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Current interventions of dysphagia are not generalizable, and treatments are commonly used in combination. We conducted a questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation to understand the current situation in Japan.The questionnaire was sent to 616 certified nurses in dysphasia nursing and 254 certified speech-language-hearing therapists for dysphagia. Based on "Summaries of training methods in 2014" by JSDR, 24 local indirect exercises, 11 general indirect exercises, and 13 direct exercises were selected. The Likert scale "How do you feel about each method" was used as follows: A; Frequency, B; Ease, C; Adherence, D; Effectiveness (1-5))?".Two hundred fifty (40%) nurses and 145 (57%) speech-language-hearing therapists (ST) responded to the questionnaire. The direct exercise was associated with a significantly high score in every question. In indirect exercises, "Cervical range of motion exercise," "Orofacial myofunctional exercise," "Lip closure exercise." "Ice massage of pharynx" and "Huffing" were used relatively frequently. "Balloon dilatation therapy" and "Tube exercise" was associated with a relatively high discrepancy for two questions. Frequency" and the sum of "Ease," "Adherence," and "Effectiveness." was significantly correlated for local indirect exercises (r2 = 0.928, P0.01), general indirect exercises (r2 = 0.987, P0.01), and direct exercises (r2 = 0.996, P0.01) (Fig. 5).This study examined the current situation of dysphagia rehabilitation in Japan. Our results aid to increase understanding and selection of rehabilitative treatments for dysphagia patients in Japan.

Background and purpose Pain is considered as one of the most common problems among patients undergoing open heart surgery. We aimed to evaluate the effects of Hegu point ice massage on the level of pain experienced after coronary artery bypass grafting Materials and Methods This is a single–blind, randomized, clinical trial, conducted on 80 patients who were recruited via convenience sampling method. The sample was randomly divided into two groups. In the experimental group, ice massage was performed at the Hegu point on the left hand by applying a medium pressure for 10 min (2 min massage, 15 s rest) in postoperative day 1 and 2. In the control group, glass marbles were applied at the Hegu point on the left hand with no pressure and massage for 10 min. Pain intensity was measured in both groups before the intervention and at 30, 60, and 120 min following the intervention. Results Following the intervention on the postoperative day 1, the mean pain score for the experimental and control groups was 2.97 ± 1.40 and 3.64 ± 1.56, respectively. For the experimental and control groups on postoperative day 2, the mean pain score was 2.35 ± 1.12 versus 3.03 ± 1.40, respectively. Following the intervention on postoperative day 1, the mean pain score was 2.97 ± 1.40 and 3.64 ± 1.56 in the experimental and control groups, respectively. The mean pain score for the experimental group was 2.35 ± 1.12 compared with 3.03 ± 1.40 for the control group after the intervention on the second postoperative day. Statistically significant differences were revealed for the mean pain score between the two groups after the intervention on the first (p = 0.04) and second (p = 0.02) postoperative days. Conclusion Hegu point ice massage is an effective method for relieving pain associated with coronary artery bypass grafting in specific patients.

PubMedID: 30057052 Purpose: This study was designed as an experimental controlled study, aiming to identify the effect of ice massage with short duration (40 min) and long duration (80 min) applied on Large Intestinal 4 (LI4) acupressure point on labor process and perception of labor pain. Methods: The participants, who met the research criteria according to the results of power analysis, were 72 healthy pregnant women divided into experiment and control group. Results: Results show that ice massage applied on the LI4 region was effective in the 80th minute. Moreover, in terms of the effect of ice massage on labor duration, the application was found to reduce the labor duration of the women in the experimental group approximately 1 h on average. Conclusion: It was found that the ice massage applied by midwives on the LI4 point during the active phase of delivery could reduce pain and shorten the delivery duration. © 2018 Elsevier Ltd Firat University Scientific Research Projects Management Unit This study is supported with ASYO2013YL1 numbered project by University Scientific Research Projects . Data acquired with the study was sent to the 20th World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI), December 4–7, 2014 in Paris as a poster presentation.

Introduction/Background In Japan, ice massage is widely used as the prefeeding technique to facilitate dry swallowing. However, there was no device for ice massage, and it was handmade by nurse and therapist. We have developed Ice Stick® and evaluated the effect of ice massage using Ice Stick®. Material and method The subjects were 30 dysphagia patients. Subjects were randomly divided into a group that performs ice massage with a conventional syringe (conventional group) and a group using a newly developed ice stick® (Ice Stick® group), indirect swallowing training was conducted, repeated saliva swallowing for 30 seconds [Repetitive Saliva Swallwong Test (RSST)] before and after training. The number of RSSTs was compared in both groups and tested by Wilcoxon's signed rank test. Results The median RSST before and after ice massage increased from 3 to 4 in the conventional group and a significant difference was observed at r = 0.038. In the Ice Stick® group, it was 2.5 to 3 times, and a significant difference was observed at r = 0.041. There was no difference in the increase in both groups. Conclusion Both the conventional type and the Ice Stick® increased the number of RSSTs after training, so ice massage is considered to be effective against dysphagia. The Ice stick® reduces the work burden of creating staff's ice massage device, which is considered to be effective in reducing the risk of infection because it is individual packaging.