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Evaluating, Improving, and Appreciating Peer Review at IJTMB 评估、改进和赞赏IJTMB的同行评审
Q2 Health Professions Pub Date : 2021-01-27 DOI: 10.3822/IJTMB.V14I1.637
Ann Blair Kennedy, LMT, BCTMB, DrPH
Peer review is a mainstay of scientific publishing and, while peer reviewers and scientists report satisfaction with the process, peer review has not been without criticism. Within this editorial, the peer review process at the IJTMB is defined and explained. Further, seven steps are identified by the editors as a way to improve efficiency of the peer review and publication process. Those seven steps are: 1) Ask authors to submit possible reviewers; 2) Ask reviewers to update profiles; 3) Ask reviewers to “refer a friend”; 4) Thank reviewers regularly; 5) Ask published authors to review for the Journal; 6) Reduce the length of time to accept peer review invitation; and 7) Reduce requested time to complete peer review. We believe these small requests and changes can have a big effect on the quality of reviews and speed in which manuscripts are published. This manuscript will present instructions for completing peer review profiles. Finally, we more formally recognize and thank peer reviewers from 2018–2020.
同行评审是科学出版的支柱,尽管同行评审员和科学家对这一过程表示满意,但同行评审并非没有批评。在这篇社论中,定义并解释了IJTMB的同行评审过程。此外,编辑们确定了七个步骤,以提高同行评审和出版过程的效率。这七个步骤是:1)要求作者提交可能的审稿人;2) 要求评审人员更新个人资料;3) 请评审员“推荐朋友”;4) 定期感谢评审人员;5) 请已发表的作者为《华尔街日报》进行评论;6) 缩短接受同行评审邀请的时间;以及7)减少完成同行评审所需的时间。我们相信,这些微小的请求和更改会对评论的质量和手稿的出版速度产生重大影响。这份手稿将提供完成同行评审简介的说明。最后,我们更正式地认可并感谢2018-2020年的同行评审。
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引用次数: 1
Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction—a Randomised Controlled Trial 骶髂关节前旋功能障碍患者的臀大肌激活与屈曲偏倚练习联合MET技术的比较——一项随机对照试验
Q2 Health Professions Pub Date : 2020-12-17 DOI: 10.3822/IJTMB.V14I1.557
Vaidya Sanika, prem venkatesan, H. Karvannan
Background Sacroiliac joint dysfunction (SIJD) is the primary source of low-back pain. Main muscles forming the force closure of sacroiliac joint are the biceps femoris and gluteus maximus which increase the stability through massive attachments via sacrotuberous ligament. However, there is a dearth of literature of the importance of activation of gluteus maximus in SIJD. Purpose To study the effect of gluteus maximus activation on Oswestry Disability Index (ODI), visual analog scale (VAS), and pelvic tilt angle in subjects with anterior rotated sacrolilac joint dysfunction. Settings The study was conducted in outpatient Physiotherapy Department, Manipal Hospital, Bangalore, India. Participants Anterior rotated SIJD subjects were recruited in the study. They were divided into two groups (experimental and control groups) by block randomisation. Research Design This is a randomised control trial. Controlled Treatment Treatment order was determined by block randomisation. The subjects of both experimental and control group received Muscle Energy Technique (MET) technique on 1st session to correct the anterior rotated SIJD. The experimental group received gluteus maximus activation protocol, whereas the control group received flexion bias exercises. The groups received the treatment of 20 mins per session. There were two supervised sessions per week for four weeks. Main Outcome Measures The primary outcome measure in the study is Oswestry Disability Index (ODI). The secondary outcome measures included visual analog scale (VAS) and Palpation Meter (PALM). Results 48 subjects (26 females, 22 males) were randomised into experimental and control groups having anterior rotation SIJD, and average age in groups was 38.83 ± 11.4 years and 34.96 ± 9.5 years, respectively. The within-group analysis showed significant improvements in only ODI outcome of both the groups (p = .001). The between-group analysis in both groups did not show any statistical significant difference in ODI, VAS, or PALM. Conclusion The flexion bias exercise and the gluteus maximus activation exercises used in this study were equally effective in improving physical function and reduction in pain, and maintaining the normal pelvic angle in subjects with anterior rotated SIJD.
