The Effect of Massage With Lavender Oil on Restless Leg Syndrome in Hemodialysis Patients: A Randomized Controlled Trial

Sayyed Hossein Hashemi, Ali Hajbagheri, Mohammad Aghajani, Sayyed Hossein Hashemi, Ali Hajbagheri, Mohammad Aghajani

Abstract

Background: Restless leg syndrome (RLS) is a common problem in patients with chronic renal failure. It can reduce the quality of life and sleep disturbances. This disorder is usually treated pharmacologically. Recently, complementary medicine methods have been suggested because of chemical drugs adverse effects. There is not enough evidence about the effect of aromatherapy on RLS.

Objectives: The aim of this study was to determine the effects of massage with lavender oil on RLS symptoms in hemodialysis patients.

Patients and methods: This randomized clinical trial study included 70 hemodialysis patients with RLS that were randomly assigned into two groups in 2014. The experimental group received effleurage massage using lavender oil and control group received routine care for three weeks. Data was collected with RLS questionnaire and analyzed using independent and paired t-test and Chi-square test.

Results: The mean RLS scores were not significantly different in the two groups at the start of study (22.41 ± 7.67 vs. 22.90 ± 4.38, P = 0.76). At the end of study, the mean RLS score significantly decreased in the intervention group, while this score remained relatively un-changed in the control group (12.41 ± 5.49 vs. 23.23 ± 4.52, P < 0.0001).

Conclusions: Lavender oil massage was effective to improve RLS in hemodialysis patients. It has no adverse effects, is practical and cost-effective. It is suggested to be used along with routine treatment of RLS in hemodialysis patients.

Keywords: Hemodialysis; Lavender Oil; Massage; Restless Leg Syndrome.

Figures

Figure 1.. The Sampling Framework of the…
Figure 1.. The Sampling Framework of the Study

