A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial.
A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial.
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DOI：
10.7326/0003-4819-155-1-201107050-00002
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发表时间：
2011-07-05
影响因子：
39.2
通讯作者：
Deyo RA
中科院分区：
文献类型：
--
作者：
Cherkin DC;Sherman KJ;Kahn J;Wellman R;Cook AJ;Johnson E;Erro J;Delaney K;Deyo RA
Few studies have evaluated the effectiveness of massage for back pain. To evaluate the effectiveness of two types of massage for chronic back pain. Single-blind parallel group randomized controlled trial. Integrated health care delivery system in Seattle area. 401 persons 20 to 65 years of age with non-specific chronic low back pain. Ten treatments over 10 weeks of Structural Massage (intended to identify and alleviate musculoskeletal contributors to pain through focused soft-tissue manipulation) (n=132) or Relaxation Massage (intended to decrease pain and dysfunction by inducing relaxation) (n=136). Treatments provided by 27 experienced licensed massage therapists. Comparison group received continued usual care (n=133). Study presented as comparison of usual care with two types of massage. Primary outcomes were the Roland Disability Questionnaire (RDQ) and the Symptom Bothersomeness scale measured at 10 weeks. Outcomes also measured after 26 and 52 weeks. At 10 weeks, the massage groups had similar functional outcomes that were superior to those for usual care. The adjusted mean RDQ scores were 2.9 and 2.4 points lower for the relaxation and structural massage groups, respectively, compared to usual care (95% CIs: [1.8, 4.0] and [1.4, 3.5]). Adjusted mean symptom bothersomeness scores were 1.7 points and 1.4 points lower with relaxation and structural massage, respectively, versus usual care (95% CIs: [1.2, 2.2] and [0.8, 1.9]). The beneficial effects of relaxation massage on function (but not on symptom reduction) persisted at 52 weeks, but were small. Restricted to single site; therapists and patients not blinded to treatment. This study confirms the results of smaller trials that massage is an effective treatment for chronic back pain with benefits lasting at least 6 months, and also finds no evidence of a clinically-meaningful difference in the effectiveness of two distinct types of massage. National Center for Complementary and Alternative Medicine
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影响因子：
2.5
作者：
Cherkin, Daniel C.;Sherman, Karen J.;Cook, Andrea J.
通讯作者：
Cook, Andrea J.
影响因子：
3
作者：
PATRICK, DL;DEYO, RA;KELLER, RB
通讯作者：
KELLER, RB
影响因子：
2.8
作者：
Hägg, O;Fritzell, P;Nordwall, A
通讯作者：
Nordwall, A
影响因子：
2.2
作者：
Hernandez-Reif, M;Field, T;Theakston, H
通讯作者：
Theakston, H
影响因子：
1.4
作者：
Field, Tiffany;Hernandez-Reif, Maria;Fraser, Monica
通讯作者：
Fraser, Monica