骶髂关节功能障碍(SIJD)是腰痛的主要原因。形成骶髂关节力闭合的主要肌肉是股二头肌和臀大肌,它们通过骶结节韧带的大量附着来增加稳定性。然而,关于臀大肌激活在SIJD中的重要性的文献缺乏。目的研究臀大肌激活对骶髂前旋关节功能障碍患者Oswestry功能障碍指数(ODI)、视觉模拟评分(VAS)和骨盆倾斜角度的影响。本研究在印度班加罗尔马尼帕尔医院门诊理疗部进行。研究招募了前旋SIJD受试者。采用分组随机法将患者分为两组(实验组和对照组)。研究设计这是一项随机对照试验。对照治疗采用分组随机化方法确定治疗顺序。实验组和对照组均在第一期采用肌能技术矫正前旋SIJD。实验组采用臀大肌激活方案,对照组采用偏屈训练。各组每次治疗20分钟。每周有两次有监督的课程,为期四周。本研究的主要结局指标为Oswestry残疾指数(ODI)。次要结局指标包括视觉模拟量表(VAS)和触诊量表(PALM)。结果48例前旋性SIJD患者(女性26例,男性22例)随机分为实验组和对照组,平均年龄分别为38.83±11.4岁和34.96±9.5岁。组内分析显示两组仅ODI结果有显著改善(p = 0.001)。两组的组间分析均未显示ODI、VAS或PALM有统计学差异。结论本研究中使用的偏屈训练和臀大肌激活训练在改善前旋SIJD患者的身体功能、减轻疼痛和维持正常骨盆角方面同样有效。
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引用次数: 3
Effect of Foot Reflexology on Reduction of Labour Pain Among Primigravida Mothers 足部反射疗法对减轻初产妇分娩疼痛的影响
Q2 Health Professions Pub Date : 2020-12-08 DOI: 10.3822/IJTMB.V14I1.386
Manju Mohan, L. Varghese
Background Reflexology may help induce labour and reduce pain during childbirth. Fear of pain associated with childbirth leads to increase in the irregular use of cesarean method. Purpose This study was performed to evaluate the effect of reflexology on relieving labour pain and assess the recipient’s opinion regarding foot reflexology. Setting The study taken place in the labour room, Amrita Institute of Medical Sciences, Kerala, South India. Participants 50 primigravida patients experiencing labour. Research Design A quasi-experimental study design was used. Subjects were selected by convenience sampling technique with the first 25 patients allocated to the experimental group and the successive 25 primigravida mothers to a time-control group, to avoid data contamination. Intervention Intervention consisted of foot reflexology applied by a trained therapist to five pressure points of both feet that correspond to the uterus. Total intervention time lasted 20 minutes. Control group rested quietly for 20 minutes to serve as a time control. Main Outcome Measure(s) Pain associated with labour was recorded on a visual analogue scale immediately prior to intervention, and at 20- and 40-minutes postintervention. Patient satisfaction with reflexology treatment was recorded. Results Mean baseline pain score in foot reflexology group was significantly reduced across the study timeframe relative to control group (p < .001). Post hoc tests confirmed a reduction in labour pain at both the 20-min (p < .001, 95%CI 0.764–1.796) and 40-min (p < .001, 95%CI 0.643–1.677) time points. Eighty-one per cent of patients would recommend reflexology during labour. Conclusion The findings showed that foot reflexology was effective in relief of labour pain, with a high degree of patient satisfaction in primigravida mothers.
背景反射疗法可能有助于引产和减轻分娩过程中的疼痛。对分娩相关疼痛的恐惧导致不规则使用剖宫产方法的人数增加。目的本研究旨在评估反射疗法在缓解分娩疼痛方面的效果,并评估接受者对足部反射疗法的看法。背景研究在南印度喀拉拉邦阿姆里塔医学科学研究所的产房进行。参与者为50名经历分娩的初产妇。研究设计采用准实验研究设计。通过方便抽样技术选择受试者,前25名患者被分配到实验组,随后的25名初产妇被分配到时间对照组,以避免数据污染。干预干预包括由训练有素的治疗师对双脚对应子宫的五个压力点进行足部反射疗法。总干预时间为20分钟。对照组安静休息20分钟作为时间对照。主要结果测量:在干预前以及干预后20分钟和40分钟,用视觉模拟量表记录与分娩相关的疼痛。记录患者对反射疗法的满意度。结果与对照组相比,足部反射疗法组的平均基线疼痛评分在整个研究时间段内显著降低(p<.001)。事后测试证实,在20分钟(p<0.001,95%CI 0.764–1.796)和40分钟(p<.001,95%CI 0.643–1.677)时间点分娩疼痛减轻。81%的患者会建议在分娩期间进行反射疗法。结论足反射疗法能有效缓解分娩疼痛,初产妇对足反射疗法的满意度较高。
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引用次数: 2
Structural Integration Case Report: a Global Intervention Challenging the Limitations of Local Rehabilitation* 结构整合案例报告:挑战局部康复局限性的全球干预*
Q2 Health Professions Pub Date : 2020-12-08 DOI: 10.3822/IJTMB.V14I1.597
Bernice Landels, Bachelor Health Studies
