Spinal Cord Patients Benefit From Massage Therapy

Diego, Miguel; Field, Tiffany; Hernandez‐Reif, Maria; Hart, Sybil; Brucker, B.; Field, Tory; Burman, Iris

doi:10.1080/00207450212023

Cited by 61 publications

(57 citation statements)

References 13 publications

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“…23,[31][32][33]35,37 Dropouts were also a common problem, with only 18 trials reporting outcome data on at least 85% of subjects. 8,9,[18][19][20][22][23][24]27,28,[31][32][33][34][35]37,40,41 Not surprisingly and due to the nature of the interventions, only two trials blinded subjects 37,43 and no trial blinded therapists. Figure 1 Examples of outcomes from trials demonstrating the four types of results, namely, between-group statistical significance and clearly important treatment effects; between-group statistical significance and inconclusive treatment effects; no between-group statistical significance and inconclusive treatment effects; and no between-group statistical significance and ineffective treatments.…”

Section: Resultsmentioning

confidence: 99%

“…Only trials that involved a treatment administered over more than one occasion were included. In trials that looked at the effects of one-off treatments as well the effects of a series of treatments, 8,9 only the data reflecting the response to the series of treatments were included. Trials that examined the effectiveness of providing education or equipment were excluded, as were trials directed at respiratory care or skin management.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…39 A trial investigating massage (versus head and upper limb range of motion exercises) had mixed results reporting between-group statistical differences for some outcomes but treatment ineffectiveness for the others. 9 Ultrasound (versus sham ultrasound) was ineffective for preventing bone loss. 43 There were insufficient data or inconclusive evidence to support ES or biofeedback for function, 40,41 hippotherapy for spasticity 8 or stretches and strengthening exercises for shoulder pain.…”

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confidence: 99%

“…38 The other two trials investigated the effectiveness of acupuncture for shoulder pain and were inconclusive. (7) Other therapies: Seven trials examined a range of different therapies including the effect of shoulder exercises or massage for mobility and depression, 9 ES or biofeedback for function, 40,41 hippotherapy for spasticity, 8 upper limb exercise with graded tilting for postural hypotension, 42 ultrasound for bone loss 43 and stretches and strengthening exercises for shoulder pain. 39 A trial investigating massage (versus head and upper limb range of motion exercises) had mixed results reporting between-group statistical differences for some outcomes but treatment ineffectiveness for the others.…”

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confidence: 99%

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The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

et al. 2008

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Study design: Systematic review. Objectives: To provide a quantitative analysis of all randomized controlled trials designed to determine the effectiveness of physical interventions for people with spinal cord injury (SCI). Setting: Sydney, Australia. Methods: A search was conducted for randomized controlled trials involving physical interventions for people with SCI. Two reviewers independently rated methodological quality using the PEDro scale and extracted key findings from the trials. Results: Four thousand five hundred and forty three abstracts were identified of which 31 trials met the inclusion criteria. Trials examined the effectiveness of fitness and strength training (n ¼ 7), gait training (n ¼ 5), hand therapy (n ¼ 3), stretch (n ¼ 4), acupuncture (n ¼ 3), hand splinting (n ¼ 2) and other related therapies (n ¼ 7). Six trials reported a between-group mean difference with a clearly important treatment effect on at least one outcome measure. These trials supported the use of fitness, strength and gait training as well as acupuncture. Conclusion: There is initial evidence supporting the effectiveness of some physical interventions for people with SCI. However, there is a pressing need for high-quality trials to determine the effectiveness of all physical interventions commonly administered in clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Inclusion Criteriamentioning

confidence: 99%

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The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

et al. 2008

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“…The power of touch had been reported in several other studies. 20,21 Better outcomes were reported to be associated with early initiation of treatment as well as repeating urut Melayu at regular intervals. Since this practice cannot be adhered to at all times due to the limitation of the number of practitioners, it is recommended that more practitioners are trained and positioned at the integrated hospitals.…”

