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Background    Ao-dake-humi  is a traditional Japanese bamboo foot stimulator consisting of a half-pipe-shaped step made of bamboo used to stimulate the foot by stepping on it, and is commonly used to promote general health among the elderly in Japan. However, its efficacy has not been reported in the scientific literature. This study was performed to investigate the role of  ao-dake-humi  focusing on lower urinary tract symptoms (LUTS), constipation, and hypersensitivity to cold (HC).    Methods  Participants with LUTS, constipation, or HC were enrolled in this study.  Ao-dake-humi  was used twice a day for 28 days. Before and 28 days after starting  ao-dake-humi  use, international prostate symptom score (IPSS), quality-of-life (QoL) score, and overactive bladder symptom score (OABSS) were measured to evaluate the efficacy of  ao-dake-humi  on LUTS. To evaluate the objective efficacy of  ao-dake-humi  on LUTS, a frequency-volume chart (FVC) was plotted in LUTS patients for 3 days. A visual analogue scale (VAS) was used to evaluate the efficacy of  ao-dake-humi  on constipation (VAS-constipation) and HC (VAS-HC) in the participants with constipation or HC.    Results  A total of 24 participants were enrolled in this study. Twenty-one participants had LUTS, 11 had constipation, and 17 participants had HC. IPSS, especially storage-subscore, QoL score and OABSS, decreased significantly after use of  ao-dake-humi . The use of  ao-dake-humi  increased maximal bladder capacity, resulting in a significant decrease in urinary frequency as determined from the FVC. In accordance with the results of VAS-constipation and VAS-HC, both constipation and HC were significantly relieved after  ao-dake-humi  use.    Conclusion  The results of this prospective pilot study indicated that  ao-dake-humi  is safe and has therapeutic efficacy in cases of LUTS, constipation and HC. The possibility of using  ao-dake-humi  as physical neuromodulation therapy was shown in the management of LUTS, constipation and HC.    Trial registration    UMIN000019333  (UMIN-CTR, Registered October-15-2015) retrospectively registered.

bmc complementary and alternative medicine

Impact of ao-dake-humi, Japanese traditional bamboo foot stimulator, on lower urinary tract symptoms, constipation and hypersensitivity to cold: a single-arm prospective pilot study