Background Conventional rehabilitation for musculoskeletal injuries post-surgery is generally site-specific and aims to return the person to ‘normal’ function. Commonly, conventional treatment focuses locally and little or no attention is given to comorbidities, other symptoms, postural compensations, or adaptations either pre-existing or resulting from the injury. Structural Integration (SI) is a manual therapy applied to and focusing on fascial continuities throughout the whole body. This case report explores SI as a global, whole-body intervention for rehabilitation. Purpose To examine the effects of a whole-body approach that addresses local and global symptoms following ankle surgery. Methods The Anatomy Trains Structural Integration (ATSI formerly KMI) 12-series protocol was applied and a selection of outcome measures were used to track progress and assess the efficacy of SI. Ankle mobility and function was assessed primarily using Weight-Bearing Lunge Test and Lower Extremity Functional Scale. Local pain was reported using the McGill Pain Questionnaire. General well-being was evaluated using subjective questioning and the WHO Quality of Life Questionnaire. Results Local results included increased mobility and function to affected leg, and reduced pain and swelling. Global results included an improvement in physical and psychological well-being, with the reduction of pain and dysfunction in other areas. Conclusion This case report demonstrates global benefits of a whole-body approach when structural integration is applied during rehabilitation. More clinical research that includes SI is needed to determine if the local and global results shown in this case study can be demonstrated in additional rehabilitation populations.
背景手术后肌肉骨骼损伤的常规康复通常是针对特定地点的,旨在使患者恢复“正常”功能。通常,常规治疗集中在局部,很少或根本不注意合并症、其他症状、姿势补偿或先前存在或由损伤引起的适应。结构整合(SI)是一种应用于全身筋膜连续性的手动疗法。本病例报告探讨了SI作为一种全球性的全身康复干预措施。目的研究足踝手术后全身治疗局部和全身症状的效果。方法应用解剖训练结构整合(ATSI,前身为KMI)12系列方案,并选择一系列结果指标来跟踪进展和评估SI的疗效。主要使用负重Lunge测试和下肢功能量表来评估踝关节的活动性和功能。使用麦吉尔疼痛问卷报告局部疼痛。使用主观提问和世界卫生组织生活质量问卷对总体幸福感进行评估。结果局部结果包括受影响腿部的活动能力和功能增强,疼痛和肿胀减轻。全球结果包括身体和心理健康状况的改善,以及其他领域疼痛和功能障碍的减少。结论本病例报告展示了在康复过程中应用结构整合时全身方法的整体益处。需要更多包括SI的临床研究,以确定本案例研究中显示的局部和全局结果是否可以在其他康复人群中得到证明。
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引用次数: 0
The Case for Therapeutic Massage as an Adjuvant in Hospitalized COVID-19 Patients 治疗性按摩辅助治疗新冠肺炎住院患者的案例分析
Q2 Health Professions Pub Date : 2020-12-08 DOI: 10.3822/IJTMB.V14I1.623
Assem Al Refaei
Massage therapy is one of the most popular complementary and integrative medicine (CIM) therapies, in which the manipulation of soft tissue alleviates muscular aches and pains, improves sleep, and promotes mental wellbeing.(1) Massage therapy significantly affects general wellbeing, and has been shown to have beneficial effects in many diseases, including autism, pain syndromes, hypertension, and autoimmune disorders.(2) According to a recent systematic review, the utility of massage therapy in adult intensive care unit patients improved vital signs and reduced pain and anxiety. (3) The latter, along with other psychiatric disturbances, exhibited an increase during COVID-19 pandemic.(4) For instance, Zhao et al.(5) observed an increase in the Chinese general public anxiety levels during COVID-19 pandemic when compared with previous studies. Measured for by the Hospital Anxiety and Depression Scale (HADS), anxiety was significantly higher among hospitalized COVID-19 patients who eventually died, when compared to survivors.(6) Anxiety levels in these patients were correlated with cortisol levels, the body’s stress hormone, which, for its part, was associated with higher mortality among COVID-19 patients.(6,7) In fact, there’s a 42% increase in the hazard of mortality in COVID-19 patients with doubled cortisol concentrations.(7) The primary mechanism by which cortisol exerts the aforementioned outcomes is at the heart of its immunoregulatory functions, which include altered neutrophil, macrophage, and dendritic cell functions along with impaired lymphocyte egress, natural killer cell cytotoxicity, and induction of apoptosis in lymphocytes.