Impact of Ao-dake-humi, a Japanese Traditional Bamboo Foot Stimulator, on Lower Urinary Tract Symptoms, Constipation, Insomnia, and Hypersensitivity to Cold in Elderly People

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Background : Ao-dake-humi (ADH) is a traditional Japanese bamboo foot stimulator that is commonly used to promote general health among the elderly in Japan. Our earlier report revealed that ADH could improve lower urinary tract symptoms (LUTS), constipation, and hypersensitivity to cold (HC). This study investigated the precise effects and mechanisms of ADH on health in elderly people.<br>Methods : In this multi-center, randomized, crossover trial, a simple stepping exercise (SSE) was adopted as a control to exclude the exercise effects of ADH. Elderly people over 60 years of age with clinically diagnosed LUTS, constipation, insomnia, or HC were enrolled. ADH or SSE activities were performed twice a day for 28 days. Before and at 28 days of each regimen, International Prostate Symptom Score (IPSS), Athens Insomnia Scale (a visual analogue scale for constipation and HC), and defecation frequency measurements were assessed for comparisons. After the 28 days of initial treatment, ADH and SSE activities were crossed for each other, and then a second intervention was carried out for 28 days.<br>Results : Of the 37 elderly people (6 male and 31 female) enrolled in the study, 25 participants (4 male and 21 female) were ultimately analyzed. IPSS results improved significantly after ADH. Moreover, ADH ameliorated insomnia and HC significantly more in comparisons with SSE. Constipation status findings were comparable between ADH and SSE.<br>Conclusions : ADH may have a therapeutic advantage over SSE for the management of LUTS, insomnia, and HC, possibly through the mechanism of physical foot stimulation as a neuromodulator.

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