JoEllen M. Sefton, PhD, LAT, ATC, Jennifer Dexheimer, BSc, LMT, Niki Munk, PhD, LMT, Robin Miccio, MS, LMT, Ann Blair Kennedy, DrPH, LMT, Jerrilyn Cambron, PhD, LMT, Gordon MacDonald, BSc, Rob Hemsworth, BPE, RMT
The Massage Therapy Foundation (MTF) serves as a primary steward of massage therapy research; working to fund and advance the science and art of massage therapy for the entire massage community. The development of an updated research agenda is an essential part of furthering the MTF’s responsibility to help grow the massage therapy knowledge base and increase support for the application of quality research. Integrative health and massage community stakeholders are called upon to help move this MTF 2020 Massage Therapy Research Agenda forward. Together we must strive to continue to advance and disseminate new knowledge to all stakeholders including practitioners, students, instructors, researchers, and policy makers.
{"title":"A Research Agenda for the Massage Therapy Profession: a Report from the Massage Therapy Foundation","authors":"JoEllen M. Sefton, PhD, LAT, ATC, Jennifer Dexheimer, BSc, LMT, Niki Munk, PhD, LMT, Robin Miccio, MS, LMT, Ann Blair Kennedy, DrPH, LMT, Jerrilyn Cambron, PhD, LMT, Gordon MacDonald, BSc, Rob Hemsworth, BPE, RMT","doi":"10.3822/ijtmb.v13i4.595","DOIUrl":"https://doi.org/10.3822/ijtmb.v13i4.595","url":null,"abstract":"The Massage Therapy Foundation (MTF) serves as a primary steward of massage therapy research; working to fund and advance the science and art of massage therapy for the entire massage community. The development of an updated research agenda is an essential part of furthering the MTF’s responsibility to help grow the massage therapy knowledge base and increase support for the application of quality research. Integrative health and massage community stakeholders are called upon to help move this MTF 2020 Massage Therapy Research Agenda forward. Together we must strive to continue to advance and disseminate new knowledge to all stakeholders including practitioners, students, instructors, researchers, and policy makers.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"42 - 46"},"PeriodicalIF":0.0,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48831971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients are best positioned to provide information about their experiences of healthcare services; however, their perspectives are often underutilized. During informal discussions with massage therapists (MTs) and through the authors’ own professional experiences, it was noted that there are times when patients decide independently, and without notice, to end the care they are receiving. To date, no research has been published exploring the experiences of patients who choose to discontinue massage therapy care and there is a gap in the quality assurance process of MTs. Lack of understanding of patients’ experiences is a missed opportunity to strengthen the therapeutic relationship, ensure patient safety, improve treatment quality, and develop professionally. We recommend researchers explore mixed methods designs, involve patients in the research process, and solicit multiple perspectives when studying patients’ experiences of ending massage therapy care.
{"title":"Patients’ Experiences of Ending Massage Therapy Care: a Commentary","authors":"Amanda Baskwill, S. Michaud","doi":"10.3822/ijtmb.v13i4.569","DOIUrl":"https://doi.org/10.3822/ijtmb.v13i4.569","url":null,"abstract":"Patients are best positioned to provide information about their experiences of healthcare services; however, their perspectives are often underutilized. During informal discussions with massage therapists (MTs) and through the authors’ own professional experiences, it was noted that there are times when patients decide independently, and without notice, to end the care they are receiving. To date, no research has been published exploring the experiences of patients who choose to discontinue massage therapy care and there is a gap in the quality assurance process of MTs. Lack of understanding of patients’ experiences is a missed opportunity to strengthen the therapeutic relationship, ensure patient safety, improve treatment quality, and develop professionally. We recommend researchers explore mixed methods designs, involve patients in the research process, and solicit multiple perspectives when studying patients’ experiences of ending massage therapy care.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"47 - 51"},"PeriodicalIF":0.0,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49039600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oluwakemi Balogun, MS4, Ann Blair Kennedy, LMT, BCTMB, DrPH
It has been documented that there are disparities in who seeks massage therapy in the United States. Yet, there are few conversations about race and ethnicity of the massage therapists who provide these services. We must examine the diversity, equity, and inclusion within the massage therapy profession and consider how the profession can improve the landscape for clients/patients and for those who feel called to work within this field. Although the diversity of the profession and those who seek treatment are rarely discussed, this paper explores these issues and offers possible solutions to expand the diversity of the profession and patient population.
