massage therapy

按摩疗法
  • 文章类型: Randomized Controlled Trial
    一个随机的,2022年至2023年在上海一家中医专科医院进行了对照临床试验。将564名参与者分为对照组和干预组,以确定舒经通毒按摩对慢性病变或脊柱疾病患者的有效性。两组之间的基线特征没有显着差异;年龄,性别和疾病类型的分布方式均相当.实施舒静通毒按摩疗法后,每周两次,持续12周,干预组表现出值得注意的增强。重要的是,干预组的病灶愈合率提高了30%,而对照组仅提高了10%。干预组的疼痛强度从6.5降低到4.2,而对照组的疼痛强度从6.7降低到6.0。干预组的运动范围从45度大幅增加到60度,而对照组从44度增加到46度。在干预组中,生活质量评分从50分增加到75分,超过对照组的58分。干预组的心理健康指数显着上升,从60上升到80,而对照组从62上升到64。确定了具有统计学意义的结果,建立按摩疗法的功效。轻度不适和肌肉酸痛是干预组最常见的不良反应,而眩晕在对照组更为普遍。根据这项研究的结果,舒经通都按摩疗法有效促进伤口愈合,减轻与脊柱疾患相关的症状,表明其在临床环境中作为补充治疗方式的潜力。
    A randomized, controlled clinical trial was conducted from 2022 to 2023 at a hospital specializing in Traditional Chinese Medicine in Shanghai. A total of 564 participants were allocated into control and intervention groups in order to determine the effectiveness of Shujing Tongdu massage on patients with chronic lesions or spinal disorders. No significant differences were observed in baseline characteristics between the groups; age, gender and condition type were all distributed in a comparable manner. Following the implementation of Shujing Tongdu massage therapy twice weekly for the duration of 12 weeks, intervention group exhibited noteworthy enhancements. Significantly, rate of lesion healing achieved in the intervention group increased by 30%, while it merely improved by 10% in the control group. The intervention group exhibited decrease in pain intensity from 6.5 to 4.2, whereas control group demonstrated comparatively smaller reduction from 6.7 to 6.0. Range of motion in the intervention group increased substantially from 45 to 60 degrees, whereas it increased from 44 to 46 degrees in the control group. In the intervention group, Quality of Life scores increased from 50 to 75, exceeding the increase of 58 in the control group. There was significant rise in the Mental Well-being Index for intervention group, from 60 to 80, in contrast to rise of 64 from 62 in the control group. Statistically significant outcomes were determined, establishing the massage therapy\'s efficacy. Mild discomfort and muscle soreness were the most frequent adverse effects in the intervention group, whereas vertigo was more prevalent in the control group. Based on the findings of this research, Shujing Tongdu massage therapy effectively promoted wound healing and mitigated symptoms associated with spinal disorders, indicating its potential as the supplementary therapeutic modality in clinical environments.
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  • 文章类型: Journal Article
    早产新生儿的按摩疗法由于其有益的临床效果,近年来受到了越来越多的关注。然而,在不同的调查中仍然存在分歧。
    我们在Cochrane图书馆进行了系统的文献检索,Embase,PubMed,网络科学,和CINAHL检索接受按摩疗法的早产儿的随机对照试验及其对母婴结局的影响。结果是母婴依恋,氧饱和度,电机功能,反射,温度,和卡路里摄入量。Cochrane合作开发的工具评估了风险偏差。95%的置信区间(CI),积分结果以平均差或标准化平均差表示。注册号为CRD42022337849。
    在检索到的940条记录中,包括15项试验。按摩疗法增加血氧饱和度(标准化平均差(SMD)=2.00,95%CI[1.17,2.83],P<0.0001)。按摩疗法可以增强母婴依恋[SMD=2.83,95%CI(2.31~3.35),P<0.00001]。其他成果,包括运动活动,放松,热量摄入,和温度,没有显著差异。
    按摩疗法可以显着提高氧饱和度并增强母婴依恋。然而,在提出建议之前,由于几个结局研究的异质性,应进行更多样本量和更严格设计的研究.
    UNASSIGNED: Massage therapy for preterm newborns has received increasing attention in recent years due to its beneficial clinical outcomes. However, disagreements persist in different investigations.
