Sep
5
2023

Massage for Low Back Pain: An Updated Systematic Review Within the Framework of the Cochrane Back Review Group

Abstract
Study Design. Systematic Review.

Objectives. To assess the effects of massage therapy for nonspecific low back pain.

Summary of Background Data. Low back pain is one of the most common and costly musculoskeletal problems in modern society. Proponents of massage therapy claim it can minimize pain and disability, and speed return to normal function.

Methods. We searched MEDLINE, EMBASE, CINAHL from their beginning to May 2008. We also searched the Cochrane Central Register of Controlled Trials (The Cochrane Library 2006, issue 3), HealthSTAR and Dissertation abstracts up to 2006. There were no language restrictions. References in the included studies and in reviews of the literature were screened. The studies had to be randomized or quasi-randomized trials investigating the use of any type of massage (using the hands or a mechanical device) as a treatment for nonspecific low back pain. Two review authors selected the studies, assessed the risk of bias using the criteria recommended by the Cochrane Back Review Group, and extracted the data using standardized forms. Both qualitative and meta-analyses were performed.

Results. Thirteen randomized trials were included. Eight had a high risk and 5 had a low risk of bias. One study was published in German and the rest in English. Massage was compared to an inert therapy (sham treatment) in 2 studies that showed that massage was superior for pain and function on both short- and long-term follow-ups. In 8 studies, massage was compared to other active treatments. They showed that massage was similar to exercises, and massage was superior to joint mobilization, relaxation therapy, physical therapy, acupuncture, and self-care education. One study showed that reflexology on the feet had no effect on pain and functioning. The beneficial effects of massage in patients with chronic low back pain lasted at least 1 year after the end of the treatment. Two studies compared 2 different techniques of massage. One concluded that acupuncture massage produces better results than classic (Swedish) massage and another concluded that Thai massage produces similar results to classic (Swedish) massage.

Conclusion. Massage might be beneficial for patients with subacute and chronic nonspecific low back pain, especially when combined with exercises and education. The evidence suggests that acupuncture massage is more effective than classic massage, but this need confirmation. More studies are needed to confirm these conclusions, to assess the impact of massage on return-to-work, and to determine cost-effectiveness of massage as an intervention for low back pain.

Spine:
15 July 2009 – Volume 34 – Issue 16 – pp 1669-1684
doi: 10.1097/BRS.0b013e3181ad7bd6

Sep
5
2023

Yoga for Cancer Survivor

With the Philadelphia skyline as a backdrop, Jennifer Schelter (center) leads some 600 breast cancer survivors and their families through yoga exercises on the steps of the Philadelphia Art Museum in downtown Philadelphia May 20, 2007. They participate in the the mass yoga class annually to raise funds and awareness of breast cancer issues.

Sep
5
2023

A Review of the Benefits of Therapeutic Massage

This article is a great advert for massage therapy. It is taken from: http://www.naturalnews.com/023391.html

A Review of Recent Research Touting the Benefits of Therapeutic Massage by: Cindie Leonard, MA

The myriad health benefits of massage therapy are being validated by a number of fascinating scientific research studies. In the past, massage has been associated largely with exclusive, exotic, luxury spas and upscale health clubs. With more affordable opportunities — along with increasing support from the medical community, massage therapy is gaining in popularity.

Exciting and proven benefits of massage begin with the very young. In one study, preterm infants gained 47% more weight, were discharged six days earlier (at a hospital cost savings of $10,000 per infant), and become more socially responsive. If the 470,000 preemies born in the U.S. each year were to receive this simple, soothing, and natural treatment, that would translate to annual savings of 4.7 billion dollars.

Preschool children who receive massage right before bedtime fall asleep sooner and stay asleep longer. In another study, preschoolers were given tests before and after receiving a 15 minute massage or spending 15 minutes reading stories with an experimenter. Performance and accuracy improvement were greater for the massage group.

Massage has also been shown to help troubled adolescents. In an interesting study, depressed, hospitalized, adolescents were divided into two groups. One group received 30-minute back massages daily for five days. Another group watched relaxing videotapes. The massaged subjects were less depressed and anxious and had lower cortisol (a stress hormone) levels after the massage. In another study, seventeen aggressive adolescents were randomly assigned to a massage therapy group or a relaxation therapy group. Each group received massage or relaxation therapy for twenty minutes, twice a week, for five weeks. The results demonstrated that the massaged adolescents had lower anxiety and reported feeling less hostile. The parents of the participants perceived their children as being less aggressive after the massage therapy. Significant differences were not found for the teenagers in the relaxation group.

