clinically important decrease in pain intensity was observed in both groups compared with baseline. Median VAS scores were reduced by 50% following treatment, and maintained for up to 12 weeks. Significant decreases were also observed for fatigue, depression, disability, spasm and quality of life. In conclusion, precision reflexology was not superior to sham, however, both treatments offer clinically significant improvements for MS symptoms via a possible placebo effect or stimulation of reflex points in the feet using non-specific massage.”
http://msj.sagepub.com/content/15/11/1329.abstract

End of Series


How Useful Is Reflexology? Part 7

Multiple Sclerosis
“Reflexology for the treatment of pain in people with multiple sclerosis: a double-blind randomised sham-controlled clinical trial” (Northern Ireland)
“Multiple sclerosis (MS) results in pain and other symptoms which may be modified by conventional treatment, however, MS is still not curable. Several studies have reported positive effects of reflexology in the treatment of pain, however, no randomised controlled clinical trials for the treatment of pain have been conducted within this population. The objective of this study was to investigate the effectiveness of reflexology on pain in and MS population. We randomly allocated 73 participants to receive either precision or sham reflexology weekly for 10 weeks. Outcome measures were taken pre-and post-treatment with follow-up at 6 and 12 weeks by a researcher blinded to group allocation. The primary outcome measure recorded pain using a Visual Analogue Scale (VAS). A significant (p < 0.0001) and clinically important decrease in pain intensity was observed in both groups compared with baseline. Median VAS scores were reduced by 50% following treatment, and maintained for up to 12 weeks. Significant decreases were also observed for fatigue, depression, disability, spasm and quality of life. In conclusion, precision reflexology was not superior to sham, however, both treatments offer clinically significant improvements for MS symptoms via a possible placebo effect or stimulation of reflex points in the feet using non-specific massage.”
http://msj.sagepub.com/content/15/11/1329.abstract

End of Series


Monday, March 14, 2011

How Useful Is Reflexology? Part 6

Complementary Health Practice Review
“Influence of an Experiential Education Session on Nursing Students’ Confidence Levels in Performing Selected Complementary Therapy Skills” (US)
Study of confidence boost provided by a University of Minnesota, Nursing School program: “hands-on learning experiences affect confidence in applying selected CAT skills in beginning nursing practice. This article highlights efforts at the University of Minnesota School of Nursing to integrate practice and experience in selected CAT skills (music, hand massage, imagery, breathing/ mindfulness, reflexology) into an existing senior undergraduate clinical skills laboratory course”.
http://chp.sagepub.com/content/10/3/189.short
• Journal of Research in Nursing
“Complementary and alternative medicine and rheumatology nurses: A survey of current use and perceptions” (UK)
“A questionnaire-based survey of rheumatology nurses was undertaken to investigate the use, and perceptions, of the effectiveness of complementary and alternative medicines (CAM) in the management of patients with rheumatic diseases (RD). A total of 192 rheumatology nurses (response rate 76.2%) completed the questionnaire, which included sections on qualifications and clinical experience, perceptions of, training in, and use of CAM in the management of RD patients. CAM was provided by 8.3% of respondents, principally aromatherapy, massage and reflexology. Furthermore, over half of respondents (51.6%) provided advice to patients about CAM, primarily to patients with rheumatoid arthritis (RA). Perceptions of the benefits of CAM are overwhelmingly positive: 89.8% of respondents considered it to have a role in the NHS. Current barriers to wider use of CAM include budgetary constraints in the health service, limited availability of published evidence, and the current lack of a clear and adequate regulatory framework for its practice.”
http://jrn.sagepub.com/content/9/2/110.abstract

Part 7-  Multiple Sclerosis



Sunday, March 13, 2011

How Useful Is Reflexology? Part 5

 Chronic Illness
“Coping with Ménière’s disease: experience and benefits from the use of complementary and alternative medicine” (UK and in Victoria, Australia)
“Objectives: To identify the significant events and persons prompting search for non-biomedical/complementary and alternative (CAM) ways to cope with the impact of Ménière’s syndrome, the CAM therapies used and perceived benefits.
“Methods: A narrative-based approach, with participants recruited from web sites and newsletters of two Ménière’s Societies (in the UK and in Victoria, Australia) and searches of a monthly newsletter, Spin, for letters related to the use of CAM therapies. A thematic approach to data analysis was undertaken.
“Results: Twenty personal, written stories were obtained and 23 letters. Commonly, critical events or changes in the condition provided the catalyst to seek alternative treatment, and sometimes significant others (a GP, CAM practitioner, friends, family). The accounts illustrate a range and variety of journeys that participants travelled in locating satisfactory ways to manage the condition, and the essential ‘personal’ nature of the experience and perceived benefits. No single CAM solution or pathway was evident.
“Discussion: The findings suggest the importance of ‘finding your own way,’ having a positive outlook and being proactive in regaining control over one’s health, and the value of early recommendations to ‘perhaps try alternative/ CAM treatments’.
“.relief was worth it.' She had used reflexology and reiki before for depression...chosen from her own research: reflexology (`which was great for about one...severity) and returned to a weekly reflexology session.”
http://chi.sagepub.com/content/5/3/219.abstract

