■按摩疗法是一种流行的治疗方法,已被提倡用于数十种痛苦的成人健康状况,并具有大量证据基础。
■要绘制系统评论,结论,以及按摩疗法治疗成人痛苦健康状况的结果的确定性或证据质量。
■在这篇系统综述中,对PubMed进行了计算机化搜索,联合和补充医学数据库,护理和相关健康文献累积指数,Cochrane系统评价数据库,和WebofScience从2018年到2023年。纳入的研究是对成人健康状况中按摩疗法对疼痛的系统评价,正式评定了确定性,质量,或结论的有力证据。运动按摩疗法的研究,骨病,干拔罐或干针刺,和内部按摩疗法(例如,对于骨盆底疼痛)不合格,以及自我管理的按摩疗法技术,如泡沫滚动。评论被归类为至少有1个结论被评为高确定性证据的评论,至少有1个结论被评为中等确定性证据,所有结论都被评为低或极低确定性证据;收集了完整的结论和证据确定性清单。
■共发现129项针对成人痛苦健康状况的按摩疗法的系统评价;其中,41条评论使用了正式的方法来评估其结论的确定性或证据质量,并绘制了17条评论,涵盖13种健康状况。在这些评论中,没有任何结论被评为证据确定性高.有7个结论被评为中度确定性证据;所有剩余的结论都被评为低或极低确定性证据。所有被认为是中等确定性的结论都是按摩疗法与疼痛有有益的关联。
■这项研究发现,尽管进行了大量随机临床试验,针对成人疼痛性健康状况的按摩疗法的系统评价将少数结论评为中度确定性证据,而具有中度或高度确定性证据的按摩疗法优于其他积极疗法的结论很少见.
UNASSIGNED: Massage therapy is a popular treatment that has been advocated for dozens of painful adult health conditions and has a large evidence base.
UNASSIGNED: To map systematic reviews, conclusions, and certainty or quality of evidence for outcomes of massage therapy for painful adult health conditions.
UNASSIGNED: In this systematic review, a computerized search was conducted of PubMed, the Allied and Complementary Medicine Database, the Cumulated Index to Nursing and Allied Health Literature, the Cochrane Database of Systematic Reviews, and Web of Science from 2018 to 2023. Included studies were systematic reviews of
massage therapy for pain in adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of sports
massage therapy, osteopathy, dry cupping or dry needling, and internal
massage therapy (eg, for pelvic floor pain) were ineligible, as were self-administered
massage therapy techniques, such as foam rolling. Reviews were categorized as those with at least 1 conclusion rated as high-certainty evidence, at least 1 conclusion rated as moderate-certainty evidence, and all conclusions rated as low- or very low-certainty evidence; a full list of conclusions and certainty of evidence was collected.
UNASSIGNED: A total of 129 systematic reviews of
massage therapy for painful adult health conditions were found; of these, 41 reviews used a formal method to rate certainty or quality of evidence of their conclusions and 17 reviews were mapped, covering 13 health conditions. Across these reviews, no conclusions were rated as high certainty of evidence. There were 7 conclusions that were rated as moderate-certainty evidence; all remaining conclusions were rated as low- or very low-certainty evidence. All conclusions rated as moderate certainty were that massage therapy had a beneficial associations with pain.
UNASSIGNED: This study found that despite a large number of randomized clinical trials, systematic reviews of massage therapy for painful adult health conditions rated a minority of conclusions as moderate-certainty evidence and that conclusions with moderate- or high-certainty evidence that massage therapy was superior to other active therapies were rare.