Section: Discussionmentioning

confidence: 99%

Urut Melayufor Poststroke Patients: A Qualitative Study

Anuar¹,

Fadzil

Ahmad

et al. 2012

The Journal of Alternative and Complementary Medicine

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Background: Urut Melayu, the traditional Malay massage, had been introduced into three pioneer hospitals in Malaysia, as part of the integrated hospital program. It was introduced primarily for the rehabilitation of poststroke patients. After almost 3 years since it was first implemented, there are currently plans to extend it to other hospitals in the country. Information from this study will contribute toward a better future implementation plan. Objectives: This study was conducted to gain an insight into the experiences and views of poststroke patients and their urut Melayu practitioners. Methods: A qualitative study design was adopted. A total of 17 semistructured in-depth interviews were carried out with poststroke patients who were undergoing urut Melayu treatment at one of the three integrated hospitals. Information was solicited from their accompanying caregivers whenever necessary. The 2 urut Melayu practitioners at the hospital were also interviewed. All the interviews were carried out in Malay by the authors, at the Traditional and Complementary Medicine unit of the relevant hospital. The interviews were audiotaped, transcribed, and coded into categories through a constant-comparison method of data analysis. Illustrative quotations were identified to supplement the narrative descriptions of the themes. Results: It was found that urut Melayu was sought by patients who had experienced stroke brought about by hypertension and postdelivery complications. They reported the unique characteristics of urut Melayu and their positive experiences with it. Conclusions: Urut Melayu has potential as a complementary therapy for poststroke patients. It is recommended that the number of practitioners at the Traditional and Complementary Medicine unit be increased to provide the optimum care for poststroke patients.

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Evidence-based Kernels: Fundamental Units of Behavioral Influence

Embry¹,

Biglan

2008

Clin Child Fam Psychol Rev

336

270

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This paper describes evidence-based kernels, fundamental units of behavioral influence that appear to underlie effective prevention and treatment for children, adults, and families. A kernel is a behavior-influence procedure shown through experimental analysis to affect a specific behavior and that is indivisible in the sense that removing any of its components would render it inert. Existing evidence shows that a variety of kernels can influence behavior in context, and some evidence suggests that frequent use or sufficient use of some kernels may produce longer lasting behavioral shifts. The analysis of kernels could contribute to an empirically based theory of behavioral influence, augment existing prevention or treatment efforts, facilitate the dissemination of effective prevention and treatment practices, clarify the active ingredients in existing interventions, and contribute to efficiently developing interventions that are more effective. Kernels involve one or more of the following mechanisms of behavior influence: reinforcement, altering antecedents, changing verbal relational responding, or changing physiological states directly. The paper describes 52 of these kernels, and details practical, theoretical, and research implications, including calling for a national database of kernels that influence human behavior.Keywords Evidence-based kernels Á Public-health benefits Á Prevention Á Treatment This paper presents an analysis of fundamental units of behavioral influence that underlie effective prevention and treatment. We call these units kernels. They have two defining features. First, in experimental analysis, researchers have found them to have a reliable effect on one or more specific behaviors. Second, they are fundamental units of behavior influence in the sense that deleting any component of a kernel would render it inert. Understanding kernels could contribute to an empirically based theory of behavioral influence, facilitate dissemination of effective prevention and treatment practices, clarify the active ingredients in existing interventions, and contribute to developing interventions that are more efficient and effective. Subsequent sections of this paper expand on the two essential features of evidence-based kernels, as well as the origins of the idea and terminology.The ultimate goals of treatment and prevention research are a reduction of the prevalence of the most common and costly problems of behavior and an increase in the prevalence of wellbeing. Current thinking about how to accomplish this assumes that we will identify empirically supported programs and, to a lesser extent, policies, and will disseminate them widely and effectively. Although substantial progress is occurring through this strategy, there are at least four limitations to it that point to the value of kernels as a complementary strategy.First, it is difficult to implement a program's efficacy widely with fidelity or effectiveness. Ringwalt et al. (2003) surveyed a sample of 1,795 school staff members who were i...

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Spinal Cord Patients Benefit From Massage Therapy

Cited by 61 publications

References 13 publications

The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

Urut Melayufor Poststroke Patients: A Qualitative Study

Evidence-based Kernels: Fundamental Units of Behavioral Influence

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