Part 6- Complementary Health Practice Review



Saturday, March 12, 2011

How Useful Is Reflexology? Part 4

 Dementia
“Alzheimer's Society Derby branch: A comprehensive programme of support for people with dementia and their carers” (UK)
“Trained therapists working in the neighbourhood offer treatments such as aromatherapy, reflexology, acumassage, body massage, manicures, and make-up. Many of them do not charge for their services…”
http://online.sagepub.com/search/results

Part 5-Chronic Illness


Friday, March 11, 2011

How Useful Is Reflexology? Part 3

Palliative Medicine
“Heart failure and palliative care services working in partnership: report of a new model of care” (UK)
“…It is widely acknowledged that people with advanced heart failure have at least as great a need for supportive and palliative care as those with malignant disease. However, specialist palliative care services are seldom involved in their care in the UK. We describe a three-year collaboration between community-based heart failure nurse specialists and existing specialist palliative care services. In the model of care that has evolved, the heart failure nurses remain key workers throughout the illness. They run a regular support group for patients and carers in the setting of a hospice day therapy unit, referring patients for other palliative care involvement as necessary. Activity data and the results of patient interviews are presented. These suggest that the model is a cost effective, sustainable way of providing high quality care for people with heart failure.…
“...medication, nutrition, psychological wellbeing, benefits advice and how to exercise. Complementary therapies including reflexology and acupuncture. Regular group relaxation session led by the psychologist.”
http://pmj.sagepub.com/content/20/6/593.abstract
• American Journal of Hospice and Palliative Medicine
“Assessing complementary therapy services in a hospice program…” (US)
“To assess the use of complementary and alternative medicine in hospice care in the state of Washington.…” Hospices offering inpatient and outpatient care in Washington State were surveyed by phone interview. Results. Response rate was 100%. Results indicated that 86% of Washington State hospices offered complementary and alternative services to their patients, most frequently massage (87%), music therapy (74%), energy healing (65%), aromatherapy (45%), guided imagery (45%), compassionate touch (42%), acupuncture (32%), pet therapy (32%), meditation (29%), art therapy (22%), reflexology (19%), and hypnotherapy (16%). Most hospices relied on volunteers with or without small donations to offer such services.”
http://ajh.sagepub.com/content/25/6/463.abstract
• American Journal of Hospice Palliative Care
“Music Therapy in an Integrated Pediatric Palliative Care Program” (US)
“The conjoint use of music therapy and reflexology with hospitalized advanced stage cancer patients and …“National experts have recommended that children with life-limiting illnesses receive integrated palliative and medical care. These programs offer a variety of services, including music therapy. Using survey data from parents whose were enrolled in Florida’s Partners in Care: Together for Kids (PIC:TFK) program, this study investigates parents’ experiences with music therapy. About 44% of children with life-limiting illnesses and 17% of their siblings used music therapy. For children who used music therapy, multivariate results suggest that their parents were 23 times as likely to report satisfaction with the overall PIC:TFK program (P <.05) versus parents whose children did not use music therapy. Pediatric palliative care programs should include music therapy, although recruiting licensed music therapists may be challenging.”
http://ajh.sagepub.com/content/26/6/449.abstract

Part 4-  Dementia

Thursday, March 10, 2011

How Useful Is Reflexology? Part 2

 Integrative Cancer Therapies
“Pediatric Integrative Oncology,” “As illustrated in this case, the use of nutritional interventions, acupuncture, Chinese herbs, reflexology, and massage helped to improve the quality of life for this child during his conventional treatment.”
• Palliative Medicine
“Attitudes of patients and staff to research in a specialist palliative care unit” “Many randomized trials in specialist palliative care (SPC) have failed to recruit sufficient numbers of patients.” A discussion of willingness to participate in studies by palliative nurses and patients found that some 77% were positively disposed to inclusion in a reflexology study. “The most invasive study involving venepuncture and random drug allocation had the least favourable response (46% of patients and 54% of nurses’quite happy or ’very happy”
http://pmj.sagepub.com/content/17/6/491.abstract

Part 3 Palliative Medicine



Wednesday, March 9, 2011

How Usable is Reflexology? Part 1

So how usable is reflexology? Very usable—especially by nurses—would seem to be the answer when considering studies reported in peer-reviewed journals.

