کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6212102 1268566 2015 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical StudyRandomized clinical trial assessing whether additional massage treatments for chronic neck pain improve 12- and 26-week outcomes
ترجمه فارسی عنوان
مطالعه بالینی کارآزمایی بالینی تصادفی که به بررسی اینکه آیا درمان های ماساژ اضافی برای درد گردن مزمن باعث بهبود نتایج 12 و 26 هفته ای می شود،
کلمات کلیدی
درد مزمن گردن، دوز ماساژ، کارآزمایی بالینی تصادفی دارو تکمیلی، روش های آزمایشگاهی بالینی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

Background contextThis is the first study to systematically evaluate the value of a longer treatment period for massage. We provide a framework of how to conceptualize an optimal dose in this challenging setting of nonpharmacologic treatments.PurposeThe aim was to determine the optimal dose of massage for neck pain.Study design/settingTwo-phase randomized trial for persons with chronic nonspecific neck pain. Primary randomization to one of five groups receiving 4 weeks of massage (30 minutes 2x/or 3x/wk or 60 minutes 1x, 2x, or 3x/wk). Booster randomization of participants to receive an additional six massages, 60 minutes 1x/wk, or no additional massage.Patient sampleA total of 179 participants from Group Health and the general population of Seattle, WA, USA recruited between June 2010 and August 2011 were included.Outcome measuresPrimary outcomes self-reported neck-related dysfunction (Neck Disability Index) and pain (0-10 scale) were assessed at baseline, 12, and 26 weeks. Clinically meaningful improvement was defined as greater than or equal to 5-point decrease in dysfunction and greater than or equal to 30% decrease in pain from baseline.MethodsClinically meaningful improvement for each primary outcome with both follow-up times was analyzed using adjusted modified Poisson generalized estimating equations (GEEs). Secondary analyses for the continuous outcomes used linear GEEs.ResultsThere were no observed differences by primary treatment group at 12 or 26 weeks. Those receiving booster dose had improvements in both dysfunction and pain at 12 weeks (dysfunction: relative risk [RR]=1.56 [1.08-2.25], p=.018; pain: RR=1.25 [0.98-1.61], p=.077), but those were nonsignificant at 26 weeks (dysfunction: RR=1.22 [0.85-1.74]; pain: RR=1.09 [0.82-1.43]). Subgroup analysis by primary and booster treatments found the booster dose only effective among those initially randomized to one of the 60-minute massage groups.Conclusions“Booster” doses for those initially receiving 60 minutes of massage should be incorporated into future trials of massage for chronic neck pain.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 15, Issue 10, 1 October 2015, Pages 2206-2215
نویسندگان
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