Definition: Acupressure Massage

nnAcupressurennAcupressure (a portmanteau of "acupuncture" and "pressure") is a traditional Chinese medicine (TCM) technique derived from acupuncture. In acupressure physical pressure is applied to acupuncture points by the hand, elbow, or with various devices. Reviews of acupressure clinical trials have been conducted by the Cochrane Collaboration and Bandolier according to the protocols of evidence-based medicine; for most conditions they have concluded a lack of effectiveness or lack of well-conducted clinical trials.nnTraditional Chinese medicine's acupuncture theory predates use of the scientific method, and has received various criticisms based on scientific thinking. There is no known anatomical or histological basis for the existence of acupuncture points or meridians. Acupuncturists tend to perceive TCM concepts in functional rather than structural terms, i.e. as being useful in guiding evaluation and care of patients. Neuroimaging research suggests that certain acupuncture points have distinct effects that are not otherwise predictable anatomically.nnBackgroundnnAcupoints used in treatment may or may not be in the same area of the body as the targeted symptom. The TCM theory for the selection of such points and their effectiveness is that they work by stimulating the meridian system to bring about relief by rebalancing yin, yang and qi (also spelled "chi"). This theory is based on the paradigm of TCM, not that of science.nnMany East Asian martial arts also make extensive study and use of acupressure for self-defense and health purposes (chin na, tui na). The points or combinations of points are said to be used to manipulate or incapacitate an opponent. Also, martial artists regularly massage their own acupressure points in routines to remove blockages from their own meridians, claiming to thereby enhance their circulation and flexibility and keeping the points "soft" or less vulnerable to an attas.nnAcupoint Therapy is an extension of Willy Penzel's modern APM system (Akupunkt Massage), and it involves the stimulation of acupuncture points or meridians with a therapy stick. This differs from acupuncture which uses needles, acupressure or shiatsu which uses massage. Under the scientific standards of evidence-based medicine, there is insufficient evidence as to whether acupoint therapy is effective.nnSweden is one of the foremost countries using and developing this therapy.n

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