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PubMed2005

Safety and efficacy of massage therapy for patients with cancer.

BACKGROUND: As the popularity of complementary/alternative medicine (CAM) grows, patients are incorporating more CAM therapies into their conventional cancer care. Massage therapy, a CAM therapy known primarily for its use in relaxation, may also benefit patients with cancer in other ways. Massage can also be associated with risks in the oncology population. Risks can be minimized and benefits maximized when the clinician feels comfortable discussing CAM with his or her patients. This article reviews and summarizes the literature on massage and cancer to help provide the clinician with information to help facilitate discussions with patients. METHODS: MEDLINE and CINAHL databases were searched to identify relevant articles. These were reviewed for content and other pertinent references. RESULTS: Significant information was extracted from these resources to provide this overview of the use of massage for patients with cancer. CONCLUSIONS: Conventional care for patients with cancer can safely incorporate massage therapy, although cancer patients may be at higher risk of rare adverse events. The strongest evidence for benefits of massage is for stress and anxiety reduction, although research for pain control and management of other symptoms common to patients with cancer, including pain, is promising. The oncologist should feel comfortable discussing massage therapy with patients and be able to refer patients to a qualified massage therapist as appropriate.

Anxiety↗

PubMed2007

Therapist education impacts the massage effect on postrace muscle recovery.

PURPOSE: The intention of this study was to assess the effectiveness of massage on muscle recovery as a function of therapist education in participants who completed a 10-km running race. METHODS: Race participants were offered a 12- to 15-min massage immediately post-event. Participants were randomly assigned to a student therapist with either 450, 700, or 950 h of didactic training in massage. Muscle soreness was recorded by questionnaire using a 0- to 10-point visual scale at time points immediately before and after massage, and 24 and 48 h post-event. Eight hundred ninety-five subjects were recruited, with 317 subjects returning questionnaires from all time points. RESULTS: Race participants who received massage from student therapists with 950 h of didactic training reported significantly greater improvement in muscle soreness across time compared with those who received massage from therapists with 700 or 450 h of education in massage (P < 0.01). On study entry, there was no difference in muscle soreness (P = 0.99), with a group mean of 4.4 +/- 0.4; at the 24-h measurement, soreness was 2.4 +/- 0.6, 3.7 +/- 0.5, and 3.6 +/- 0.9 for the 950-, 700-, and 450-h groups, respectively (P < 0.01). CONCLUSION: Level of therapist training was shown to impact effectiveness of massage as a post-race recovery tool; greater reduction in muscle soreness was achieved by therapists with 950 h of training as opposed to those with 700 or 450 h.

Adult↗

PubMed1996

Massage therapy reduces anxiety and enhances EEG pattern of alertness and math computations.

Twenty-six adults were given a chair massage and 24 control group adults were asked to relax in the massage chair for 15 minutes, two times per week for five weeks. On the first and last days of the study they were monitored for EEG, before, during and after the sessions. In addition, before and after the sessions they performed math computations, they completed POMS Depression and State Anxiety Scales and they provided a saliva sample for cortisol. At the beginning of the sessions they completed Life Events, Job Stress and Chronic POMS Depression Scales. Group by repeated measures and post hoc analyses revealed the following: 1) frontal delta power increased for both groups, suggesting relaxation; 2) the massage group showed decreased frontal alpha and beta power (suggesting enhanced alertness); while the control group showed increased alpha and beta power; 3) the massage group showed increased speed and accuracy on math computations while the control group did not change; 4) anxiety levels were lower following the massage but not the control sessions, although mood state was less depressed following both the massage and control sessions; 5) salivary cortisol levels were lower following the massage but not the control sessions but only on the first day; and 6) at the end of the 5 week period depression scores were lower for both groups but job stress score were lower only for the massage group.

Adult↗

PubMed1999

Benefits of massage therapy for hospitalized patients: a descriptive and qualitative evaluation.

