title: Acupressure in insomnia and other sleep disorders in elderly institutionalized patients suffering from Alzheimer's disease.
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.
  
  
  OBJECTIVE
  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.
authors.affiliation: Geriatric Department, ASL TORINO 1, Gradisca 10, 10136, Turin, Italy, mara.simoncini@aslto1.it.
authors.forename: Mara
authors.initials: M
authors.lastname: Simoncini
authors.forename: Antonia
authors.initials: A
authors.lastname: Gatti
authors.forename: Piero Ettore
authors.initials: PE
authors.lastname: Quirico
authors.forename: Silvia
authors.initials: S
authors.lastname: Balla
authors.forename: Barbara
authors.initials: B
authors.lastname: Capellero
authors.forename: Rossella
authors.initials: R
authors.lastname: Obialero
authors.forename: Sabrina
authors.initials: S
authors.lastname: D'Agostino
authors.forename: Nicolas
authors.initials: N
authors.lastname: Sandri
authors.forename: Luigi Maria
authors.initials: LM
authors.lastname: Pernigotti
mesh_terms: D019050:Acupressure; D015669:Acupuncture Points; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000150:complications*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*; D012893:Sleep Wake Disorders / Q000628:therapy*