{"title":"Equity, Diversity, and Inclusion in the Massage Therapy Profession","authors":"Oluwakemi Balogun, MS4, Ann Blair Kennedy, LMT, BCTMB, DrPH","doi":"10.3822/IJTMB.V13I3.571","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I3.571","url":null,"abstract":"It has been documented that there are disparities in who seeks massage therapy in the United States. Yet, there are few conversations about race and ethnicity of the massage therapists who provide these services. We must examine the diversity, equity, and inclusion within the massage therapy profession and consider how the profession can improve the landscape for clients/patients and for those who feel called to work within this field. Although the diversity of the profession and those who seek treatment are rarely discussed, this paper explores these issues and offers possible solutions to expand the diversity of the profession and patient population.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2020-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46756828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gemma Victoria Espí-López, PT, PhD, Pilar Serra-Añó, PT, PhD, Ferran Cuenca-Martínez , PT, MSc, Luis Suso-Martí, PT, MSc, Marta Inglés, PT, PhD
Background Despite the general belief of the benefits and the widespread use of massage in sport field, there are limited empirical data on possible effectiveness of massage on psychological and physical functional variables. Purpose The main objective of the present study was to compare the effectiveness of classical and light touch massage on psychological and physical functional variables in athletes. Setting Athletic club of Valencia Participants 20 amateur athletes were recruited from two athletic clubs. Research Design A single-blind, randomized, pilot-placebo trial. Intervention The subjects were randomly allocated to two different groups: a) Massage group (MG) (n=10); b) Control group (CG) (n=10). The intervention period lasted one month (one session per week). Main Outcome Measures Assessment of the participants was performed at baseline and 24 hours following the completion of the intervention. Outcome measures included hip flexion, knee extension, and mood state. Results The results suggest that MG obtained better results on physical variables (p < .05). However, for both groups, trends suggest significant improvements in the overall mood state of the participants (p < .05). Conclusion Our results suggest that classic massage could be an effective intervention to improve functional physical variables in athletes. However, trends suggest that a light touch intervention could provoke improvements in physiological measures.
{"title":"Comparison Between Classic and Light Touch Massage on Psychological and Physical Functional Variables in Athletes: a Randomized Pilot Trial","authors":"Gemma Victoria Espí-López, PT, PhD, Pilar Serra-Añó, PT, PhD, Ferran Cuenca-Martínez , PT, MSc, Luis Suso-Martí, PT, MSc, Marta Inglés, PT, PhD","doi":"10.3822/IJTMB.V13I3.551","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I3.551","url":null,"abstract":"Background Despite the general belief of the benefits and the widespread use of massage in sport field, there are limited empirical data on possible effectiveness of massage on psychological and physical functional variables. Purpose The main objective of the present study was to compare the effectiveness of classical and light touch massage on psychological and physical functional variables in athletes. Setting Athletic club of Valencia Participants 20 amateur athletes were recruited from two athletic clubs. Research Design A single-blind, randomized, pilot-placebo trial. Intervention The subjects were randomly allocated to two different groups: a) Massage group (MG) (n=10); b) Control group (CG) (n=10). The intervention period lasted one month (one session per week). Main Outcome Measures Assessment of the participants was performed at baseline and 24 hours following the completion of the intervention. Outcome measures included hip flexion, knee extension, and mood state. Results The results suggest that MG obtained better results on physical variables (p < .05). However, for both groups, trends suggest significant improvements in the overall mood state of the participants (p < .05). Conclusion Our results suggest that classic massage could be an effective intervention to improve functional physical variables in athletes. However, trends suggest that a light touch intervention could provoke improvements in physiological measures.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"30 - 37"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49667143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background An increasing number of licensed massage therapists in several countries are providing acupuncture to their clients, but little is known about this practice. Purpose To characterize the motivations, training backgrounds, practice patterns, and clinical experiences of licensed massage therapists who perform acupuncture. Research Design The study used a cross-sectional, online survey design involving acupuncture-providing registered massage therapists (RMTs) in the province of Ontario, Canada, where acupuncture is explicitly permitted within the massage therapy profession’s scope. Analysis involved descriptive statistics and thematic content analysis of qualitative findings. Results The survey response rate was 33.7% (n=212), representing 25.5% of all Ontario RMTs rostered to practice acupuncture. Participant demographics mirrored the RMT profession as a whole, except that providers were, on average, several years older than other RMTs. Most respondents (72.7%) had completed over 200 hours of training in acupuncture; most training included clean needle technique (96.8%), clinical supervision (93.5%), traditional Chinese medicine content (83.4%), and a final examination (96.8%). Respondents typically used acupuncture in about one-third of their sessions (mean 32.3%, SD 5.0) with an average of 10.5 weekly clients (SD 14.3). Acupuncture-providing RMTs had been initially motivated by acupuncture’s potential effectiveness for musculoskel-etal conditions (97.2%), a wish to attract more clients (61.3%), and physical fatigue from delivering manual therapies (48.3%). Most reported being more likely to achieve excellent clinical results (84.9%), experience greater professional satisfaction (79.9%), and attract or retain clients (64.8%) since using acupuncture. A minority also reported earning a higher income (34.6%) and experiencing more adverse events in practice (21.5%). Qualitative responses added explanatory nuance to numeric results. Conclusions This study of the use of acupuncture by Ontario’s licensed massage therapists represents a first scholarly account of an emerging global trend that holds promise in enhancing clinical care, professional stability, and provider longevity. Additional research is needed to investigate the practice’s use in other jurisdictions, and to establish international standards for safe and effective practice.