CONTEXT: Some acute and long-term care facilities are instituting massage therapy programs to support their patients' health, healing, and quality of life. Evaluation of the impact of these programs from the perspective of patients, providers, and therapists is important for administrative decision making and the design of future outcomes research. OBJECTIVE: To uncover and elucidate a range of patient outcomes of a therapeutic massage program within an acute care setting. DESIGN: Descriptive and qualitative evaluation. Surveys and narrative reports were completed by 70 patients, 14 healthcare providers, and 4 massage therapists. SETTING: A large university hospital. PATIENTS: 113 hospitalized patients received 1 to 4 massages during the course of their hospital stay. INTERVENTION: Massage therapy. MAIN OUTCOME MEASURES: Narrative data were coded into 8 categories (pain, sleep, tension/anxiety, body awareness, physical functioning, psychological support, enhancing healing, and value). Selected patient responses were included to elaborate the meanings of these categories. RESULTS: The most frequently identified outcomes were increased relaxation (98%), a sense of well-being (93%), and positive mood change (88%). More than two thirds of patients attributed enhanced mobility, greater energy, increased participation in treatment, and faster recovery to massage therapy. Thirty-five percent stated that benefits lasted more than 1 day. CONCLUSIONS: The study supported the value of this hospital-based massage therapy program and uncovered a range of benefits of massage therapy for hospitalized patients that should be studied further.

Colorado↗

PubMed2003

[First introduction of massage treatment in modern Japan].

Ln early modern times, massage treatment developed in Europe. During the 1880s and 1890s, it is said that massage treatment was first introduced into Japan. But at the present time it may be said that it is not clearly understood how it was introduced from Europe into Japan and how it was developed there. I will explain the circumstances of how it developed in Japan. In 1884, when Kojo Hashimoto, the chief army doctor, was on a tour of medical missions in Europe, he obtained the illustrated book of massage: "Die Technik der Massage" (first ed. 1884), which was written by Dr. Albert Reibmayr of Austria, and he brought it back to Japan. Following this, Jiko Nagase, an army doctor, actually tried its treatment, using the first illustrated book of massage. He confirmed that massage treatment was a great medical treatment and translated this book into Japanese and published it for its popularisation. I was shown an image of the first massage of Dr. Reibmayr in looking at his first illustrated book in modern Japan. Thus, Kojo Hashimoto brought massage into Japan, and it was spread gradually among government officials and the people.

Europe↗

PubMed1980

Relief of dental pain by ice massage of the hand.

Patients suffering from acute dental pain were treated with ice massage of the web between the thumb and index finger of the hand on the same side as the painful region. Control groups received tactile massage alone or with explicit suggestion that the massage was intended to alleviate their pain. Changes in pain intensity produced by the procedures were measured with the McGill Pain Questionnaire. Ice massage decreased the intensity of the dental pain by 50% or more in the majority of patients. Furthermore, the pain reductions produced by ice massage were significantly larger than those produced by tactile massage alone or with explicit suggestion. The results indicate that ice massage has pain-reducing effects comparable to those of transcutaneous electrical stimulation and acupuncture. The fact that cold signals are transmitted to the spinal cord exclusively by A-delta fibres and not by C fibres provides a potential method for differentiating the various feedback systems that mediate analgesia produced by different forms of intense sensory input. Ice massage provides a simple method for the palliative control of pain in dental clinics.

Adolescent↗

PubMed1993

Factors that predict which preterm infants benefit most from massage therapy.

