The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part II, Cancer Pain Populations
Identifieur interne : 000007 ( Pmc/Checkpoint ); précédent : 000006; suivant : 000008The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part II, Cancer Pain Populations
Auteurs : Courtney Boyd [États-Unis] ; Cindy Crawford [États-Unis] ; Charmagne F. Paat [États-Unis] ; Ashley Price [États-Unis] ; Lea Xenakis [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 in cancer populations.
Key databases were searched from inception through February 2014. Eligible randomized controlled trials were assessed for methodological quality using the SIGN 50 Checklist. Meta-analysis was applied at the outcome level. A diverse steering committee interpreted the results to develop recommendations.
Twelve high quality and four low quality studies were subsequently included in the review. Results demonstrate massage therapy is effective for treating pain compared to no treatment [standardized mean difference (SMD) = −.20] and active (SMD = −0.55) comparators. Compared to active comparators, massage therapy was also found to be beneficial for treating fatigue (SMD = −1.06) and anxiety (SMD = −1.24).
Based on the evidence, weak recommendations are suggested for massage therapy, compared to an active comparator, for the treatment of pain, fatigue, and anxiety. No recommendations were suggested for massage therapy compared to no treatment or sham control based on the available literature to date. This review addresses 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 for cancer pain populations.
Url:
DOI: 10.1093/pm/pnw100
PubMed: 27165967
PubMed Central: 4975018
Affiliations:
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Paat</name><affiliation wicri:level="2"><nlm:aff id="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27165967</idno><idno type="pmc">4975018</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975018</idno><idno type="RBID">PMC:4975018</idno><idno type="doi">10.1093/pm/pnw100</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000012</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000012</idno><idno type="wicri:Area/Pmc/Curation">000012</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000012</idno><idno type="wicri:Area/Pmc/Checkpoint">000007</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000007</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part II, Cancer Pain Populations</title><author><name sortKey="Boyd, Courtney" sort="Boyd, Courtney" uniqKey="Boyd C" first="Courtney" last="Boyd">Courtney Boyd</name><affiliation wicri:level="2"><nlm:aff id="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Crawford, Cindy" sort="Crawford, Cindy" uniqKey="Crawford C" first="Cindy" last="Crawford">Cindy Crawford</name><affiliation wicri:level="2"><nlm:aff id="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></affiliation></author><author><name sortKey="Paat, Charmagne F" sort="Paat, Charmagne F" uniqKey="Paat C" first="Charmagne F" last="Paat">Charmagne F. Paat</name><affiliation wicri:level="2"><nlm:aff id="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Samueli Institute, Alexandria, Virginia</wicri:regionArea><placeName><region type="state">Virginie</region></placeName></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 in cancer 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 the 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>Twelve high quality and four low quality studies were subsequently included in the review. Results demonstrate massage therapy is effective for treating pain compared to no treatment [standardized mean difference (SMD) = −.20] and active (SMD = −0.55) comparators. Compared to active comparators, massage therapy was also found to be beneficial for treating fatigue (SMD = −1.06) and anxiety (SMD = −1.24).</p></sec><sec id="as4"><title>Conclusion</title><p>Based on the evidence, weak recommendations are suggested for massage therapy, compared to an active comparator, for the treatment of pain, fatigue, and anxiety. No recommendations were suggested for massage therapy compared to no treatment or sham control based on the available literature to date. This review addresses 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 for cancer pain populations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lesage, P" uniqKey="Lesage P">P Lesage</name></author><author><name sortKey="Portenoy, Rk" uniqKey="Portenoy R">RK. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Pain Med</journal-id><journal-id journal-id-type="iso-abbrev">Pain Med</journal-id><journal-id journal-id-type="publisher-id">painmedicine</journal-id><journal-title-group><journal-title>Pain Medicine: The Official Journal of the American Academy of Pain Medicine</journal-title></journal-title-group><issn pub-type="ppub">1526-2375</issn><issn pub-type="epub">1526-4637</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27165967</article-id><article-id pub-id-type="pmc">4975018</article-id><article-id pub-id-type="doi">10.1093/pm/pnw100</article-id><article-id pub-id-type="publisher-id">pnw100</article-id><article-categories><subj-group subj-group-type="heading"><subject>INTEGRATIVE MEDICINE SECTION</subject><subj-group subj-group-type="category-toc-heading"><subject>Review Article</subject></subj-group></subj-group></article-categories><title-group><article-title>The Impact of Massage Therapy on Function in Pain Populations—A Systematic Review and Meta-Analysis of Randomized Controlled Trials: Part II, Cancer Pain Populations</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Boyd</surname><given-names>Courtney</given-names></name><degrees>MA</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref><xref ref-type="corresp" rid="pnw100-cor1"></xref><pmc-comment>cboyd@samueliinstitute.org </pmc-comment>