{"title":"A Survey of Acupuncture-Providing Registered Massage Therapists in Ontario, Canada: Motivation, Training, and Practice Characteristics","authors":"Nadine Ijaz, Sandy Welsh, H. Boon","doi":"10.3822/IJTMB.V13I3.505","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I3.505","url":null,"abstract":"Background An increasing number of licensed massage therapists in several countries are providing acupuncture to their clients, but little is known about this practice. Purpose To characterize the motivations, training backgrounds, practice patterns, and clinical experiences of licensed massage therapists who perform acupuncture. Research Design The study used a cross-sectional, online survey design involving acupuncture-providing registered massage therapists (RMTs) in the province of Ontario, Canada, where acupuncture is explicitly permitted within the massage therapy profession’s scope. Analysis involved descriptive statistics and thematic content analysis of qualitative findings. Results The survey response rate was 33.7% (n=212), representing 25.5% of all Ontario RMTs rostered to practice acupuncture. Participant demographics mirrored the RMT profession as a whole, except that providers were, on average, several years older than other RMTs. Most respondents (72.7%) had completed over 200 hours of training in acupuncture; most training included clean needle technique (96.8%), clinical supervision (93.5%), traditional Chinese medicine content (83.4%), and a final examination (96.8%). Respondents typically used acupuncture in about one-third of their sessions (mean 32.3%, SD 5.0) with an average of 10.5 weekly clients (SD 14.3). Acupuncture-providing RMTs had been initially motivated by acupuncture’s potential effectiveness for musculoskel-etal conditions (97.2%), a wish to attract more clients (61.3%), and physical fatigue from delivering manual therapies (48.3%). Most reported being more likely to achieve excellent clinical results (84.9%), experience greater professional satisfaction (79.9%), and attract or retain clients (64.8%) since using acupuncture. A minority also reported earning a higher income (34.6%) and experiencing more adverse events in practice (21.5%). Qualitative responses added explanatory nuance to numeric results. Conclusions This study of the use of acupuncture by Ontario’s licensed massage therapists represents a first scholarly account of an emerging global trend that holds promise in enhancing clinical care, professional stability, and provider longevity. Additional research is needed to investigate the practice’s use in other jurisdictions, and to establish international standards for safe and effective practice.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"18 - 29"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43546221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Fazeli, M. Pourrahmat, G. Massah, Kelsey Lee, P. Lavoie, M. Fazeli, Alison Esser, J. Collet
Background Shift work is a necessary part of many industries; however, it can have detrimental effects on health over time. Purpose This study investigated the effect of a massage intervention on the cardiac autonomic activity and blood inflammatory markers of healthy medical residents working night shifts. Setting This trial was conducted at British Columbia Children’s and Women’s Hospital between February 2014 and June 2016. Participants Included participants were generally healthy medical residents and were working rotating night shifts on a regular basis. Research Design This was a randomized, controlled, crossover, open-label trial (NCT02247089). Interventions Participants received either a 30-min massage intervention or reading control after consecutive periods of night shift. Main Outcome Measures The primary outcome was high frequency, a proxy for the cardiac parasympathetic activity, measured via heart rate variability. Secondary outcomes included other heart rate variability measures, blood markers of inflammation, and blood pressure. Results Twelve participants were recruited (nine female) with median age of 28 years. There was no significant difference between the massage intervention and the reading control for the primary outcome, (median relative change between pre- and postmassage [interquartile range]: 62% [−1 to 150], pre- and postreading: 14% [−10 to 51], p = .16). Similarly, there was no difference with respect to blood inflammatory markers and blood pressure. Median high frequency significantly increased between pre- and postmassage (185 vs. 358 ms2, p = .04). Conclusion This pilot study found no statistically significant difference between the massage intervention and the reading control; however, we did observe a significant increase in median high frequency from before massage to after massage, indicative of increased parasympathetic activity. This study may help inform planning of larger trials evaluating massage interventions on the activity of the autonomic nervous system and managing shift work stress.