    UNASSIGNED: We performed a systematic literature search in the Cochrane Library, Embase, PubMed, Web Science, and CINAHL to retrieve randomized controlled trials of premature infants receiving massage therapy and its impact on maternal and infant outcomes. Outcomes were mother-infant attachment, oxygen saturation, motor funtion, reflex, temperature, and calorie intake. The tool developed by the Cochrane collaboration assessed risk bias. With a 95% confidence interval (CI), the integration\'s results were presented as the mean difference or standardized mean difference. The registration number was CRD42022337849.
    UNASSIGNED: Of 940 records retrieved, 15 trials were included. Massage therapy increased oxygen saturation (standardized mean difference (SMD) = 2.00, 95% CI [1.17 to 2.83], P < 0.0001). Massage therapy can strengthen mother-infant attachment [SMD = 2.83, 95% CI (2.31 to 3.35), P < 0.00001]. Other outcomes, including motor activity, relaxation, caloric intake, and temperature, did not differ significantly.
    UNASSIGNED: Massage therapy can significantly improve oxygen saturation and strengthen maternal-infant attachment. However, prior to making a recommendation, additional research with a larger sample size and more rigorous design should be conducted due to the heterogeneity of studies in several outcomes.
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  • 文章类型: Journal Article
    目的:按摩是非药物治疗的常用疗法,特别是在推拿(中国按摩)作为其最常见的风格,干预措施的评估和复制需要详细的报告指导.根据CONSORT(合并报告试验标准),我们的目标是开发推拿/按摩的延伸,即“推拿/按摩临床试验中报告干预措施的标准”(STRICTOTM)。\"
    方法:一组专业临床医生,审判人员,方法学家,报告指南的开发者,流行病学家,统计学家,编辑通过EQUATOR(增强健康研究的质量和透明度)网络推荐的标准方法流程开发了此STRICTOTM清单,包括预期注册,文献综述,初始项目的草案,德尔福调查的三轮,共识会议,试点测试,并最终确定指导方针。
    结果:七个项目的清单(即推拿/按摩理由,推拿/按摩的细节,干预方案,干预的其他组成部分,推拿/按摩提供者背景,控制或比较干预措施,和预防措施),并制定了16个子项目。还提供了每个项目的说明和示例(E&E)。
    结论:工作组希望STRICTOTM,结合CONSORT声明和非药物治疗的扩展,可以提高推拿按摩临床研究的报告质量和透明度。
    OBJECTIVE: Massage is a common therapy of nonpharmacological treatments, particularly in Tuina (Chinese massage) as its most common style, detailed guidance in reporting the intervention is warranted for its evaluation and replication. Based on the CONSORT (Consolidated Standards of Reporting Trials), we aimed to develop an Extension for Tuina/Massage, namely \"The STandards for Reporting Interventions in Clinical Trials Of Tuina/Massage (STRICTOTM).\"
    METHODS: A group of professional clinicians, trialists, methodologists, developers of reporting guidelines, epidemiologists, statisticians, and editors has developed this STRICTOTM checklist through a standard methodology process recommended by the EQUATOR (Enhancing the QUAlity and Transparency of Health Research) Network, including prospective registration, literature review, draft of the initial items, three rounds of the Delphi survey, consensus meeting, pilot test, and finalization of the guideline.
    RESULTS: A checklist of seven items (namely Tuina/Massage rationale, details of Tuina/Massage, intervention regimen, other components of the intervention, Tuina/Massage provider background, control or comparator interventions, and precaution measures), and 16 subitems were developed. Explanations and examples (E&E) for each item are also provided.
    CONCLUSIONS: The working group hopes that the STRICTOTM, in conjunction with both the CONSORT statement and extension for nonpharmacologic treatment, can improve the reporting quality and transparency of Tuina/Massage clinical research.