Ninety-three preterm infants (M gestational age = 30 wks; M birth weight = 1204 g; M ICU duration = 15 days) were randomly assigned to a massage therapy group or a control group once they were considered medically stable. The treatment group (N = 50) received three daily 15-minute massages for 10 days. The massage therapy infants gained significantly more weight per day (32 vs 29 g) than did the control infants. Treatment and control groups were divided into high and low weight gainers based on the average weight gain for the control group. Seventy percent of the massage therapy infants were classified as high weight gainers whereas only 40% of the control infants were classified as high weight gainers. Discriminant function analyses determining the characteristics that distinguished the high from the low weight gainers suggested that the control infants who, before the study, consumed more calories and spent less time in Intermediate care gained more weight. In contrast, for the massage therapy group, the pattern of greater caloric intake and more days in Intermediate care before the study period along with more obstetric complications differentiated the high from the low weight gainers, suggesting that the infants who had experienced more complications before the study benefitted more from the massage therapy. These variables accurately predicted 78% of the infants who benefitted significantly from the massage therapy. Thus, these variables can be used to suggest infants who would benefit most from future massage therapy programs.

Birth Weight↗

PubMed1998

Teat massage after milk ingestion in domestic piglets: an example of honest begging?

After milk ejection, piglets spend several minutes massaging their own teats on the sow. We examined whether this behaviour could be a mammalian counterpart to begging in young birds, and hence be explained by theories of honest begging. In one experiment, the behaviour of piglets was examined in relation to their previous milk intake. In each of 16 litters, one focal piglet was exposed to three treatments for three consecutive sucklings: 'no milk', where the piglet was withheld from the teat during milk ejection; 'extra milk', where it was fed 10 ml of extra milk directly after milk ejection; and 'control', when it received its normal intake. Average massage duration in the next three sucklings was significantly longer in the 'no milk' than in the control piglets. 'No milk' pigs massaged more intensely (number of massage movements/min), were more persistent in attempting to maintain udder contact and spent less time away from the udder. However, there were no significant differences between 'control' and 'extra milk' treatments. In a second experiment, in which we manually massaged teats for 0, 3 or 10 min, we found no significant effect of massage duration on milk output (measured by weighing piglets before and after milk ejection), although massage tended to increase output. We conclude that post-sucking massage in piglets has a number of aspects similar to honest begging in birds. Copyright 1998 The Association for the Study of Animal Behaviour. Copyright 1998 The Association for the Study of Animal Behaviour.

Journal Article↗

PubMed2006

Massage intervention for promoting mental and physical health in infants aged under six months.

BACKGROUND: Infant massage is increasingly being used in the community for low-risk babies and their primary care givers. Anecdotal claims suggest benefits for sleep, respiration, elimination and the reduction of colic and wind. Infant massage is also thought to reduce infant stress and promote positive parent-infant interaction. OBJECTIVES: The aim of this review was to assess the effectiveness of infant massage in promoting infant physical and mental health in population samples. SEARCH STRATEGY: Searches were undertaken of CENTRAL 2005 (Issue 3), MEDLINE (1970 to 2005), PsycINFO (1970 to 2005), CINAHL (1982 to 2005), EMBASE (1980 to 2005), and a number of other Western and Chinese databases. SELECTION CRITERIA: Studies in which babies under the age of six months were randomised to an infant massage or a no-treatment control group, and utilising a standardised outcome measuring infant mental or physical development. DATA COLLECTION AND ANALYSIS: Weighted and standardised mean differences and 95% confidence intervals are presented. Where appropriate the results have been combined in a meta-analysis using a random effects model. MAIN RESULTS: Twenty-three studies were included in the review. One was a follow-up study and thirteen were included in a separate analysis due to concerns about the uniformly significant results and the lack of dropout. The results of nine studies providing primary data suggest that infant massage has no effect on growth, but provides some evidence suggestive of improved mother-infant interaction, sleep and relaxation, reduced crying and a beneficial impact on a number of hormones controlling stress. Results showing a significant impact on number of illnesses and clinic visits were limited to a study of Korean orphanage infants. There was no evidence of effects on cognitive and behavioural outcomes, infant attachment or temperament. The data from the 13 studies regarded to be at high risk of bias show uniformly significant benefits on growth, sleep, crying and bilirubin levels. AUTHORS' CONCLUSIONS: The only evidence of a significant impact of massage on growth was obtained from a group of studies regarded to be at high risk of bias. There was, however, some evidence of benefits on mother-infant interaction, sleeping and crying, and on hormones influencing stress levels. In the absence of evidence of harm, these findings may be sufficient to support the use of infant massage in the community, particularly in contexts where infant stimulation is poor. Further research is needed, however, before it will be possible to recommend universal provision.

