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
Identifieur interne : 000010 ( Main/Exploration ); précédent : 000009; suivant : 000011The 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
Auteurs : Cindy Crawford [États-Unis] ; Courtney Boyd [États-Unis] ; Charmagne F. Paat [États-Unis] ; Ashley Price [États-Unis] ; Lea Xenakis [États-Unis] ; Eunmee Yang [États-Unis] ; Weimin Zhang [États-Unis]Source :
- Pain Medicine: The Official Journal of the American Academy of Pain Medicine [ 1526-2375 ] ; 2016.
Abstract
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.
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.
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).
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.
Url:
DOI: 10.1093/pm/pnw099
PubMed: 27165971
PubMed Central: 4925170
Affiliations:
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Paat</name><affiliation wicri:level="2"><nlm:aff id="pnw099-aff1">Samueli Institute, Alexandria, Virginia</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Samueli Institute, Alexandria</wicri:cityArea></affiliation></author><author><name sortKey="Price, Ashley" sort="Price, Ashley" uniqKey="Price A" first="Ashley" last="Price">Ashley Price</name><affiliation wicri:level="2"><nlm:aff id="pnw099-aff1">Samueli Institute, Alexandria, Virginia</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Samueli Institute, Alexandria</wicri:cityArea></affiliation></author><author><name sortKey="Xenakis, Lea" sort="Xenakis, Lea" uniqKey="Xenakis L" first="Lea" last="Xenakis">Lea Xenakis</name><affiliation wicri:level="2"><nlm:aff id="pnw099-aff1">Samueli Institute, Alexandria, Virginia</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Samueli Institute, Alexandria</wicri:cityArea></affiliation></author><author><name sortKey="Yang, Eunmee" sort="Yang, Eunmee" uniqKey="Yang E" first="Eunmee" last="Yang">Eunmee Yang</name><affiliation wicri:level="2"><nlm:aff id="pnw099-aff1">Samueli Institute, Alexandria, Virginia</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Samueli Institute, Alexandria</wicri:cityArea></affiliation></author><author><name sortKey="Zhang, Weimin" sort="Zhang, Weimin" uniqKey="Zhang W" first="Weimin" last="Zhang">Weimin Zhang</name><affiliation wicri:level="2"><nlm:aff id="pnw099-aff1">Samueli Institute, Alexandria, Virginia</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Samueli Institute, Alexandria</wicri:cityArea></affiliation></author></analytic><series><title level="j">Pain Medicine: The Official Journal of the American Academy of Pain Medicine</title><idno type="ISSN">1526-2375</idno><idno type="eISSN">1526-4637</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec id="as1"><title>Purpose</title><p>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.</p></sec><sec id="as2"><title>Methods</title><p>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.</p></sec><sec id="as3"><title>Results</title><p>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).</p></sec><sec id="as4"><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Jamison, R" uniqKey="Jamison R">R Jamison</name></author><author><name sortKey="Edwards, R" uniqKey="Edwards R">R. Edwards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="May, A" uniqKey="May A">A. May</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, C" uniqKey="Lee C">C Lee</name></author><author><name sortKey="Crawford, C" uniqKey="Crawford C">C Crawford</name></author><author><name sortKey="Teo, L" uniqKey="Teo L">L Teo</name></author><author><name sortKey="Spevak, C" uniqKey="Spevak C">C. 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Jacobsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ou, Mc" uniqKey="Ou M">MC Ou</name></author><author><name sortKey="Hsu, Tf" uniqKey="Hsu T">TF Hsu</name></author><author><name sortKey="Lai, Ac" uniqKey="Lai A">AC Lai</name></author><author><name sortKey="Lin, Yt" uniqKey="Lin Y">YT Lin</name></author><author><name sortKey="Lin, Cc" uniqKey="Lin C">CC. Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seers, K" uniqKey="Seers K">K Seers</name></author><author><name sortKey="Crichton, N" uniqKey="Crichton N">N Crichton</name></author><author><name sortKey="Martin, J" uniqKey="Martin J">J Martin</name></author><author><name sortKey="Coulson, K" uniqKey="Coulson K">K Coulson</name></author><author><name sortKey="Carroll, D" uniqKey="Carroll D">D. Carroll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Field, Tm" uniqKey="Field T">TM Field</name></author><author><name sortKey="Sunshine, W" uniqKey="Sunshine W">W Sunshine</name></author><author><name sortKey="Hernandez Reif, M" uniqKey="Hernandez Reif M">M Hernandez-Reif</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brattberg, G" uniqKey="Brattberg G">G. Brattberg</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Crawford, Cindy" sort="Crawford, Cindy" uniqKey="Crawford C" first="Cindy" last="Crawford">Cindy Crawford</name></region><name sortKey="Boyd, Courtney" sort="Boyd, Courtney" uniqKey="Boyd C" first="Courtney" last="Boyd">Courtney Boyd</name><name sortKey="Paat, Charmagne F" sort="Paat, Charmagne F" uniqKey="Paat C" first="Charmagne F" last="Paat">Charmagne F. Paat</name><name sortKey="Price, Ashley" sort="Price, Ashley" uniqKey="Price A" first="Ashley" last="Price">Ashley Price</name><name sortKey="Xenakis, Lea" sort="Xenakis, Lea" uniqKey="Xenakis L" first="Lea" last="Xenakis">Lea Xenakis</name><name sortKey="Yang, Eunmee" sort="Yang, Eunmee" uniqKey="Yang E" first="Eunmee" last="Yang">Eunmee Yang</name><name sortKey="Zhang, Weimin" sort="Zhang, Weimin" uniqKey="Zhang W" first="Weimin" last="Zhang">Weimin Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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