(8-10) The majority of these changes directly and indirectly impair the initiation and progression of an adaptive immune response, the response that eventually clears severe infections and confers long-term protection through memory cell maturation and antibody production.(9) This is evident in the cortisol-correlated reduction in influenza-specific IgG antibodies, upon influenza vaccination in chronically stressed dementia caregivers.(11) Furthermore, a 2009 meta-analysis revealed inadequate antibody responses to influenza vaccine among 59% of stressed individuals versus 41% of less-stressed individuals.(12) Herein lies the case for massage therapy as a complementary piece in COVID-19 management, as it could reduce cortisol levels and thus reduce its accompanied immunological disturbances and improve clinical outcomes.(13) In support of this hypothesis is a study by Loft et al.,(14) in which a 4-week massage intervention improved antibody responses to hepatitis B vaccine in students in an academic examinations period. Massage therapy also reduced cortisol, and improved natural killer cells numbers and functions in HIV patients.(15) Furthermore, massage therapy reduced the nuclear accumulation of the inflammatory transcription factor, NFκB in exercise-induced muscle injury biopsies. Massage therapy also benefited m
按摩疗法是最受欢迎的补充和结合医学(CIM)疗法之一,其中软组织的操作可以减轻肌肉疼痛和疼痛,改善睡眠,促进心理健康。(1)按摩疗法显着影响一般健康,并已被证明对许多疾病有有益的影响,包括自闭症,疼痛综合征,高血压和自身免疫性疾病。按摩治疗在成人重症监护病房患者中的效用改善了生命体征,减少了疼痛和焦虑。(3)后者以及其他精神障碍在COVID-19大流行期间表现出增加。(4)例如,Zhao等人(5)观察到中国公众在COVID-19大流行期间的焦虑水平与以往的研究相比有所增加。根据医院焦虑和抑郁量表(HADS)的测量,与幸存者相比,最终死亡的住院COVID-19患者的焦虑水平明显更高。(6)这些患者的焦虑水平与皮质醇水平相关,皮质醇水平是身体的应激激素,而皮质醇水平与COVID-19患者的死亡率较高有关。皮质醇浓度增加一倍,COVID-19患者的死亡率增加42%。皮质醇发挥上述结果的主要机制是其免疫调节功能的核心,包括中性粒细胞、巨噬细胞和树突状细胞功能的改变,以及淋巴细胞出口受损、自然杀伤细胞的细胞毒性、(8-10)大多数这些变化直接或间接地损害适应性免疫反应的启动和进展,这种反应最终清除严重感染,并通过记忆细胞成熟和抗体产生提供长期保护(9)这在慢性应激痴呆护理者接种流感疫苗后,皮质醇相关的流感特异性IgG抗体的减少中是明显的(11)。2009年的一项荟萃分析显示,59%的压力个体对流感疫苗的抗体反应不足,而41%的压力较小的个体对流感疫苗的抗体反应不足。(12)因此,按摩疗法可以作为COVID-19管理的补充。因为它可以降低皮质醇水平,从而减少伴随的免疫紊乱,改善临床结果。(13)Loft等人的一项研究支持了这一假设,(14)在该研究中,为期4周的按摩干预可以改善学生在学术考试期间对乙肝疫苗的抗体反应。按摩疗法还能降低皮质醇,改善HIV患者的自然杀伤细胞数量和功能。(15)此外,按摩疗法还能减少运动诱导的肌肉损伤活检中炎症转录因子NFκB的核积累。按摩疗法还通过减少细胞浸润、增强巨噬细胞的抗炎极化、增强抗氧化转录因子PGC-1 α信号传导,从而增强抗氧化应激的能力,从而使按摩后的肌肉受益(16,17)。这种效果可能在一定程度上减轻与covid - 19相关的全身炎症,这种炎症涉及恶性循环,最终导致细胞因子风暴和氧化应激介导的并发症(18-20)。作者假设按摩疗法可能有助于改善Assem Al Refaei
{"title":"The Case for Therapeutic Massage as an Adjuvant in Hospitalized COVID-19 Patients","authors":"Assem Al Refaei","doi":"10.3822/IJTMB.V14I1.623","DOIUrl":"https://doi.org/10.3822/IJTMB.V14I1.623","url":null,"abstract":"Massage therapy is one of the most popular complementary and integrative medicine (CIM) therapies, in which the manipulation of soft tissue alleviates muscular aches and pains, improves sleep, and promotes mental wellbeing.(1) Massage therapy significantly affects general wellbeing, and has been shown to have beneficial effects in many diseases, including autism, pain syndromes, hypertension, and autoimmune disorders.(2) According to a recent systematic review, the utility of massage therapy in adult intensive care unit patients improved vital signs and reduced pain and anxiety. (3) The latter, along with other psychiatric disturbances, exhibited an increase during COVID-19 pandemic.(4) For instance, Zhao et al.(5) observed an increase in the Chinese general public anxiety levels during COVID-19 pandemic when compared with previous studies. Measured for by the Hospital Anxiety and Depression Scale (HADS), anxiety was significantly higher among hospitalized COVID-19 patients who eventually died, when compared to survivors.(6) Anxiety levels in these patients were correlated with cortisol levels, the body’s stress hormone, which, for its part, was associated with higher mortality among COVID-19 patients.(6,7) In fact, there’s a 42% increase in the hazard of mortality in COVID-19 patients with doubled cortisol concentrations.