Skip to main content

Advertisement

Log in

Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer’s disease

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background

Sleep disorders are very common in elderly institutionalized people with dementia and acupressure recently has been associated with conventional medicine in their treatment.

Aims

Exploring the effectiveness of acupressure for the treatment of insomnia and other sleep disturbances and we want to show that the acupressure treatment is feasible also in elderly resident patients.

Methods

We enrolled institutionalized patients suffering from Alzheimer’s disease with mild cognitive impairment and insomnia. A daily acupressure on HT7 point (H7 Insomnia Control®) was performed for a 8-week period. We administered the following scales: the mini mental state examination, the global deterioration scale, the neuropsychiatric inventory, the state-trait-anxiety inventory, the activity daily living and the instrumental activity daily living, the global health quality of life, and the Pittsburgh sleep quality index.

Results

After receiving the acupressure treatment, patients saw a significant decrease of sleep disorders. The number of hours of effective sleep was perceived as increased. Furthermore, the time necessary to fall asleep decreased significantly and also the quality of sleep increased. Additionally, also the quality of life was bettered. Sedative drugs have been reduced in all patients involved in the study.

Conclusions

Acupressure can be recommended as a complementary, effective, and non-intrusive method to reduce sleep disturbances in old resident patients affected by cognitive disorders. A limitation of the study is the small sample size. More studies are needed to further validate the results of our study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Fetveit A (2009) Late-life insomnia: a review. Geriatr Gerontol Int 9:220–234

    Article  PubMed  Google Scholar 

  2. Winkelman JW (2005) Diagnosis and treatment of insomnia. Prescribing Reference Inc, New York

    Google Scholar 

  3. Cohen CA, Colantonio A, Vernich L (2002) Positive aspects of caregiving: rounding out the caregiver experience. Int J Geriatr Psychiatry 17:184–188

    Article  PubMed  Google Scholar 

  4. Balla S, Simoncini M, Giacometti I et al (2007) The daily center care on impact of family burden. Arch Gerontol Geriatr 44(Suppl 1):55–59

    Article  PubMed  Google Scholar 

  5. Gooneratne NS (2008) Complementary and alternative medicine for sleep disturbances in older adults. Clin Geriatr Med 24(1):121–138

    Article  PubMed Central  PubMed  Google Scholar 

  6. Cheuk DK, Yeung WF, Chung KF et al (2007) Acupuncture for insomnia. Cochrane Database Syst Rev 18(3):CD005472

    Google Scholar 

  7. Sarris J, Byrne GJ (2011) A systematic review of insomnia and complementary medicine. Sleep Med Rev 15(2):99–106

    Article  PubMed  Google Scholar 

  8. Cao H, Pan X, Li H, Liu J (2009) Acupuncture for treatment of insomnia: a systematic review of randomized controlled trials. J Altern Complement Med 15(11):1171–1186

    Article  PubMed Central  PubMed  Google Scholar 

  9. Wu HS, Wu SC, Lin JG et al (2004) Effectiveness of acupressure in improving dyspnoea in chronic obstructive pulmonary disease. J Adv Nurs 45:252–259

    Article  PubMed  Google Scholar 

  10. Chen ML, Lin LC, Wu SC et al (1999) The effectiveness of acupressure in improving the quality of sleep of institutionalized residents. J Gerontol A Biol Sci Med Sci 54(8):M389–M394

    Article  CAS  PubMed  Google Scholar 

  11. Tsay SL, Rong JR, Lin PF (2003) Acupoint massage in improving the quality of sleep and quality of life in patients with end-stage renal disease. J Adv Nurs 42:134–142

    Article  PubMed  Google Scholar 

  12. Reza H, Kian N, Pouresmail Z, Masood K, Sadat Seyed Bagher M, Cheraghi MA (2010) The effect of acupressure on quality of sleep in Iranian elderly nursing home residents. Complement Ther Clin Pract 16(2):81–85