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  • 文章类型: Meta-Analysis
    背景:关于按摩疗法(MT)在术后疼痛管理中的作用的研究结果通常不一致。
    目的:本研究的目的是对随机对照试验(RCT)进行荟萃分析,以阐明按摩疗法治疗术后疼痛的效果。
    方法:三个数据库(PubMed、Embase,和Cochrane中央对照试验登记册)搜索了从数据库开始到2021年1月26日发布的RCT。主要结果是疼痛缓解。使用Cochrane协作偏倚风险工具评估RCT的质量。随机效应模型用于计算效应大小和标准化平均差(SMD),其中95%保密间隔(CI)作为汇总效应。通过I2进行异质性检验。亚组和敏感性分析用于探索异质性的来源。使用漏斗图不对称性的视觉检查评估可能的发表偏差。
    结果:分析包括33项随机对照试验,表明MT可有效减轻术后疼痛(SMD,-1.32;95%CI,-2.01至-0.63;p=0.0002;I2=98.67%)。对于短期(立即评估)和长期(MT后4-6周进行评估)都发现了类似的显着效果。值得注意的是,我们发现每次疗程的持续时间和剂量对MT的效果均无影响,不同MT类型的效果似乎没有差异.此外,MT似乎对成年人更有效。此外,MT对剖宫产和心脏手术的镇痛效果优于骨科手术。
    结论:由于仅纳入英文研究,可能存在发表偏倚。此外,纳入的研究具有极大的异质性.MT的双盲研究难以实施,纳入的研究都不是双盲的。纳入研究存在一定的异质性和发表偏倚。此外,按摩从业者的操作水平没有统一的评估标准,这可能会导致研究实施偏差。
    结论:MT在短期和长期均可有效减轻术后疼痛。
    BACKGROUND: Findings on the usefulness of massage therapy (MT) in postoperative pain management are often inconsistent among studies.
    OBJECTIVE: This study\'s aim is to conduct a meta-analysis of randomized controlled trials (RCT) to clarify the effects of massage therapy in the treatment of postoperative pain.
    METHODS: Three databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) were searched for RCTs published from database inception through January 26, 2021. The primary outcome was pain relief. The quality of RCTs was appraised with the Cochrane Collaboration risk of bias tool. The random-effect model was used to calculate the effect sizes and standardized mean difference (SMD) with 95 % confidential intervals (CIs) as a summary effect. The heterogeneity test was conducted through I2. Subgroup and sensitivity analyses were used to explore the source of heterogeneity. Possible publication bias was assessed using visual inspection of funnel plot asymmetry.
    RESULTS: The analysis included 33 RCTs and showed that MT is effective in reducing postoperative pain (SMD, -1.32; 95 % CI, -2.01 to -0.63; p = 0.0002; I2 = 98.67 %). A similar significant effect was found for both short (immediate assessment) and long terms (assessment performed 4-6 weeks after the MT). Remarkably, we found neither the duration per session nor the dose had an impact on the effect of MT and there seemed to be no difference in the effects of different MT types. In addition, MT seemed to be more effective for adults. Furthermore, MT had better analgesic effects on cesarean section and heart surgery than orthopedic surgery.
    CONCLUSIONS: Publication bias is possible due to the inclusion of studies in English only. Additionally, the included studies were extremely heterogeneous. Double-blind research on MT is difficult to implement, and none of the included studies is double-blind. There was some heterogeneity and publication bias in the included studies. In addition, there is no uniform evaluation standard for the operation level of massage practitioners, which may lead to research implementation bias.
    CONCLUSIONS: MT is effective in reducing postoperative pain in both short and long terms.
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  • 文章类型: Letter
    暂无摘要。
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  • 文章类型: Journal Article
    BACKGROUND: Delayed motor development (DMD) is an extremely common development disorder in children. Multiple factors, including mother\'s influence, diseases, physical or chemical factors and trauma, are strongly associated with DMD. Infancy is a key period in the development of neuromotor function. For children who are at high risk of DMD, early clinical intervention can, to a certain extent, reverse and repair the damaged function of the brain, improving the child\'s prognosis and their quality of life. This study aimed to evaluate the effect of Rougan Tongdu combined with point-pressing massage therapy (RT-PMT) in children at high risk of DMD.
    METHODS: Between March 2017 and March 2019, a total of 63 children at high risk of DMD were admitted and treated with RT-PMT in our hospital. These children were divided into three intervention groups (IGs) based on their age in months: IG I (22, 0-3 months), IG II (25, 4-6 months), and IG III (16, 7-12 months). An additional 63 healthy age-matched children were enrolled as a control group (CG) and split into the CG I (0-3 months), CG II (4-6 months), and CG III (7-12 months). All of the children underwent Gesell Infant Development Scale (GESELL) examination both before and three months after intervention and the motor function was scored.
    RESULTS: After 3 months of RT-PMT, the gross motor function scores in the three IGs were 88.55±8.56, 81.83±7.95, and 78.89±7.52, respectively. Fine motor function scores in the three IGs were 89.12±6.45, 82.32±6.78, and 78.18±6.69, respectively. Total motor function scores in the three IGs were 89.85±7.20, 82.65±7.05, and 79.52±7.16, respectively. The differences between the scores before and after intervention were statistically significant (all P<0.05). The improvements in the gross, fine, and total motor function scores in IG I were better than those in the other two IGs (P<0.05), and the clinical curative effect in IG I, II, and III was 95.5%, 80.0% and 62.6%, respectively. The clinical curative effect in IG I was better than those in the other groups (P<0.05).