(7) The primary mechanism by which cortisol exerts the aforementioned outcomes is at the heart of its immunoregulatory functions, which include altered neutrophil, macrophage, and dendritic cell functions along with impaired lymphocyte egress, natural killer cell cytotoxicity, and induction of apoptosis in lymphocytes.(8-10) The majority of these changes directly and indirectly impair the initiation and progression of an adaptive immune response, the response that eventually clears severe infections and confers long-term protection through memory cell maturation and antibody production.(9) This is evident in the cortisol-correlated reduction in influenza-specific IgG antibodies, upon influenza vaccination in chronically stressed dementia caregivers.(11) Furthermore, a 2009 meta-analysis revealed inadequate antibody responses to influenza vaccine among 59% of stressed individuals versus 41% of less-stressed individuals.(12) Herein lies the case for massage therapy as a complementary piece in COVID-19 management, as it could reduce cortisol levels and thus reduce its accompanied immunological disturbances and improve clinical outcomes.(13) In support of this hypothesis is a study by Loft et al.,(14) in which a 4-week massage intervention improved antibody responses to hepatitis B vaccine in students in an academic examinations period. Massage therapy also reduced cortisol, and improved natural killer cells numbers and functions in HIV patients.(15) Furthermore, massage therapy reduced the nuclear accumulation of the inflammatory transcription factor, NFκB in exercise-induced muscle injury biopsies. Massage therapy also benefited m","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"14 1","pages":"49 - 50"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44759800","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}
引用次数: 1
Massage for Combat Injuries in Veteran with Undisclosed PTSD: a Retrospective Case Report 按摩治疗未暴露创伤后应激障碍退伍军人战斗损伤的回顾性病例报告
Q2 Health Professions Pub Date : 2020-12-08 DOI: 10.3822/IJTMB.V14I1.555
Mica Rosenow, N. Munk
Introduction Massage has shown promise in reducing symptoms related to dissociation and anxiety that can exacerbate chronic pain and suffering. The combat wounded, veteran population is increasing and requires a multidisciplinary approach for comprehensive treatment. This case study examines massage therapy use to improve veteran combat injury rehabilitation and recovery experience through purposive, retrospective, and comprehensive SOAP note review. Methods A 31-year-old White male received seven, 60-min, full body massages for combat related shoulder injury complications incurred approximately six years before presentation. The right shoulder sustained a broken humeral head and complete dislocation during a defensive maneuver in a life-threatening attack. This case study utilized data from three different assessments: goniometric measurements for shoulder range of motion, observation and documentation for environmental comfort behaviors, and client self-report for treatment goal attainment. Six weekly, full body, 60-min massages were completed sequentially. A follow-up 60-min treatment was completed at Week 8. Treatment to the injured area included focused trigger point therapy, myofascial release, and proprioceptive neuromuscular facilitation to the neck, shoulder, and chest. Results Total percent change for active flexion, extension, abduction, adduction, internal rotation, and external rotation were 12.5, 150, 40, 167, 14.3, and 0%, respectively. Total percent change for passive flexion, extension, abduction, adduction, internal rotation, and external rotation were 63.6, 350, 66.7, 450, 133, and 77.8%, respectively. Environmental comfort behaviors were reduced. Client treatment goals were attained. Conclusions Massage therapy provided meaningful benefit to a combat injury for a veteran with PTSD.