{"title":"The Effect of Massage on the Cardiac Autonomic Nervous System and Markers of Inflammation in Night Shift Workers: a Pilot Randomized Crossover Trial","authors":"M. Fazeli, M. Pourrahmat, G. Massah, Kelsey Lee, P. Lavoie, M. Fazeli, Alison Esser, J. Collet","doi":"10.3822/IJTMB.V13I3.501","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I3.501","url":null,"abstract":"Background Shift work is a necessary part of many industries; however, it can have detrimental effects on health over time. Purpose This study investigated the effect of a massage intervention on the cardiac autonomic activity and blood inflammatory markers of healthy medical residents working night shifts. Setting This trial was conducted at British Columbia Children’s and Women’s Hospital between February 2014 and June 2016. Participants Included participants were generally healthy medical residents and were working rotating night shifts on a regular basis. Research Design This was a randomized, controlled, crossover, open-label trial (NCT02247089). Interventions Participants received either a 30-min massage intervention or reading control after consecutive periods of night shift. Main Outcome Measures The primary outcome was high frequency, a proxy for the cardiac parasympathetic activity, measured via heart rate variability. Secondary outcomes included other heart rate variability measures, blood markers of inflammation, and blood pressure. Results Twelve participants were recruited (nine female) with median age of 28 years. There was no significant difference between the massage intervention and the reading control for the primary outcome, (median relative change between pre- and postmassage [interquartile range]: 62% [−1 to 150], pre- and postreading: 14% [−10 to 51], p = .16). Similarly, there was no difference with respect to blood inflammatory markers and blood pressure. Median high frequency significantly increased between pre- and postmassage (185 vs. 358 ms2, p = .04). Conclusion This pilot study found no statistically significant difference between the massage intervention and the reading control; however, we did observe a significant increase in median high frequency from before massage to after massage, indicative of increased parasympathetic activity. This study may help inform planning of larger trials evaluating massage interventions on the activity of the autonomic nervous system and managing shift work stress.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"6 - 17"},"PeriodicalIF":0.0,"publicationDate":"2020-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48403962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The 2019 Poster Session at the American Massage Therapy Association National Convention included the following 6 posters as well as the posters presented at the International Massage Therapy Research Conference (IMTRC). The abstracts from IMTRC can be found also at the IJTMB (https://ijtmb.org/index.php/ijtmb/article/view/495).
{"title":"Abstracts from the 2019 Research Poster Session at the American Massage Therapy Association Annual Convention","authors":"A. Kennedy, Lmt, Bctmb, Drph, Ijtmb","doi":"10.3822/IJTMB.V13I2.547","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I2.547","url":null,"abstract":"The 2019 Poster Session at the American Massage Therapy Association National Convention included the following 6 posters as well as the posters presented at the International Massage Therapy Research Conference (IMTRC). The abstracts from IMTRC can be found also at the IJTMB (https://ijtmb.org/index.php/ijtmb/article/view/495).","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"16 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2020-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80853551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Dystonia is a neurological disorder, characterized by involuntary muscle spasms and tremors, resulting in abnormal movements and posture. Symptoms include pain, spasms, tremors, and dyskinesia—a difficulty in performing voluntary muscular movements. Conventional treatments include medication, botulism injections, and surgical intervention. Many dystonia patients seek complementary and alternative medicine (CAM) therapies, such as massage, but these treatments are not well documented. This clinical case study documents massage treatment for dystonia for a specific individual. Purpose To examine the effects of massage therapy on pain, spasms, and dyskinesia in activities of daily living (ADL), in a patient diagnosed with dystonia as an adult, following trauma. Methods A student massage therapist administered 5 massage treatments over a six-week period to a 51-year-old female patient diagnosed with dystonia. The patient presented with symptoms of pain, spasms, tremors, and dyskinesia in ADL. Techniques applied included Swedish massage and hydrotherapy to decrease pain and spasms, and myofascial release and stretching, to decrease dyskinesia. Treatments aimed to increase overall relaxation. Remedial exercise was given to practice smoother movement patterns. Pre- and postnumeric rating scales (NRS) for pain were evaluated each session. Frequency of night pain and spasms, the Modified Bradykinesia Rating Scale (MBRS), the Timed Up and Go (TUG) test, the Functional Rating Index (FRI) and the Modified Gait Efficacy Scale (MGES) were measured at the start and end of the study. Results Posttreatment pain intensity generally remained the same or decreased. Positive outcomes were exhibited in the frequency of night pain and spasms, TUG, MBRS, and FRI test scores. The MGES score was negatively affected. Conclusion The results suggest massage therapy may temporarily decrease pain intensity, pain and spasm frequency, and dyskinesia in ADL, associated with dystonia.