A sampling of studies reported on Sage Journals Online notes the use of reflexology in integrative and compelementary programs as well as by individuals:
• for cardiac patients post surgically
• during pediatric cancer care
• during palliative care for individuals experiencing heart failure,
• with inpatient and outpatient hospice patients
• for people with learning disabilities
• as support for individuals with dementia as well as their carers
• for those coping with Ménière’s disease
• to counter pain by those with multiple sclerosis

Many of the abstracts noted below demonstrate use by or attitudes toward reflexology by nurses. Of interest is the extension of reflexology services into palliative care for not only cancer patients but also heart failure patients. Use in hospice and palliative care units for children is also seen. Attitudes toward reflexology use by rheumatology nurses and as a subject for palliative care studies by patients and nurses were positive shown to be positive in two separate abstracts. A study showed that nursing students’ confidence about complementary therapies increased when they received hands-on education.


A survey of those with Ménière’s disease provides a glimpse, useful for reflexologists, into the thoughts of those using complementary and alternative treatments: “The findings suggest the importance of ‘finding your own way,’ having a positive outlook and being proactive in regaining control over one’s health, and the value of early recommendations to ‘perhaps try alternative/ CAM treatments’.”
Abstracts
• Journal of Holistic Nursing
“Reflection of a 7-Year Patient Care Program, Implementing and Sustaining an Integrative Hospital Program (for cardiac surgery patients and patients diagnosed with cancer at Saint Barnabas Health Care System, Livingston, New Jersey)”
“The Integrative Cardiac Wellness Program is led by two Certified Advanced Practice Holistic Nurses who are specially trained to care for cardiac patients using complementary medicine and therapies. Their goal is to empower patients to heal themselves by treating their integrated “whole” selves—mind, body and spirit.” Included in the program are: reflexology, Breathing Meditation, Reiki, Guided Imagery and Pet Therapy. In addition to patients who have undergone cardiac surgery, the program also serves patients who have been diagnosed with cancer.
http://jhn.sagepub.com/content/27/4/276.abstract


Part 2 - Integrative Cancer Therapies

Tuesday, April 14, 2009

CDC - Falls Among Older Adults: An Overview Part 2

CDC - Falls Among Older Adults: An Overview:

"Many people who fall, even those who are not injured, develop a fear of falling. This fear may cause them to limit their activities, leading to reduced mobility and physical fitness, and increasing their actual risk of falling" CDC website

Yesterday I wrote about the cost of seniors falling. This fear factor as stated in the quote above is even more insidious. There is no question that movement is an important part of our well being. It is not just exercise but the very act of moving that is critical to health. We must move to stay healthy.

The more falls we have occurring the less movement takes place leading to a very sedentary older population. This is a downward spiral. Disease occurs when we fail to move about. The Russians as I stated in an earlier blog actually had people remain in bed for a year. The results were terrible with the loss of teeth, weakening of bones, depression and digestive malfunctions just to name a few. (I guess I would be pretty depressed to be in bed for a year.)

Weight bearing helps our system function. It makes bones stronger (remember teeth are essentially bone). Weight bearing improves circulation which is important for our cardiovascular system. It also improves blood flow to the brain which is important for mental health.

Here are the four geriatric giants: Memory loss/ dementia, urinary incontinence, depression and falls/ immobility. They are costing a terrible human toll. They also are costs billions of dollars each year in the US alone. And they are interconnected.

If one falls and fears that they may fall again the odds high that the four geriatric giants will be present from then on. The more immobility, the more the odds are high that a second fall will occur. The more the person fears falling the less they move. The less they move the less blood circulates and the more chance of memory loss and dementia.

And sitting in that chair with little or no movement the seniors become easy prey for depression.

We need programs of prevention to prevent falls. But we also need programs to help regain confidence once the person has fallen. We need to keep older adults moving.

Reflexology can help with both prevention of falls and recovery from falls. But there are other programs as well. We need to look at anything which will provide stimulation particularly to the bottom of the feet. It is this reflex action that needs regular triggering to keep things tuned up.