按摩已经显示出减轻与分离和焦虑相关的症状的希望,这些症状会加剧慢性疼痛和痛苦。战斗伤员、退伍军人人数不断增加,需要多学科综合治疗。本案例研究通过有目的、回顾性和全面的SOAP记录回顾,探讨了按摩疗法用于改善退伍军人战斗损伤康复和恢复体验。方法一名31岁的白人男性接受7次,每次60分钟的全身按摩,治疗约6年前发生的与战斗有关的肩部损伤并发症。在一次危及生命的攻击中,右肩的肱骨头骨折,完全脱臼。本案例研究使用了三种不同评估的数据:肩部活动范围的角度测量,环境舒适行为的观察和记录,以及治疗目标实现的患者自我报告。每周6次,全身按摩,60分钟依次完成。随访60分钟治疗于第8周完成。损伤区域的治疗包括集中触发点治疗、肌筋膜释放和本体感觉神经肌肉疏导到颈部、肩部和胸部。结果主动屈伸、外展、内收、内旋和外旋的总变化百分比分别为12.5、150、40、167、14.3%和0%。被动屈、伸、外展、内收、内旋和外旋的总变化百分比分别为63.6、350、66.7、450、133和77.8%。环境舒适行为减少。达到了患者的治疗目标。结论按摩疗法对创伤后应激障碍退伍军人的战斗损伤有明显的治疗效果。
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引用次数: 2
Pain Improvement After Healing Touch and Massage in Breast Cancer: an Observational Retrospective Study 乳腺癌触摸和按摩治疗后疼痛改善:一项观察性回顾性研究
Q2 Health Professions Pub Date : 2020-12-08 DOI: 10.3822/IJTMB.V14I1.549
Danielle Gentile, Danielle Boselli, Susan I Yaguda, R. Greiner, Chase Bailey-Dorton
Background Healing Touch (HT) and Oncology Massage (OM) are nonpharmacologic pain interventions, yet a comparative effectiveness study has not been conducted for pain in breast cancer. Purpose This breast cancer subgroup analysis compared the effectiveness of HT vs. OM on pain. Setting The research occurred at an outpatient setting at an academic hybrid, multi-site, community-based cancer institute and Department of Supportive Oncology across four regional locations. Participants Breast cancer outpatients along the cancer continuum who experienced routine clinical, nonexperimentally manipulated HT or OM. Research Design The study was an observational, retrospective, comparative effectiveness post hoc subanalysis of a larger dataset. Patients reporting pain < 2 were excluded. Pre- and posttherapy pain scores and differences were calculated. Logistic regression modeled posttherapy pain by modality, adjusting for pretherapy pain. The proportions experiencing ≥ 2-point (clinically significant) pain reduction were compared with chi-square tests. Intervention The study focused on the first session of either HT or OM. Main Outcome Measures Pre- and posttherapy pain (range: 0 = no pain to 10 = worst possible pain). Results A total of 407 patients reported pre- and posttherapy pain scores, comprised of 233 (57.3%) who received HT and 174 (42.8%) who received OM. Pretherapy mean pain was higher in HT (M=5.1, ± 2.3) than OM (M=4.3, ± 2.1) (p < .001); posttherapy mean pain remained higher in HT (M=2.7, ± 2.2) than OM (M=1.9, ± 1.7) (p < .001). Mean difference in pain reduction was 2.4 for both HT and OM. Both HT (p < .001) and OM (p < .001) were associated with reduced pain. Proportions of clinically significant pain reduction were similar (65.7% HT and 69.0% OM, p = .483). Modality was not associated with pain improvement (p = .072). Conclusions Both HT and OM were associated with clinically significant pain improvement. Future research should explore attitudes toward the modalities and potential influence of cancer stage and treatment status on modality self-selection.
