The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part I, Patients Experiencing Pain in the General Population
| Autor: | Ashley Price, Courtney Boyd, EunMee Yang, Lea Xenakis, Weimin Zhang, Cindy Crawford, Charmagne F. Paat |
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| Rok vydání: | 2016 |
| Předmět: |
Biopsychosocial model
medicine.medical_specialty Time Factors Population Pain Review Article law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial Quality of life law medicine Humans 030212 general & internal medicine Function education Massage education.field_of_study business.industry Massage Therapy General Medicine INTEGRATIVE MEDICINE SECTION Anesthesiology and Pain Medicine Health-Related Quality of Life Strictly standardized mean difference Meta-analysis Physical therapy Anxiety Systematic Review Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Meta-Analysis |
| Zdroj: | Pain Medicine: The Official Journal of the American Academy of Pain Medicine |
| ISSN: | 1526-4637 1526-2375 |
| Popis: | Purpose Pain is multi-dimensional and may be better addressed through a holistic, biopsychosocial approach. Massage therapy is commonly practiced among patients seeking pain management; however, its efficacy is unclear. This systematic review and meta-analysis is the first to rigorously assess the quality of massage therapy research and evidence for its efficacy in treating pain, function-related and health-related quality of life outcomes across all pain populations. Methods Key databases were searched from inception through February 2014. Eligible randomized controlled trials were assessed for methodological quality using SIGN 50 Checklist. Meta-analysis was applied at the outcome level. A diverse steering committee interpreted the results to develop recommendations. Results Sixty high quality and seven low quality studies were included in the review. Results demonstrate massage therapy effectively treats pain compared to sham [standardized mean difference (SMD) = −.44], no treatment (SMD = −1.14), and active (SMD = −0.26) comparators. Compared to active comparators, massage therapy was also beneficial for treating anxiety (SMD = −0.57) and health-related quality of life (SMD = 0.14). Conclusion Based on the evidence, massage therapy, compared to no treatment, should be strongly recommended as a pain management option. Massage therapy is weakly recommended for reducing pain, compared to other sham or active comparators, and improving mood and health-related quality of life, compared to other active comparators. Massage therapy safety, research challenges, how to address identified research gaps, and necessary next steps for implementing massage therapy as a viable pain management option are discussed. |
| Databáze: | OpenAIRE |
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