{"title":"Massage Therapy for Dystonia: a Case Report","authors":"Michelle Lipnicki","doi":"10.3822/IJTMB.V13I2.436","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I2.436","url":null,"abstract":"Background Dystonia is a neurological disorder, characterized by involuntary muscle spasms and tremors, resulting in abnormal movements and posture. Symptoms include pain, spasms, tremors, and dyskinesia—a difficulty in performing voluntary muscular movements. Conventional treatments include medication, botulism injections, and surgical intervention. Many dystonia patients seek complementary and alternative medicine (CAM) therapies, such as massage, but these treatments are not well documented. This clinical case study documents massage treatment for dystonia for a specific individual. Purpose To examine the effects of massage therapy on pain, spasms, and dyskinesia in activities of daily living (ADL), in a patient diagnosed with dystonia as an adult, following trauma. Methods A student massage therapist administered 5 massage treatments over a six-week period to a 51-year-old female patient diagnosed with dystonia. The patient presented with symptoms of pain, spasms, tremors, and dyskinesia in ADL. Techniques applied included Swedish massage and hydrotherapy to decrease pain and spasms, and myofascial release and stretching, to decrease dyskinesia. Treatments aimed to increase overall relaxation. Remedial exercise was given to practice smoother movement patterns. Pre- and postnumeric rating scales (NRS) for pain were evaluated each session. Frequency of night pain and spasms, the Modified Bradykinesia Rating Scale (MBRS), the Timed Up and Go (TUG) test, the Functional Rating Index (FRI) and the Modified Gait Efficacy Scale (MGES) were measured at the start and end of the study. Results Posttreatment pain intensity generally remained the same or decreased. Positive outcomes were exhibited in the frequency of night pain and spasms, TUG, MBRS, and FRI test scores. The MGES score was negatively affected. Conclusion The results suggest massage therapy may temporarily decrease pain intensity, pain and spasm frequency, and dyskinesia in ADL, associated with dystonia.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"33 - 44"},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45503007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Postlaparoscopic shoulder pain (PLSP) has been well documented to effect patients following an abdominal or thoracic laparoscopic surgery. PLSP is characterized by referred pain that can occur both unilaterally or bilaterally, and is typically caused by phrenic nerve irritation. Current literature has focused on pharmacological treatment; however, there is limited evidence for the use of nonpharmacological management of PLSP in the pediatric population. Case Description This retrospective case report study explores the use of a single-session massage therapy treatment for a 17-year-old patient with PLSP following laparoscopic abdominal surgery. Intervention and Results Therapy intervention included a 25 min Swedish massage involving the effected shoulder with an emphasis on passive touch to the shoulder and at the level of the diaphragm. Pain was assessed using the Visual Analog Scale (VAS) pre- and postintervention. Following therapy the patient reported 0/10 pain. Conclusion This case report provides evidence for the use of massage therapy treatment as a noninvasive, nonpharmacological approach to reducing or eliminating PLSP in a pediatric patient.
