Massage for mechanical neck disorders

Haraldsson, BG; Gross, AR; Goldsmith, C. H.; Myers, CD; Ezzo, JM; Morien, Annie; Peloso, Paul M.

doi:10.1002/14651858.cd004871.pub2

Cited by 20 publications

(26 citation statements)

References 18 publications

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“…Some published research suggests that people experience beneficial outcomes from TMB treatments, particularly for general clinical conditions such as stress, anxiety, and depression, and sometimes for localized pain or mobility (4)(5)(6) . In contrast, results of specific clinical research are frequently inconclusive or show no benefit, such as those summarized in the systematic reviews for deep transverse friction massage for the treatment of tendinitis (7) , massage for low-back pain (8) , abdominal massage for labor pain (9) , and massage for mechanical neck disorders (10) . While textbooks and courses instruct practitioners in rote assessment and technique application, the instructional and research literature lacks a detailed description of experienced practitioners' process of practice: the "why, how, and when" of the assessment and therapy application choices occurring during practice, including influences on the concomitant decision-making.…”

Section: Exploring the Nature Of Therapeutic Massage Bodywork Practicementioning

confidence: 99%

Exploring the Nature of Therapeutic Massage Bodywork Practice

Porcino

Boon

Page

et al. 2013

IJTMB

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Section: Exploring the Nature Of Therapeutic Massage Bodywork Practicementioning

confidence: 99%

Exploring the Nature of Therapeutic Massage Bodywork Practice

Porcino

Boon

Page

et al. 2013

IJTMB

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“…12 The checklist comprised two parts: reporting and performance aspects. Each item also contained subsections.…”

Section: External Validity Assessmentmentioning

confidence: 99%

“…5 11 The external validity criteria have been classifi ed based on the threats which affect trial applicability. 12 Some studies evaluated the reported information of trials using one or two criteria, 9 13 14 while several studies suggested a list of criteria in evaluating the trial reports. 5 6 8 15 Researchers and editors have put efforts into improving the reporting of the results of RCTs in acupuncture with the main focus centring on Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines.…”

Section: Introductionmentioning

confidence: 99%

External Validity in Randomised Controlled Trials of Acupuncture for Osteoarthritis Knee Pain

et al. 2012

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Objectives To assess two aspects of the external validity of acupuncture research for osteoarthritis knee pain and determine the common acupoints and treatment parameters used. Methods The external validity of 16 randomised controlled trials (RCTs) was investigated using a scale consisting of two aspects: reporting and performance. The reporting aspect included acupuncturist's background, study location, treatment detailed, patient characteristics, positive trial results, adverse effects and between-group statistical differences, whereas treatment appropriateness, appropriate controls and outcomes were classifi ed as the performance aspect. Acupuncture treatment in RCTs was compared with common practice according to the literature sources and survey of acupuncturists working in different parts of Thailand. Results The levels of external validity for the reporting and performance aspects were in the range of 31.3% to 100%. Statistic values such as mean difference and confi dence interval were reported by the minority of trials (43.8%). Patient satisfaction and quality of life were seldom used (31.3%). There were minor differences between research and practice in terms of the points used (25.0%), number of treatment sessions (6.3%) and frequency (12.5%). The most frequently used points were ST34, ST35, ST36, SP6, SP9, SP10, GB34, Xiyan and ah shi points, and the commonly used treatment parameters were 20 minutes, 10-15 sessions and two treatments weekly. Conclusions Reporting of the external validity of acupuncture RCTs for knee pain was notably inadequate in terms of trial setting, treatment provider and statistical reporting. The majority of studies involved appropriate controls and outcomes and applied acupuncture treatments in line with practice.

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“…unable to draw conclusions because of the poor quality of mostly clinically irrelevant studies. An earlier Cochrane review 16 noted that studies have used such different types and doses of massage that the optimum dose for practice and clinical trials is unknown. We therefore designed a study to evaluate the optimal combination of frequency and length of sessions with therapeutic massage in persons with chronic neck pain.…”

Section: Introductionmentioning

confidence: 99%

Five-Week Outcomes From a Dosing Trial of Therapeutic Massage for Chronic Neck Pain

Sherman

Cook

Wellman

et al. 2014

The Annals of Family Medicine

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PURPOSE This trial was designed to evaluate the optimal dose of massage for individuals with chronic neck pain. METHODSWe recruited 228 individuals with chronic nonspecific neck pain from an integrated health care system and the general population, and randomized them to 5 groups receiving various doses of massage (a 4-week course consisting of 30-minute visits 2 or 3 times weekly or 60-minute visits 1, 2, or 3 times weekly) or to a single control group (a 4-week period on a wait list). We assessed neck-related dysfunction with the Neck Disability Index (range, 0-50 points) and pain intensity with a numerical rating scale (range, 0-10 points) at baseline and 5 weeks. We used log-linear regression to assess the likelihood of clinically meaningful improvement in neck-related dysfunction (≥5 points on Neck Disability Index) or pain intensity (≥30% improvement) by treatment group. RESULTSAfter adjustment for baseline age, outcome measures, and imbalanced covariates, 30-minute treatments were not significantly better than the wait list control condition in terms of achieving a clinically meaningful improvement in neck dysfunction or pain, regardless of the frequency of treatments. In contrast, 60-minute treatments 2 and 3 times weekly significantly increased the likelihood of such improvement compared with the control condition in terms of both neck dysfunction (relative risk = 3.41 and 4.98, P = .04 and .005, respectively) and pain intensity (relative risk = 2.30 and 2.73; P = .007 and .001, respectively).CONCLUSIONS After 4 weeks of treatment, we found multiple 60-minute massages per week more effective than fewer or shorter sessions for individuals with chronic neck pain. Clinicians recommending massage and researchers studying this therapy should ensure that patients receive a likely effective dose of treatment.

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Massage for mechanical neck disorders

Cited by 20 publications

References 18 publications

Exploring the Nature of Therapeutic Massage Bodywork Practice

Exploring the Nature of Therapeutic Massage Bodywork Practice

External Validity in Randomised Controlled Trials of Acupuncture for Osteoarthritis Knee Pain

Five-Week Outcomes From a Dosing Trial of Therapeutic Massage for Chronic Neck Pain

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