References

    1. Rist PM, Tzourio C, Elbaz A, Soumare A, Dufouil C, Mazoyer B, et al. Structural brain lesions and restless legs syndrome: a cross-sectional population-based study. BMJ Open. 2014;4(11):e005938. doi: 10.1136/bmjopen-2014-005938.
    1. Kushida C, Martin M, Nikam P, Blaisdell B, Wallenstein G, Ferini-Strambi L, et al. Burden of restless legs syndrome on health-related quality of life. Qual Life Res. 2007;16(4):617–24. doi: 10.1007/s11136-006-9142-8.
    1. Winkelmann J, Prager M, Lieb R, Pfister H, Spiegel B, Wittchen HU, et al. "Anxietas tibiarum". Depression and anxiety disorders in patients with restless legs syndrome. J Neurol. 2005;252(1):67–71. doi: 10.1007/s00415-005-0604-7.
    1. Lee J. A review of restless legs syndrome in patients on hemodialysis. Kidney. 2009;18(1):9–13. doi: 10.1007/s00596-008-0055-0.
    1. Saletu M, Anderer P, Saletu-Zyhlarz G, Hauer C, Saletu B. Acute placebo-controlled sleep laboratory studies and clinical follow-up with pramipexole in restless legs syndrome. Eur Arch Psychiatry Clin Neurosci. 2002;252(4):185–94. doi: 10.1007/s00406-002-0380-7.
    1. Chatterjee SS, Mitra S, Guha P, Chakraborty K. Prevalence of restless legs syndrome in somatoform pain disorder and its effect on quality of life. J Neurosci Rural Pract. 2015;6(2):160–4. doi: 10.4103/0976-3147.153219.
    1. Jenabi A, Amani M, Mouraki A, Jabbari M, Osareh SH, Fereshteh Nejad SM. Correlation between Serum C-Reactive Protein (CRP) Level and Sleep Disorders in Chronic Hemodialysis Patients. [in Persian]. Razi J Med Sci. 2007;14(56):79–89.
    1. Rye DB, Trotti LM. Restless legs syndrome and periodic leg movements of sleep. Neurol Clin. 2012;30(4):1137–66. doi: 10.1016/j.ncl.2012.08.004.
    1. Winkelmann J. Genetics of restless legs syndrome. Curr Neurol Neurosci Rep. 2008;8(3):211–6.
    1. Einollahi B, Izadianmehr N. Restless leg syndrome: a neglected diagnosis. Nephrourol Mon. 2014;6(5):e29617. doi: 10.5812/numonthly.22009.
    1. Innes KE, Selfe TK. The Effects of a Gentle Yoga Program on Sleep, Mood, and Blood Pressure in Older Women with Restless Legs Syndrome (RLS): A Preliminary Randomized Controlled Trial. Evid Based Complement Alternat Med. 2012;2012:294058. doi: 10.1155/2012/294058.
    1. Trotti LM, Bhadriraju S, Rye DB. An update on the pathophysiology and genetics of restless legs syndrome. Curr Neurol Neurosci Rep. 2008;8(4):281–7.
    1. Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. Aromatherapy in childbirth: a pilot randomised controlled trial. BJOG. 2007;114(7):838–44. doi: 10.1111/j.1471-0528.2007.01381.x.
    1. Maddocks-Jennings W, Wilkinson JM. Aromatherapy practice in nursing: literature review. J Adv Nurs. 2004;48(1):93–103. doi: 10.1111/j.1365-2648.2004.03172.x.
    1. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psychol Bull. 2004;130(1):3–18. doi: 10.1037/0033-2909.130.1.3.
    1. Pritchard MJ. Managing anxiety in the elective surgical patient. Br J Nurs. 2009;18(7):416–9. doi: 10.12968/bjon.2009.18.7.41655.
    1. Gedney JJ, Glover TL, Fillingim RB. Sensory and affective pain discrimination after inhalation of essential oils. Psychosom Med. 2004;66(4):599–606. doi: 10.1097/01.psy.0000132875.01986.47.
    1. Cavanagh HM, Wilkinson JM. Biological activities of lavender essential oil. Phytother Res. 2002;16(4):301–8. doi: 10.1002/ptr.1103.
    1. Lee SY. [The effect of lavender aromatherapy on cognitive function, emotion, and aggressive behavior of elderly with dementia]. Taehan Kanho Hakhoe Chi. 2005;35(2):303–12.
    1. Conrad P, Adams C. The effects of clinical aromatherapy for anxiety and depression in the high risk postpartum woman - a pilot study. Complement Ther Clin Pract. 2012;18(3):164–8. doi: 10.1016/j.ctcp.2012.05.002.
    1. Kim S, Kim HJ, Yeo JS, Hong SJ, Lee JM, Jeon Y. The effect of lavender oil on stress, bispectral index values, and needle insertion pain in volunteers. J Altern Complement Med. 2011;17(9):823–6. doi: 10.1089/acm.2010.0644.