背景治疗触摸(HT)和肿瘤按摩(OM)是非药物性疼痛干预措施,但尚未对癌症疼痛进行比较有效性研究。目的对癌症亚组进行分析,比较HT与OM治疗疼痛的有效性。背景研究在四个地区的癌症研究所和支持性肿瘤科的学术混合、多站点、基于社区的门诊环境中进行。受试者癌症连续期的癌症门诊乳腺癌患者经历了常规临床、非实验性的HT或OM。研究设计该研究是对更大数据集的观察性、回顾性、比较有效性的事后亚分析。报告疼痛<2的患者被排除在外。计算治疗前后疼痛评分和差异。Logistic回归通过模态对治疗后疼痛进行建模,并对治疗前疼痛进行调整。将疼痛减轻≥2分(具有临床意义)的比例与卡方检验进行比较。干预研究集中在HT或OM的第一次治疗上。主要结果衡量治疗前和治疗后的疼痛(范围:0=无疼痛到10=最严重的疼痛)。结果共有407名患者报告了治疗前后疼痛评分,其中233名(57.3%)接受HT治疗,174名(42.8%)接受OM治疗。HT患者治疗前平均疼痛(M=5.1,±2.3)高于OM患者(M=4.3,±2.1)(p<.001);HT(M=2.7,±2.2)治疗后的平均疼痛仍然高于OM(M=1.9,±1.7)(p<0.01)。HT和OM的疼痛减轻平均差异为2.4。HT(p<0.01)和OM(p<0.01)都与疼痛减轻有关。临床显著疼痛减轻的比例相似(65.7%的HT和69.0%的OM,p=.483)。模式与疼痛改善无关(p=.072)。结论HT和OM都与临床显著疼痛改善有关。未来的研究应该探索人们对癌症模式的态度以及癌症阶段和治疗状态对模式自我选择的潜在影响。
{"title":"Pain Improvement After Healing Touch and Massage in Breast Cancer: an Observational Retrospective Study","authors":"Danielle Gentile, Danielle Boselli, Susan I Yaguda, R. Greiner, Chase Bailey-Dorton","doi":"10.3822/IJTMB.V14I1.549","DOIUrl":"https://doi.org/10.3822/IJTMB.V14I1.549","url":null,"abstract":"Background Healing Touch (HT) and Oncology Massage (OM) are nonpharmacologic pain interventions, yet a comparative effectiveness study has not been conducted for pain in breast cancer. Purpose This breast cancer subgroup analysis compared the effectiveness of HT vs. OM on pain. Setting The research occurred at an outpatient setting at an academic hybrid, multi-site, community-based cancer institute and Department of Supportive Oncology across four regional locations. Participants Breast cancer outpatients along the cancer continuum who experienced routine clinical, nonexperimentally manipulated HT or OM. Research Design The study was an observational, retrospective, comparative effectiveness post hoc subanalysis of a larger dataset. Patients reporting pain < 2 were excluded. Pre- and posttherapy pain scores and differences were calculated. Logistic regression modeled posttherapy pain by modality, adjusting for pretherapy pain. The proportions experiencing ≥ 2-point (clinically significant) pain reduction were compared with chi-square tests. Intervention The study focused on the first session of either HT or OM. Main Outcome Measures Pre- and posttherapy pain (range: 0 = no pain to 10 = worst possible pain). Results A total of 407 patients reported pre- and posttherapy pain scores, comprised of 233 (57.3%) who received HT and 174 (42.8%) who received OM. Pretherapy mean pain was higher in HT (M=5.1, ± 2.3) than OM (M=4.3, ± 2.1) (p < .001); posttherapy mean pain remained higher in HT (M=2.7, ± 2.2) than OM (M=1.9, ± 1.7) (p < .001). Mean difference in pain reduction was 2.4 for both HT and OM. Both HT (p < .001) and OM (p < .001) were associated with reduced pain. Proportions of clinically significant pain reduction were similar (65.7% HT and 69.0% OM, p = .483). Modality was not associated with pain improvement (p = .072). Conclusions Both HT and OM were associated with clinically significant pain improvement. Future research should explore attitudes toward the modalities and potential influence of cancer stage and treatment status on modality self-selection.","PeriodicalId":39090,"journal":{"name":"International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice","volume":"14 1","pages":"12 - 20"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47813392","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}
引用次数: 2
Patients' Experiences of Ending Massage Therapy Care: a Commentary. 病人结束按摩治疗护理的体会述评
Amanda Baskwill, Suzanne Michaud

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.

患者最适合提供有关其医疗保健服务经历的信息;然而,他们的观点往往没有得到充分利用。在与按摩治疗师(MTs)的非正式讨论中,以及通过作者自己的专业经验,我们注意到,有时患者会在没有通知的情况下独立决定结束他们正在接受的护理。到目前为止,还没有发表过关于患者选择停止按摩治疗护理的经历的研究,而且MTs的质量保证过程也存在空白。缺乏对患者经历的了解,错失了加强治疗关系、确保患者安全、提高治疗质量和专业发展的机会。我们建议研究者在研究患者结束按摩治疗护理的经验时,探索混合方法设计,让患者参与研究过程,并征求多种观点。
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引用次数: 0
A Research Agenda for the Massage Therapy Profession: a Report from the Massage Therapy Foundation. 按摩治疗专业的研究议程:来自按摩治疗基金会的报告。
JoEllen M Sefton, Jennifer Dexheimer, Niki Munk, Robin Miccio, Ann Blair Kennedy, Jerrilyn Cambron, Gordon MacDonald, Rob Hemsworth
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引用次数: 0
Effectiveness of Hand Self-Shiatsu to Promote Sleep in Young People with Chronic Pain: a Case Series Design. 手部自我指压法促进青少年慢性疼痛患者睡眠的有效性:案例系列设计。
Cary A Brown, Annette Rivard, Kathy Reid, Bruce Dick, Leisa Bellmore, Pei Qin, Vineet Prasad, Yuluan Wang

Background: Sleep problems exist for up to 30% of young people, and increase in the case of those with chronic pain. Because exclusive pharmacological management of sleep problems for children with pain is contraindicated, the development of appropriate non-pharmacological sleep interventions is a significant, largely unmet, need.