Child Development↗

PubMed2026

Muscle Massage Adding Capacitive Resistive Electric Transfer Therapy in Active or Sham Condition for Post-Exercise Recovery in Athletes: A Crossover Clinical Trial.

The increasing demands of elite sports reduce recovery time, impair performance, and increase injury risk. Efficient lactate transport is essential for postexercise recovery. Capacitive resistive electric transfer (CRET) therapy enhances deep tissue heating, induces vasodilation, and promotes circulation. To evaluate whether adding active CRET to a standardized muscle recovery massage, compared with the same massage plus sham CRET, influences indicators of muscle recovery following a maximal anaerobic effort test. A randomized, single-blind, sham-controlled, and crossover clinical trial was conducted in 25 athletes. Participants completed four visits and, after the maximal power and anaerobic capacity test (Wingate test), received a standardized muscle recovery massage combined with either active CRET or sham CRET. Blood lactate levels, muscle oxygenation, muscle thickness, echogenicity, knee extension force, and muscle activity were assessed before and after the test, after treatment, and 24 hours later. Compared with massage plus sham CRET, massage plus active CRET was associated with lower blood lactate concentration at 60 min postexercise (p = 0.029). Ultrasound-derived muscle thickness and echogenicity also differed between conditions at several time points (p < 0.05). However, no significant differences were observed in Wingate test performance, force, muscle activity, and oxygenation between conditions. In athletes performing repeated Wingate exercise, adding active CRET to massage was associated with lower blood lactate concentration at 60 min postexercise and with differences in ultrasound-derived muscle thickness and echogenicity compared with sham CRET plus massage. However, these between-condition differences were not accompanied by clear short-term functional recovery benefits. TRIAL REGISTRATION: NCT06906146.

Humans↗

PubMed1993

Cardioinhibitory response to carotid sinus massage in patients with coronary artery disease.

The relationship between cardioinhibitory response to the carotid sinus massage and the severity of coronary artery lesions and left ventricular impairment was investigated in 86 patients who underwent coronary angiography. The study group (Group 1) comprised 63 patients who had coronary lesions and the control group (Group 2) comprised 23 patients who had normal coronary arteries. There was no significant relationship between the severity of coronary artery lesions and the cardioinhibitory response to the carotid sinus massage in the study group. However, there was a positive correlation (r = 0.478, P < 0.01) between total left ventricular segment scores and the maximal change in RR interval (%) during the right carotid sinus massage in the study group. During the right carotid sinus massage, maximal change of RR interval (%) was significantly higher in patients who had segmental wall motion abnormalities than in patients who did not (83.0 +/- 72.4% vs. 32.9 +/- 42.5%, P < 0.01, respectively). In the patients who could have echocardiographic measurements there was negative correlation between fractional shortening value and maximal change of RR interval (%) (right massage; r = -0.482, P < 0.01, left massage; r = -0.334, P < 0.05). In conclusion, we found a significant relationship between the cardioinhibitory response to carotid sinus massage and the presence and severity of the segmental wall motion abnormalities and left ventricular impairment in patients with coronary artery disease.

Adult↗

PubMed2006

Moderate versus light pressure massage therapy leads to greater weight gain in preterm infants.