    CONCLUSIONS: RT-PMT is beneficial for children at high risk of DMD.
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  • 文章类型: Journal Article
    OBJECTIVE: Weight gain is the main criterion for hospital discharge. This study measured the effectiveness of treating preterm neonates with massage therapy.
    METHODS: Systematic review and meta-analysis of randomized controlled trials.
    METHODS: Web of Science, Ovid-Medline, CINAHL, ProQuest, and PubMed (up to July 24, 2018).
    METHODS: Randomized controlled trials involving preterm infants with very-low-birth weight or low-birth-weight that examined the effect of massage therapy, and at least one outcome assessing infants\' weight change or weight gain.
    RESULTS: Pooled effect estimate from 15 trials with 697 participants showed that massage therapy improved daily weight gain by 5.07 g/day (95% CI 2.19-7.94, p = 0.0005). More benefits were observed when preterm neonates received moderate pressure massage (5.60 g/day, 95% CI 2.64-8.56, p = 0.0002) than when receiving light-pressure therapy (1.08 g/day, 95% CI 0.29-1.86, p = 0.007).
    CONCLUSIONS: Massage therapy is beneficial for preterm infant weight gain.
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  • 文章类型: Journal Article
    BACKGROUND: Massage therapy has been used by many traditional Chinese medicine physicians to treat acute diarrhoea in children. Since no relevant systematic reviews assessed the clinical effectiveness or the risk of massage therapy, in this study, a meta-analysis was conducted to evaluate the efficacy of paediatric massage for the treatment of acute diarrhoea in children.
    METHODS: In this meta-analysis, paediatric patients who were diagnosed with acute diarrhoea were included. Interventions using massage therapy alone or combined with other non-pharmacological approaches were included, while in the control groups, patients received pharmacotherapy. The primary outcome was clinical effective rate. Seven databases were used in our research, and the following search terms were used: (massage OR tui na OR manipulation OR acupressure) AND (infant OR child OR baby OR paediatrics) AND (diarrhoea OR diarrhoea) AND (randomized controlled trial). The search date was up to April 30, 2018.
    RESULTS: A total of 26 studies encompassing 2644 patients were included in this meta-analysis. It was shown that paediatric massage was significantly better than pharmacotherapy in treating acute diarrhoea in children in terms of clinical effective rate (n = 2213, RR = 1.20, 95% CI: 1.14 to 1.27), clinical cure rate (n = 345, RR = 1.37, 95% CI: 1.19 to 1.57), and cure time (n = 513, MD = - 0.77, 95% CI: -0.89 to - 0.64). However, the quality of evidence for this finding was low due to high risk of bias of the included studies.
    CONCLUSIONS: The present work supported paediatric massage in treating acute diarrhoea in children. More well-designed randomized controlled trials are still needed to further evaluate the efficacy of paediatric massage.
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  • 文章类型: Journal Article
    The synthesizing evidence on the effectiveness of using oil massage to promote the growth of infants is still lacking. This paper aims to determine whether oil massage can promote the physical and neurobehavioral growth of infants according to variables and to evaluate whether oil massage is safe for infant skin.
    METHODS: The randomized controlled trials, clinical controlled trials and quasi-experimentally designed trials published prior to or in 2014 were searched according to predetermined inclusion criteria and exclusion criteria in Medline, PubMed, Ovid, the Cochran Library, and Chinese databases, including the China National Knowledge Infrastructure, Wan Fang database and VIP journal integration platform. Besides, the grey lectures were searched as well through Open Grey, GrayLIT Network and Clinical Trials.gov.
    METHODS: Eight studies out of 625 retrieved articles were eligible for inclusion.
    RESULTS: Oil massage increased the infant weights, lengths and head circumferences. However, it did not promote a significant advantage in neurobehavioral scores or cause a significant risk of adverse skin reactions.
    CONCLUSIONS: The core mechanisms and standard procedures of oil massage as well as the preferred oil type should be the focus of future nursing practice and research.
    CONCLUSIONS: Oil massage may effectively improve the physical growth of infants, and it presents a limited risk of adverse skin reactions. However, the relationship between neurodevelopment and oil massage requires further study.
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