Purpose: This study examined whether the application of a standardized hand self-shiatsu (HSS) intervention within a population of young people with chronic pain would be associated with improved objectively and subjectively measured sleep.

Setting: The Pain Management Clinic of the Stollery Children's Hospital Hospital, a large tertiary care centre in Edmonton, Alberta and the University of Alberta.

Research design: Sixteen young adults, aged 17 to 27, were recruited for a case series study. The intervention involved participants self-applying a standardized hand shiatsu protocol. Participants wore an actigraph for one week at baseline before learning the HSS technique, and then at four- and eight-week follow-up. At the same measurement points they completed validated self-report measures of their sleep quality and daytime fatigue. Each participant also completed a sleep log to supplement the actigraphy data and to collect their general impressions of the HSS experience. Data were analyzed with SPSS 23 software, using Freidman's test for analysis of variance.

Results: The objective data did not support the hypothesis that this standardized HSS protocol improves objectively measured sleep. However, standardized self-report measures demonstrated statistically significant improvement in perceived sleep disturbance (chi-squared test [χ2] = 8.034, p = .02), sleep-related impairment (χ2 = 7.614, p = .02), and daytime fatigue as measured by the PROMIS Fatigue SF 8-a (χ2 = 12.035, p = .002), and the Flinder's Fatigue Scale (χ2 = 11.93, p = .003). Qualitative sleep log information indicated wide-spread endorsement of HSS for the management of sleep difficulties.

Conclusion: Contrary to objective findings, self-report data support the technique of HSS to improve sleep. Participants' comments reflected an overall high level of acceptance and appreciation for the HSS technique. Results highlight the importance of expanding the theory and practice related to sleep measurement to better integrate the qualitative domain.

背景:高达30%的年轻人存在睡眠问题,而慢性疼痛患者的睡眠问题则有所增加。由于对疼痛儿童的睡眠问题进行专门的药物管理是禁忌的,因此开发适当的非药物睡眠干预是一个重要的,很大程度上未得到满足的需求。目的:本研究探讨了在患有慢性疼痛的年轻人群体中应用标准化的手部自我指压(HSS)干预是否与改善客观和主观测量的睡眠有关。环境:Stollery儿童医院的疼痛管理诊所,这是艾伯塔省埃德蒙顿和艾伯塔省大学的大型三级护理中心。研究设计:16名年龄在17至27岁之间的年轻人被招募进行案例系列研究。干预包括参与者自行应用标准化的手部指压疗法。在学习HSS技术之前,参与者在基线上佩戴了一个星期的活动记录仪,然后在4周和8周的随访中。在相同的测量点,他们完成了有效的自我报告测量他们的睡眠质量和白天疲劳。每个参与者还完成了一份睡眠日志,以补充活动记录仪数据,并收集他们对HSS体验的总体印象。数据分析采用SPSS 23软件,方差分析采用Freidman检验。结果:客观数据不支持这种标准化HSS方案改善客观测量睡眠的假设。然而,标准化的自我报告测量显示,在感知睡眠障碍(χ2检验[χ2] = 8.034, p = 0.02)、睡眠相关障碍(χ2 = 7.614, p = 0.02)以及用PROMIS fatigue SF 8-a (χ2 = 12.035, p = 0.002)和Flinder疲劳量表(χ2 = 11.93, p = 0.003)测量的白天疲劳(χ2 = 11.035, p = 0.003)方面有统计学意义的改善。定性睡眠日志信息表明,HSS被广泛认可用于管理睡眠困难。结论:与客观结果相反,自我报告数据支持HSS技术改善睡眠。参与者的评论反映了对HSS技术的总体高度接受和赞赏。研究结果强调了拓展与睡眠测量相关的理论和实践以更好地整合定性领域的重要性。
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引用次数: 0
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International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice
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