Sixty-eight preterm infants (M GA=30 weeks) were randomly assigned to a moderate or to a light pressure massage therapy group to receive 15 massages three times per day for 5 days. Behavior state, stress behaviors and heart rate were recorded for 15min before and during the first 15-min therapy session. Weight gain was recorded over the 5-day therapy period. The moderate versus light pressure massage group gained significantly more weight per day. During the behavior observations the moderate versus light pressure massage group showed significantly lower increases from the pre-session to the session recording on: (1) active sleep; (2) fussing; (3) crying; (4) movement; and (5) stress behavior (hiccupping). They also showed a smaller decrease in deep sleep, a greater decrease in heart rate and a greater increase in vagal tone. Thus, the moderate pressure massage therapy group appeared to be more relaxed and less aroused than the light pressure massage group which may have contributed to the greater weight gain of the moderate pressure massage therapy group.

Body Weight↗

PubMed2003

[Value and limitations of carotid sinus massage in healthy elderly individuals. Evaluation of diagnostic criteria for hypersensitive carotid sinus syndrome].

OBJECTIVE: To study the value and limitations of carotid sinus massage in healthy individuals older then 50 years of age, in order to assess the validity of the widely used criteria for the diagnosis of hypersensitive carotid sinus syndrome. METHODS: Right and left carotid sinus massage was performed in 120 healthy individuals older then 50 years of age (74 males and 46 females aged 59 +/- 7 years) who had no prior history of syncope, pre-syncope, or abnormal bradyarrhythmia, during EKG monitoring. RESULTS: Hypersensitivity of the carotid sinus (HSCS) defined as a pause > 3 s, was found in 28 individuals (23.3%). The pause was induced by right carotid sinus massage in 20 cases and by left carotid sinus massage in 8 cases. Patients demonstrating HSCS were older compared to those who did not develop a pause. One or multiple blocked P wave was seen in 16 cases when carotid sinus massage was performed on the left side compared to 8 with right carotid sinus massage. CONCLUSION: In healthy individuals older than 50 years of age, it is not rare to induce a significant pause following carotid sinus massage. This limits the validity of the widely used criteria for the diagnosis of hypersensitive carotid sinus syndrome. Additional criteria are proposed to make this diagnosis in front of a brief loss of consciousness.

Age Factors↗

PubMed2001

The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer.

BACKGROUND: The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique. STUDY DESIGN: Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage. RESULTS: When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage. CONCLUSIONS: As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure.

Breast Neoplasms↗

PubMed2002

Effects of massage on pain and anxiety during labour: a randomized controlled trial in Taiwan.

AIMS: To investigate the effects of massage on pain reaction and anxiety during labour. BACKGROUND: Labour pain is a challenging issue for nurses designing intervention protocols. Massage is an ancient technique that has been widely employed during labour, however, relatively little study has been undertaken examining the effects of massage on women in labour. METHODS: A randomized controlled study was conducted between September 1999 and January 2000. Sixty primiparous women expected to have a normal childbirth at a regional hospital in southern Taiwan were randomly assigned to either the experimental (n=30) or the control (n=30) group. The experimental group received massage intervention whereas the control group did not. The nurse-rated present behavioural intensity (PBI) was used as a measure of labour pain. Anxiety was measured with the visual analogue scale for anxiety (VASA). The intensity of pain and anxiety between the two groups was compared in the latent phase (cervix dilated 3-4 cm), active phase (5-7 cm) and transitional phase (8-10 cm). RESULTS: In both groups, there was a relatively steady increase in pain intensity and anxiety level as labour progressed. A t-test demonstrated that the experimental group had significantly lower pain reactions in the latent, active and transitional phases. Anxiety levels were only significantly different between the two groups in the latent phase. Twenty-six of the 30 (87%) experimental group subjects reported that massage was helpful, providing pain relief and psychological support during labour. CONCLUSIONS: Findings suggest that massage is a cost-effective nursing intervention that can decrease pain and anxiety during labour, and partners' participation in massage can positively influence the quality of women's birth experiences.

Adult↗

PubMed2003

The effects of massage on intra muscular temperature in the vastus lateralis in humans.

