Immediate Effect of Therapeutic Massage on Pain Sensation and Unpleasantness: A Consecutive Case Series.
Immediate Effect of Therapeutic Massage on Pain Sensation and Unpleasantness: A Consecutive Case Series.
复制标题
DOI：
10.7453/gahmj.2015.059
复制
发表时间：
2015-09
影响因子：
--
通讯作者：
Menard MB
中科院分区：
文献类型：
--
作者：
Menard MB
肌肉骨骼疼痛是一种常见的疾病，给患者带来了沉重的负担，每年使美国经济损失数十亿美元的生产力。在社区实践中，抱怨肌肉骨骼疼痛的人占按摩治疗师治疗的客户的很大比例，但很少有研究探讨了治疗性按摩对这种类型疼痛的直接影响。在社区环境中评估治疗性按摩对肌肉骨骼疼痛感和不愉快感的即时效果。在美国弗吉尼亚州中部的个人私人执业。116名首次就诊者主诉肌肉骨骼疼痛为主要症状。前瞻性、连续性、基于实践的病例系列。一次60分钟的个性化治疗按摩;使用的技术包括瑞典式按摩，采用按摩法，petrissage和摩擦;深层组织;肌筋膜;位置释放;被动和抵抗关节活动;和biofield模式。疼痛感觉和不愉快的视觉模拟量表。疼痛感和不愉快感都明显减少了一个单一的治疗按摩会议。平均疼痛感从按摩前的3.76（SD=1.87）下降到按摩后的0.89（SD=1.35），t=18.87，P<0.001。平均疼痛不适从按摩前的5.21（SD=2.48）下降到按摩后的0.64（SD=1.23），t =20.45，P<0.001。效应量分别为1.76和1.90。在这个病例系列中，治疗性按摩似乎是一种有效的干预常见的肌肉骨骼疼痛，影响身体和情感方面的疼痛体验。尽管通过限制首次客户的资格和使用标准化脚本来减少潜在的偏见，但基于实践的病例系列具有固有的局限性。按摩治疗师进行基于实践的研究和建议，为今后的研究进行了讨论。
Musculoskeletal pain is a common condition that poses a significant burden to its sufferers and costs the US economy billions of dollars each year in lost productivity. Individuals complaining of musculoskeletal pain make up a large proportion of clients treated by massage therapists in community practices, yet few studies have examined the immediate effect of therapeutic massage on this type of pain in the practice setting. To assess the immediate effect of therapeutic massage on musculoskeletal pain sensation and unpleasantness in a community setting. Solo private practice in central Virginia, United States. One hundred sixteen first-time clients who complained of musculoskeletal pain as a presenting symptom. Prospective, consecutive practice-based case series. A single 60-minute session of individualized therapeutic massage; techniques used included Swedish massage employing effleurage, petrissage, and friction,;deep tissue; myofascial; positional release; passive and resisted joint mobilization; and biofield modalities. Visual Analog Scales for pain sensation and unpleasantness. Both pain sensation and unpleasantness were significantly reduced by a single session of therapeutic massage. Mean pain sensation decreased from 3.76 (SD=1.87) prior to massage to .89 (SD=1.35) following massage, with t=18.87, P<.001. Mean pain unpleasantness decreased from 5.21 (SD=2.48) prior to massage to .64 (SD=1.23) following massage, with t =20.45, P<.001. Effect sizes were 1.76 and 1.90, respectively. In this case series, therapeutic massage appeared to be an effective intervention for common musculoskeletal pain that influenced both the physical and affective dimension of the pain experience. Although care was taken to reduce potential bias through limiting eligibility to first time clients and use of a standardized script, practice-based case series have inherent limitations. Issues in conducting practice-based research by massage therapists and recommendations for future research are discussed.