機械的外来刺激 (含筋マッサージ) の生理学的考察と将来展望

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Since Hippocrates (BC 460-375), general body massage applied to human body tissues has been in use as a treatment for relief of various health disorders. Nowadays, though, it is mostly considered to be in the category of purely empirical, but not scientifically founded, ancient oriental therapies, because of difficulties to define precisely the biological effects of general body massage that might be potentially beneficial. However, recent advances in industrial technology have contributed importantly to the experimental methodology, and from the general progress in the analysis of biological responses concepts have emerged which, when duly considered, may help to overcome the above-mentioned difficulties to provide a rational basis for massage effects within the framework of modern western medicine. In this review article, therefore, treatment methods of ancient historical origin will be related to concepts established by modern bio-medical science, such as the so-called Skin Pressure Reflex (Takagi K. & Sakurai T. 1950) and the Gate Control Theory (Melzack RD. & Wall PD. 1965). The mutual similarities between experimental procedures from which these scientifically founded concepts were derived, and the mechanical effects of massage, will be pointed out. This includes not only consideration of the functional phenomena experienced under massage treatment, but also the neural mechanisms that may be involved as candidates for the induction of the empirically postulated treatment effects. Such mechanisms are considered as potential modulators of CNS activities-including neuro-endocrine control-affecting neuromuscular, cardiovascular, respiratory, and endocrine functions. With special respect to general massage, observations will be discussed which have provided evidence in support of the effectiveness of general massage according to the scientific standards of modern western medicine.
2005-05-18

機械的外来刺激 (含筋マッサージ) の生理学的考察と将来展望

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