The aim of the current investigation was to evaluate the effect of different durations of massage, and ultrasound treatment, on the temperature of the vastus lateralis muscle in males. Deep effleurage massage of the vastus lateralis was performed on seven healthy males (mean +/- SD; age; 28 +/- 4 years, height 1.84 +/- 0.05 m, body mass 85.7 +/- 12 kg) for 5, 10 and 15 min periods. A 5-min period of ultrasound at 45 KHz was also completed by all subjects. Intra muscular temperature (at 1.5, 2.5 and 3.5 cm) and thigh skin temperature were assessed pre and post treatment. Heart rate was monitored continuously throughout all conditions. Pre treatment intra muscular temperature increased as depth of measurement increased (p = 0.00002). Changes in muscle temperature at 1.5 and 2.5 cm were significantly greater following massage than ultrasound (p < 0.002). No significant differences between massage treatments and ultrasound were noted when intra muscular temperature was measured at 3.5 cm (p > 0.05). Massage also significantly increased both heart rate and thigh skin temperature compared to ultrasound (p < 0.005). Increases in intra muscular temperature, heart rate and thigh skin temperature were the same irrespective of massage duration. These data suggest that massage and ultrasound have only limited effects on deep muscle temperature. As a result such approaches may not be suitable as a preparation strategy for exercise.

Adult↗

PubMed1995

Effleurage massage, muscle blood flow and long-term post-exercise strength recovery.

Manual massage is commonly assumed to enhance long term muscle recovery from intense exercise, partly due to its ability to speed healing via enhanced muscle blood flow. We tested these assumptions by daily (for four days) massaging the quadriceps muscles of one leg on subjects who had previously completed an intense bout of eccentric quadriceps work with both legs. Immediate post-exercise isometric and dynamic quadriceps peak torque measures had declined to approximately 60-70% of pre-exercise values in both legs. Peak torques for both the massage and control leg tended to slowly return toward pre-exercise values through the subsequent four days (96 hrs). There was no significant difference between the isometric and dynamic peak torques between massage and control legs up to 96 hours post-exercise. Leg blood flow was estimated by determining femoral artery and vein mean blood velocities via pulsed Doppler ultrasound velocimetry. Massage of the quadriceps muscles did not significantly elevate arterial or venous mean blood velocity above resting levels, while light quadriceps muscle contractions did. The perceived level of delayed onset muscle soreness tended to be reduced in the massaged leg 48-96 hours post-exercise. It was concluded that massage was not an effective treatment modality for enhancing long term restoration of post-exercise muscle strength and its use for this purpose in athletic settings should be questioned.

Adult↗

PubMed2006

The effect of regular antenatal perineal massage on postnatal pain and anal sphincter injury: a prospective observational study.

OBJECTIVE: Antenatal perineal massage has been shown to reduce the incidence of perineal tears in primiparous women. The aim of this study was to determine whether perineal massage impacts on primary prevention of symptomatic disruption of the fecal continence mechanism. METHODS: An observational study recruited two cohorts of women. The first, massage group (MG) chose to perform daily perineal massage from 34 weeks gestation, and the second, control group (CG) was asked to avoid massage. Perineal injury and postnatal pain were documented and all women were invited to attend at three months postpartum for continence assessment, anal manometry, and endoanal ultrasound. RESULTS: Of 179 women recruited, 100 were in the MG while 79 women were controls. Mode of delivery was not influenced by perineal massage. Although the impact did not reach statistical significance, women aged over 30 years in the MG were more likely to be delivered with an intact perineum than controls. Postnatal perineal pain was much reduced in the MG compared with the CG (p = 0.029). Of the women recruited, 136 (75.9%) returned for a postnatal continence assessment. Manometry pressures, continence scores, and endoanal ultrasound findings were similar in both groups. CONCLUSION: Antenatal perineal massage was found to significantly affect postnatal perineal pain scores although it did not impact on the incidence of intact perineum at delivery, postnatal continence scores, anal manometry pressures, or endoanal ultrasound findings.

Anal Canal↗