Kevin Kunz

http://www.reflexology-research.com

http://www.dk.com/reflexology

Wednesday, June 25, 2008

Clients With Dementia

There are wonderful people in this world. Helen is one of them. She posted this lovely piece to our Reflexology Forum. I wanted to share this with you. 
Kevin Kunz
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I work with clients who have dementia and live in residential homes -Kevin -I can understand your friend's mum not wanting to be at her "facility". If any of you are considering or currently work with this group I strongly recommend reading "The Simplicity of Dementia" by Huub Buijssen it will really help your understanding of this condition.

I give foot Reflexology by sitting on the floor with their feet on a
pillow on my lap - this is a good height for them and gets over any mobility issues. The non-invasive nature of Reflexology is perfect in this situation and readily accepted and appreciated no matter how chaotic the mind. As soon as you put your hands on their feet they comment on how wonderful it feels. I give a shorter treatment than usual - up to 30 mins. I find it best to leave my "real world" at the door - walk in and accept each individuals version of "reality".

Don't be tempted to impose your real world on them - what does it matter that today is Wednesday and they say it's Friday? Be reassuring and soothing - with your words and touch and you will make a positive difference, hear wonderful stories, feel enriched and probably quite sad - shared institutional living can be brutal for such delicate, confused minds. 

Remember they live in a lonely world of functional touch - mainly washing and dressing. Reflexology gives them one to one caring, soothing, therapeutic touch - welcomed with big smiles, compliments and reminiscing chat. I'll never forget "J" in her final morphine-filled days saying "It feels like true love coming through you to me". I wish sometimes that I could wave a magic wand and create a better environment for them - less medication and TV, more complementary therapies, appropriate mental and physical stimulation and of course more staff....hmmm in my dreams! Thanks yet again Kevin for inspiring us.
Helen (UK)
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If you would like to join the Reflexology Forum come to http://health.groups.yahoo.com/group/reflexologycommunity/

Friday, June 20, 2008

Social Network, Cognitive Function, and Dementia Incidence Among Elderly Women

© photo credit- Kevin Kunz
Social Network, Cognitive Function, and Dementia Incidence Among Elderly Women 

A recent study found that social exposure helped with cognitive functions among elderly women with dementia. The simple act of social exposure seems to impact dementia in positive ways. Could this lead to a revolution in the way dementia and Alzheimer's is treated?

What are the social costs of dementia? And then to be a little bit cold blooded what are the monetary costs. A friend of ours is paying $10,000 a month  for his mother's Alzheimer's care. And yet the stress is still incredibly high. His mother doesn't what to be at the facility. 

In reflexology the head area is represented by the thumb and big toe. Anecdotal stories abound with partial cognitive recovery using reflexology. There is  one dementia study which points to the need for more research.  

"RESULTS: Analysis of variance for repeated measures demonstrated a significantly greater decrease in symptoms of pain, depression and physiologic measures of stress for the residents given reflexology treatment than for those in the control group. CONCLUSION: These clinical findings support the use of reflexology in nursing home residents with mild/moderate dementia." Nancy A. Hodgson, RN, PhD, CS1, Susan Andersen, BS2, and Heather Felker. “Efficacy of Reflexology as a Palliative Treatment in Nursing Home Residents with Dementia: A Pilot Study”

What if there was a program to work with dementia patients with reflexology? If as social contact study shows there was only the social contact it potentially could it help the dementia patient. But what if  there more to the benefits than the social contact that reflexology provides. 

Years ago we met a George Leger in Canada who had gotten permission to go through an Alzheimer's ward to see if he could find a common stress cue. He found a stress cue similar to the photograph above. Out of 21 patients he found 20 had this sign. 

While the feet shown above are not those of an Alzheimer's patient the subject's mother did have Alzheimer's. And a woman in the class that George Leger spoke at also showed a similar stress cue. Again she did not have Alzheimer's but her mother did. 

Note in the photo that the big toe has a kind of outcropping and the second toe rests on it. Often I find people with memory problems frequently have significant contact with other toes. It is as though the constant steady pressure blocks the circuity impinging  on the memory. If a fMRI study can show that pressing on certain parts of the toe s can light up very specific parts of the brain doesn't it stand to reason that the effect of constant steady pressure from toe to toe contact would have an opposite effect.

How can you lose with a program of reflexology? The social contact alone may be of value. But the greater value may be in stimulating the memory that have grown dim. 

Kevin Kunz