</contrib><contrib contrib-type="author"><name><surname>Crawford</surname><given-names>Cindy</given-names></name><degrees>BA</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Paat</surname><given-names>Charmagne F</given-names></name><degrees>BS</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Price</surname><given-names>Ashley</given-names></name><degrees>BS</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Xenakis</surname><given-names>Lea</given-names></name><degrees>MPA</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Weimin</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib></contrib-group><contrib-group><contrib contrib-type="author"><collab>Evidence for Massage Therapy (EMT) Working Group
<contrib-group><contrib contrib-type="author"><name><surname>Buckenmaier</surname><given-names>Chester</given-names><suffix>III</suffix></name><degrees>MD, COL (ret)</degrees></contrib><contrib contrib-type="author"><name><surname>Buckenmaier</surname><given-names>Pamela</given-names></name><degrees>RN, LMT</degrees></contrib><contrib contrib-type="author"><name><surname>Cambron</surname><given-names>Jerrilyn</given-names></name><degrees>DC, PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Deery</surname><given-names>Christopher</given-names></name><degrees>LMT</degrees></contrib><contrib contrib-type="author"><name><surname>Schwartz</surname><given-names>Jan</given-names></name><degrees>MA, BCTMB</degrees></contrib><contrib contrib-type="author"><name><surname>Werner</surname><given-names>Ruth</given-names></name><degrees>BCTMB</degrees></contrib><contrib contrib-type="author"><name><surname>Whitridge</surname><given-names>Pete</given-names></name><degrees>BA, LMT</degrees></contrib></contrib-group></collab><xref ref-type="aff" rid="pnw100-aff1"></xref></contrib></contrib-group><aff id="pnw100-aff1">Samueli Institute, Alexandria, Virginia, USA</aff><author-notes><corresp id="pnw100-cor1"><italic>Correspondence to:</italic> Courtney Boyd, Samueli Institute, 1737 King Street, Suite 600, Alexandria, VA 22314, USA. Tel: <phone>703-299-4800</phone>; Fax: <fax>703-535-6750</fax>; E-mail: <email>cboyd@samueliinstitute.org</email>.</corresp><fn id="pnw100-FM1"><p>Funding sources: Funding for this project was provided by the Massage Therapy Foundation, through the generous support of the American Massage Therapy Association.</p></fn><fn id="pnw100-FM2"><p>Conflicts of interest: The views expressed in this article are those of the authors and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, or United States Government. There are no conflicts of interest to report.</p></fn><fn id="pnw100-FM3"><p>Disclosure: The Evidence for Massage Therapy (EMT) Working Group (diverse stake-holders making up the steering committee and subject matter experts) contributed to the protocol development and provided input throughout the entire project; all analyses were conducted independently by Samueli Institute. All recommendations set forth in this report were made collectively with the EMT Working Group and Samueli Institute during an expert round table and are based on the evidence revealed through the systematic review and gaps that emerged through the process.</p></fn></author-notes><pub-date pub-type="ppub"><month>8</month><year>2016</year></pub-date><pub-date iso-8601-date="2016-05-10" pub-type="epub"><day>10</day><month>5</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>5</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>17</volume><issue>8</issue><fpage>1553</fpage><lpage>1568</lpage><permissions><copyright-statement>© 2016 American Academy of Pain Medicine.</copyright-statement><copyright-year>2016</copyright-year><license license-type="cc-by-nc" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com</license-p></license></permissions><self-uri xlink:href="pnw100.pdf"></self-uri><abstract><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 in cancer 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 the 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>Twelve high quality and four low quality studies were subsequently included in the review. Results demonstrate massage therapy is effective for treating pain compared to no treatment [standardized mean difference (SMD) = −.20] and active (SMD = −0.55) comparators. Compared to active comparators, massage therapy was also found to be beneficial for treating fatigue (SMD = −1.06) and anxiety (SMD = −1.24).</p></sec><sec id="as4"><title>Conclusion</title><p>Based on the evidence, weak recommendations are suggested for massage therapy, compared to an active comparator, for the treatment of pain, fatigue, and anxiety. No recommendations were suggested for massage therapy compared to no treatment or sham control based on the available literature to date. This review addresses 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 for cancer pain populations.</p></sec></abstract><kwd-group><kwd>Systematic Review</kwd><kwd>Meta-Analysis</kwd><kwd>Massage Therapy</kwd><kwd>Pain</kwd><kwd>Function</kwd><kwd>Health-Related Quality of Life</kwd></kwd-group><counts><page-count count="16"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Virginie"><name sortKey="Boyd, Courtney" sort="Boyd, Courtney" uniqKey="Boyd C" first="Courtney" last="Boyd">Courtney Boyd</name></region><name sortKey="Crawford, Cindy" sort="Crawford, Cindy" uniqKey="Crawford C" first="Cindy" last="Crawford">Cindy Crawford</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="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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