{"title":"The Use of Massage Therapy as a Nonpharmacological Approach to Relieve Postlaparoscopic Shoulder Pain: a Pediatric Case Report","authors":"Deborah Zerkle, E. Gates","doi":"10.3822/IJTMB.V13I2.485","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I2.485","url":null,"abstract":"Introduction Postlaparoscopic shoulder pain (PLSP) has been well documented to effect patients following an abdominal or thoracic laparoscopic surgery. PLSP is characterized by referred pain that can occur both unilaterally or bilaterally, and is typically caused by phrenic nerve irritation. Current literature has focused on pharmacological treatment; however, there is limited evidence for the use of nonpharmacological management of PLSP in the pediatric population. Case Description This retrospective case report study explores the use of a single-session massage therapy treatment for a 17-year-old patient with PLSP following laparoscopic abdominal surgery. Intervention and Results Therapy intervention included a 25 min Swedish massage involving the effected shoulder with an emphasis on passive touch to the shoulder and at the level of the diaphragm. Pain was assessed using the Visual Analog Scale (VAS) pre- and postintervention. Following therapy the patient reported 0/10 pain. Conclusion This case report provides evidence for the use of massage therapy treatment as a noninvasive, nonpharmacological approach to reducing or eliminating PLSP in a pediatric patient.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"45 - 49"},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46928445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sujatha Pugazhendi, Priyadarshini Rajamani, Amalan S. Daniel, Kannan Pugazhendi
Background Musculoskeletal disorders are disabling diseases which affect work performance, thereby affecting the quality of life of individuals. Pharmacological and surgical management are the most recommended treatments. However, non-invasive physical therapies are said to be effective, for which the evidence is limited. Aim/Purpose To study the effect of non-invasive physical interventions in preventing surgery among patients recommended for surgery for musculoskeletal complaints, who attended sports and fitness medicine centres in India. Settings SPARRC (Sports Performance Assessment Research Rehabilitation Counselling) Institute) is a physical therapy centre with 13 branches spread all over India. This Institute practices a combination of manual therapies to treat musculoskeletal complaints. Research Design Descriptive cohort study involving the review of case records of the patients enrolled from June 2013 to July 2017, followed by the telephone survey of the patients who have completed treatment. Intervention Combination of physical therapies such as myofascial trigger release with icing, infra-red therapy, pulsed electromagnetic field therapy, stretch release, aqua therapy, taping, and acupuncture were employed to reduce the pain and regain functionalities. Main Outcome Measures Self-reported pains were measured using visual analogue scale at different levels of therapy—preand post-therapy and post-rehabilitation. Results In total, 909 patients were studied, of whom 152 (17%) patients completed the treatment protocol. Majority of patients presented with knee and low-back pain. The reduction in pain due to the treatment protocol in terms of mean VAS score from baseline to post-therapy and baseline to post-rehabilitation was statistically significant (p value = .00). Among those contacted post-rehabilitation, 82 patients remained without surgery, and the median surgery-free time was around two years. Conclusion Thus the study concluded that non-invasive physical therapies may prevent or postpone surgeries for musculoskeletal complaints.
{"title":"Non-invasive Complementary Therapies in Managing Musculoskeletal Pains and in Preventing Surgery","authors":"Sujatha Pugazhendi, Priyadarshini Rajamani, Amalan S. Daniel, Kannan Pugazhendi","doi":"10.3822/IJTMB.V13I2.493","DOIUrl":"https://doi.org/10.3822/IJTMB.V13I2.493","url":null,"abstract":"Background Musculoskeletal disorders are disabling diseases which affect work performance, thereby affecting the quality of life of individuals. Pharmacological and surgical management are the most recommended treatments. However, non-invasive physical therapies are said to be effective, for which the evidence is limited. Aim/Purpose To study the effect of non-invasive physical interventions in preventing surgery among patients recommended for surgery for musculoskeletal complaints, who attended sports and fitness medicine centres in India. Settings SPARRC (Sports Performance Assessment Research Rehabilitation Counselling) Institute) is a physical therapy centre with 13 branches spread all over India. This Institute practices a combination of manual therapies to treat musculoskeletal complaints. Research Design Descriptive cohort study involving the review of case records of the patients enrolled from June 2013 to July 2017, followed by the telephone survey of the patients who have completed treatment. Intervention Combination of physical therapies such as myofascial trigger release with icing, infra-red therapy, pulsed electromagnetic field therapy, stretch release, aqua therapy, taping, and acupuncture were employed to reduce the pain and regain functionalities. Main Outcome Measures Self-reported pains were measured using visual analogue scale at different levels of therapy—preand post-therapy and post-rehabilitation. Results In total, 909 patients were studied, of whom 152 (17%) patients completed the treatment protocol. Majority of patients presented with knee and low-back pain. The reduction in pain due to the treatment protocol in terms of mean VAS score from baseline to post-therapy and baseline to post-rehabilitation was statistically significant (p value = .00). Among those contacted post-rehabilitation, 82 patients remained without surgery, and the median surgery-free time was around two years. Conclusion Thus the study concluded that non-invasive physical therapies may prevent or postpone surgeries for musculoskeletal complaints.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"13 1","pages":"9 - 18"},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48824721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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