    1. Ou MC, Hsu TF, Lai AC, Lin YT, Lin CC. Pain relief assessment by aromatic essential oil massage on outpatients with primary dysmenorrhea: a randomized, double-blind clinical trial. J Obstet Gynaecol Res. 2012;38(5):817–22. doi: 10.1111/j.1447-0756.2011.01802.x.
    1. Olapour A, Behaeen K, Akhondzadeh R, Soltani F, Al Sadat Razavi F, Bekhradi R. The Effect of Inhalation of Aromatherapy Blend containing Lavender Essential Oil on Cesarean Postoperative Pain. Anesth Pain Med. 2013;3(1):203–7. doi: 10.5812/aapm.9570.
    1. Soltani R, Soheilipour S, Hajhashemi V, Asghari G, Bagheri M, Molavi M. Evaluation of the effect of aromatherapy with lavender essential oil on post-tonsillectomy pain in pediatric patients: a randomized controlled trial. Int J Pediatr Otorhinolaryngol. 2013;77(9):1579–81. doi: 10.1016/j.ijporl.2013.07.014.
    1. Kim MA, Sakong JK, Kim EJ, Kim EH, Kim EH. [Effect of aromatherapy massage for the relief of constipation in the elderly]. Taehan Kanho Hakhoe Chi. 2005;35(1):56–64.
    1. Soden K, Vincent K, Craske S, Lucas C, Ashley S. A randomized controlled trial of aromatherapy massage in a hospice setting. Palliat Med. 2004;18(2):87–92.
    1. Wilcock A, Manderson C, Weller R, Walker G, Carr D, Carey AM, et al. Does aromatherapy massage benefit patients with cancer attending a specialist palliative care day centre? Palliat Med. 2004;18(4):287–90.
    1. Mitchell UH. Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome. Neuropsychiatr Dis Treat. 2011;7:251–7. doi: 10.2147/NDT.S19177.
    1. Russell M. Massage therapy and restless legs syndrome. J Bodywork Mov The. 2007;11(2):146–50.
    1. Babashahi M, Kahangi LS, Babashahi F, Fayazi S. Comparing the effect of massage Aromatherapy and massage on anxiety level of the patients in the preoperative period: a clinical trial. NJMSNM. 2012;2(2):e29617
    1. Habibzade H, Khalkhali HR, Ghaneii R. Study of the relationship between restless legs syndrome and sleep disturbance among patients in Critical Care Units. Iran J Crit Care Nurs. 2011;4(3):153–8.
    1. van der Ploeg ES, Eppingstall B, O'Connor DW. The study protocol of a blinded randomised-controlled cross-over trial of lavender oil as a treatment of behavioural symptoms in dementia. BMC Geriatr. 2010;10:49. doi: 10.1186/1471-2318-10-49.
    1. Lee IS, Lee GJ. [Effects of lavender aromatherapy on insomnia and depression in women college students]. Taehan Kanho Hakhoe Chi. 2006;36(1):136–43.
    1. Han SH, Hur MH, Buckle J, Choi J, Lee MS. Effect of aromatherapy on symptoms of dysmenorrhea in college students: A randomized placebo-controlled clinical trial. J Altern Complement Med. 2006;12(6):535–41. doi: 10.1089/acm.2006.12.535.
    1. Lewith GT, Godfrey AD, Prescott P. A single-blinded, randomized pilot study evaluating the aroma of Lavandula augustifolia as a treatment for mild insomnia. J Altern Complement Med. 2005;11(4):631–7. doi: 10.1089/acm.2005.11.631.
    1. Kuriyama H, Watanabe S, Nakaya T, Shigemori I, Kita M, Yoshida N, et al. Immunological and Psychological Benefits of Aromatherapy Massage. Evid Based Complement Alternat Med. 2005;2(2):179–84. doi: 10.1093/ecam/neh087.
    1. Muzzarelli L, Force M, Sebold M. Aromatherapy and reducing preprocedural anxiety: A controlled prospective study. Gastroenterol Nurs. 2006;29(6):466–71.
    1. Kim JT, Wajda M, Cuff G, Serota D, Schlame M, Axelrod DM, et al. Evaluation of aromatherapy in treating postoperative pain: pilot study. Pain Pract. 2006;6(4):273–7. doi: 10.1111/j.1533-2500.2006.00095.x.
    1. Fismer KL, Pilkington K. Lavender and sleep: A systematic review of the evidence. Euro J Integr Med. 2012;4(4):e436–e47.
    1. Earley CJ. Clinical practice. Restless legs syndrome. N Engl J Med. 2003;348(21):2103–9. doi: 10.1056/NEJMcp021288.
    1. Rasmussen GL, Steckner K, Hogue C, Torri S, Hubbard RC. Intravenous parecoxib sodium foracute pain after orthopedic knee surgery. Am J Orthop (Belle Mead NJ). 2002;31(6):336–43.
    1. Kyle G. Evaluating the effectiveness of aromatherapy in reducing levels of anxiety in palliative care patients: results of a pilot study. Complement Ther Clin Pract. 2006;12(2):148–55. doi: 10.1016/j.ctcp.2005.11.003.

Source: PubMed

3
Subscribe