    Article  PubMed  Google Scholar 

  13. Hj Liu (2002) Acupuncture cures disease from the relations of channels, bowels and viscera. Liao Ning TCM 29:70

    Google Scholar 

  14. Huang L (1996) Clinical observations of treatment of dementia with acupuncture and massage. New TCM 11:25–26

    CAS  Google Scholar 

  15. Yang MH, Wu SC, Lin JG et al (2007) The efficacy of acupressure for decreasing agitated behaviour in dementia: a pilot study. J Clin Nurs 16:308–315

    Article  PubMed  Google Scholar 

  16. Li-Chan L, Man-Hua Y, Chieh-Chun K et al (2009) Using acupressure and montessori- based activities to decrease agitation for residents with dementia: a cross-over trial. J Am Geriatr Soc 57:1022–1029

    Article  Google Scholar 

  17. Nordio M, Romanelli F (2008) Efficacy of wrists overnight compression (HT 7 point) on insomniacs: possible role of melatonin? Minerva Med 99(6):539–547

    CAS  PubMed  Google Scholar 

  18. Spence DW, Kayumov L, Chen A et al (2004) Acupuncture increases nocturnal melatonin secretion and reduces insomnia and anxiety: a preliminary report. J Neuropsychiatry Clin Neurosci 16(1):19–28

    Article  CAS  PubMed  Google Scholar 

  19. Lee SY, Baek YH, Park SU et al (2009) Intradermal acupuncture on shen-men and nei-kuan acupoints improves insomnia in stroke patients by reducing the sympathetic nervous activity: a randomized clinical trial. Am J Chin Med 37(6):1013–1021

    Article  PubMed  Google Scholar 

  20. McKhann G, Drachman D, Folstein M et al (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34(7):939–944

    Article  CAS  PubMed  Google Scholar 

  21. Reisberg B, Ferris Sh, deLeon MY et al (1988) Global deterioration scale (GDS). Psychofarmacol Bull 24:661–663

    CAS  Google Scholar 

  22. Quirico PE, Pedrali T (2007) Teaching atlas of acupuncture. Channels and points, vol 1. Thieme, New York

    Google Scholar 

  23. Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198

    Article  CAS  PubMed  Google Scholar 

  24. Cummings JL, Mega M, Gray K et al (1994) Neuropsychiatric inventory (NPI). Neurology 44:2308–2314

    Article  CAS  PubMed  Google Scholar 

  25. Spielberger CD, Gorsuch RL, Lushene PR et al (1983) Manual for the state-trait anxiety inventory (Form Y). Consulting Psychologists Press Inc, Palo Alto

    Google Scholar 

  26. Katz S, Downs TD, Cash HR, Grotz RC (1970) Progress in development of the index of ADL. Gerontologist 10(1):20–30

    Article  CAS  PubMed  Google Scholar 

  27. Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186

    Article  CAS  PubMed  Google Scholar 

  28. Goldberg D, Gater R, Sartorius N et al (1997) The validity of two versions of the G.H.Q. in the WHO study of mental illness in general health care. Psychol Med 27:191–197

    Article  CAS  PubMed  Google Scholar 

  29. Goldberg DP, Oldehinkel T, Ormel J (1998) GHQ threshold varies from one place to another. Psychol Med 28(4):915–921

    Article  CAS  PubMed  Google Scholar 

  30. Buysse DJ, Reynolds CF, Monk TH et al (1989) The Pittsburgh sleep quality index (PSQI): a new instrument for psychiatric research and practice. Psychiatry Res 28:193–213

    Article  CAS  PubMed  Google Scholar 

  31. Sun JL, Sung MS, Huang MY et al (2010) Effectiveness of acupressure for residents of long-term care facilities with insomnia: a randomized controlled trial. Int J Nurs Stud 47(7):798–805

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mara Simoncini.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Simoncini, M., Gatti, A., Quirico, P.E. et al. Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer’s disease. Aging Clin Exp Res 27, 37–42 (2015). https://doi.org/10.1007/s40520-014-0244-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-014-0244-9

Keywords

Navigation