Anorexia nervosa is extremely difficult to treat. Massage therapy is showing great promise with this population. In a study with women diagnosed with anorexia, the results demonstrated that after receiving a massage twice a week for five weeks, the patients reported lower stress and anxiety levels. These women also had lower cortisol levels and increased dopamine and norepinephrine (the “feel good” hormones) after the treatments. A promising result of the treatment was that they reported decreased body dissatisfaction on the Eating Disorders Inventory.

In a study exploring the role of massage therapy for treating migraine headaches, researchers designed a randomized study comparing two groups of subjects. One group received massage therapy for 13 weeks, the other did not. The subjects from both groups were asked to maintain a daily log recording their perceived stress levels and coping efficacy. They were also asked to keep a daily journal of their perceived levels of stress and sleep. Levels of anxiety, heart rate, and cortisol levels were assessed. Compared with the control group, the massage participants showed decreased heart rates less anxious moods, along with lower cortisol levels. The highlight of this study was that the massage group experienced fewer migraines during the study period.

Studies demonstrating the success of massage therapy in treating stress number over one thousand. Currently there are a vast array of theories as to why massage therapy is so successful in managing stress. One can read through extensive scientific studies focusing on measuring neurochemicals and reactions in the SNS (sympathetic nervous system) and the PNS (peripheral nervous system) in order to solve the mystery as to why massage is so effective on various stress disorders. Yet, a simple explanation might be that stress increases muscle tension, massage decreases muscle tension. When a muscle is tensed, circulation is reduced, blocking the absorption of oxygen and nutrients. Massage, on the other hand, loosens up the muscles, increasing circulation, bringing oxygen and nutrients back to the area of tension. Massage may also release stored toxins, which might explain the sense of wellbeing after a massage.

In a recent study in New Zealand involving nurses working in emergency departments, aromatherapy massages with music dramatically reduced stress levels amongst the study participants.

The researchers of this study found that sixty percent of the nursing staff in their experiment reported that they suffer from moderate to extreme anxiety due to their work. The percentage of nurses reporting anxiety dropped to just eight percent after aromatherapy massage treatments. The massages were provided by a licensed massage therapist who sprayed an aromatherapy mist above the heads of the participants. The participants were able to choose the scent. The essential oils were rose, lavender, lime, ocean breeze, or a combination of lavender, ylang ylang, bergamot and patchouli.

A reduction of anxiety from sixty to eight percent is statistically significant. This study demonstrates that massage therapy is a powerful tool with tremendous potential. Introducing such healing therapies in the workplace would be a valuable tool for employers for treating, managing and possibly preventing stress disorders.

Other recent studies have shown that massage therapy can help with pain management (including labor), aiding children with diabetes, sports-related soreness, alcohol withdrawal, immune function, and cancer treatment.

Who knows? Maybe someday, a trip to the spa may be just what your doctor orders.

References:

Blackwell Publishing Ltd. (2007, September 24). Aromatherapy Massages With Music

Diego, M.A., Field, T., Hernandez-Reif, M., Shaw, J.A., Rothe, E.M., Castellanos, D. & Mesner, L. (2002) Aggressive adolescents benefit from massage therapy. Adolescence, 37, 597-607.

Field, T., Morrow, C., Valdeon, C., Larson, S., Kuhn, C. & Schanberg, S. (1992) Massage reduces anxiety in child and adolescent psychiatric patients. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 125-131.

Field, T., Schanberg, S.M., Scafidi, F., Bauer, C. R., Vega-Lahr, Nl, Gracia, Rl, Nystrom, J., & Kuhn, C.M.. (1986). Tactile/kinesthetic stimulation effects on preterm neonates. Pediatrics, 77, 654-658.

Hart, S. Field, T. & Hernandez-Reif, Ml, Nearing, G., Shaw, S., Schanberg, S., & Kuhn, C. (2001). Anorexia nervosa symptoms are reduced by massage therapy. Eating Disorders, 9, 289-299.

Lawler S., Cameron, L.D. “A randomized controlled trail of massage therapy as a treatment for migraine.” Annual Behavioral Medicine. 2006. 32(1):50-59.

Selye, H. The Stress of Life. New York: McGraw-Hill, 1976.