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A randomised controlled trial to assess the effectiveness of a single session of nurse administered massage for short term relief of chronic non-malignant pain.

Seers K, Crichton N, Martin J, Coulson K, Carroll D - BMC Nurs (2008)

Bottom Line: An observer blind to the patients' treatment group carried out assessments immediately before (baseline), after treatment and 1, 2, 3 and 4 hours later.Pain was assessed using 100 mm visual analogue scale and the McGill Pain Questionnaire.There were no statistically significant differences between the groups at baseline interview.

View Article: PubMed Central - HTML - PubMed

Affiliation: RCN Research Institute, School of Health & Social Studies, University of Warwick, Coventry, CV4 7AL, UK. kate.seers@warwick.ac.uk

ABSTRACT

Background: Massage is increasingly used to manage chronic pain but its benefit has not been clearly established. The aim of the study is to determine the effectiveness of a single session of nurse-administered massage for the short term relief of chronic non-malignant pain and anxiety.

Methods: A randomised controlled trial design was used, in which the patients were assigned to a massage or control group. The massage group received a 15 minute manual massage and the control group a 15 minute visit to talk about their pain. Adult patients attending a pain relief unit with a diagnosis of chronic pain whose pain was described as moderate or severe were eligible for the study. An observer blind to the patients' treatment group carried out assessments immediately before (baseline), after treatment and 1, 2, 3 and 4 hours later. Pain was assessed using 100 mm visual analogue scale and the McGill Pain Questionnaire. Pain Relief was assessed using a five point verbal rating scale. Anxiety was assessed with the Spielberger short form State-Trait Anxiety Inventory.

Results: 101 patients were randomised and evaluated, 50 in the massage and 51 in the control group. There were no statistically significant differences between the groups at baseline interview. Patients in the massage but not the control group had significantly less pain compared to baseline immediately after and one hour post treatment. 95% confidence interval for the difference in mean pain reduction at one hour post treatment between the massage and control groups is 5.47 mm to 24.70 mm. Patients in the massage but not the control group had a statistically significant reduction in anxiety compared to baseline immediately after and at 1 hour post treatment.

Conclusion: Massage is effective in the short term for chronic pain of moderate to severe intensity.

Trial registration: [ISRCTN98406653].

No MeSH data available.


Related in: MedlinePlus

Participant Flow at each stage of study.
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Figure 1: Participant Flow at each stage of study.

Mentions: Figure 1 shows the number of patients still taking part in the study at each assessment point. After the first hour the drop out from both groups, but particularly from the control group was rapid. By the 2 hour post-treatment assessment only 23% of patients in the control group remained in the study and by the 3 hour assessment only 10% of the control group were available for assessment. In comparison for the massage group 72% of patients remained in the study at 2 hours post-treatment, 54% at 3 hours and 36% at 4 hours post treatment. Because of the very high withdrawal rate at 2, 3 and 4 hours after treatment, the results from these time periods are impossible to interpret and are therefore not presented.


A randomised controlled trial to assess the effectiveness of a single session of nurse administered massage for short term relief of chronic non-malignant pain.

Seers K, Crichton N, Martin J, Coulson K, Carroll D - BMC Nurs (2008)

Participant Flow at each stage of study.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2533334&req=5

Figure 1: Participant Flow at each stage of study.
Mentions: Figure 1 shows the number of patients still taking part in the study at each assessment point. After the first hour the drop out from both groups, but particularly from the control group was rapid. By the 2 hour post-treatment assessment only 23% of patients in the control group remained in the study and by the 3 hour assessment only 10% of the control group were available for assessment. In comparison for the massage group 72% of patients remained in the study at 2 hours post-treatment, 54% at 3 hours and 36% at 4 hours post treatment. Because of the very high withdrawal rate at 2, 3 and 4 hours after treatment, the results from these time periods are impossible to interpret and are therefore not presented.

Bottom Line: An observer blind to the patients' treatment group carried out assessments immediately before (baseline), after treatment and 1, 2, 3 and 4 hours later.Pain was assessed using 100 mm visual analogue scale and the McGill Pain Questionnaire.There were no statistically significant differences between the groups at baseline interview.

View Article: PubMed Central - HTML - PubMed

Affiliation: RCN Research Institute, School of Health & Social Studies, University of Warwick, Coventry, CV4 7AL, UK. kate.seers@warwick.ac.uk

ABSTRACT

Background: Massage is increasingly used to manage chronic pain but its benefit has not been clearly established. The aim of the study is to determine the effectiveness of a single session of nurse-administered massage for the short term relief of chronic non-malignant pain and anxiety.

Methods: A randomised controlled trial design was used, in which the patients were assigned to a massage or control group. The massage group received a 15 minute manual massage and the control group a 15 minute visit to talk about their pain. Adult patients attending a pain relief unit with a diagnosis of chronic pain whose pain was described as moderate or severe were eligible for the study. An observer blind to the patients' treatment group carried out assessments immediately before (baseline), after treatment and 1, 2, 3 and 4 hours later. Pain was assessed using 100 mm visual analogue scale and the McGill Pain Questionnaire. Pain Relief was assessed using a five point verbal rating scale. Anxiety was assessed with the Spielberger short form State-Trait Anxiety Inventory.

Results: 101 patients were randomised and evaluated, 50 in the massage and 51 in the control group. There were no statistically significant differences between the groups at baseline interview. Patients in the massage but not the control group had significantly less pain compared to baseline immediately after and one hour post treatment. 95% confidence interval for the difference in mean pain reduction at one hour post treatment between the massage and control groups is 5.47 mm to 24.70 mm. Patients in the massage but not the control group had a statistically significant reduction in anxiety compared to baseline immediately after and at 1 hour post treatment.

Conclusion: Massage is effective in the short term for chronic pain of moderate to severe intensity.

Trial registration: [ISRCTN98406653].

No MeSH data available.


Related in: MedlinePlus