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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

Mean and 95% confidence interval for the mean pain VAS scores for the massage group (- - - - -) and the control group (―) at three time points.
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Figure 3: Mean and 95% confidence interval for the mean pain VAS scores for the massage group (- - - - -) and the control group (―) at three time points.

Mentions: Comparisons post-treatment of pain VAS scores are shown in Figure 3 and Table 2. Figure 3 illustrates that the 95% confidence intervals for mean pain VAS for the massage and control groups overlap at baseline, the means are not significantly different. However, the confidence intervals are clearly distinct both immediately post treatment and at 1 hour post treatment, consistent with the massage group having significantly lower mean pain VAS. For the control group mean pain VAS for those who continue beyond 1 hour (the minority) is 36.4, but mean pain VAS for those in the control group who withdraw at 1 hour (the majority) is 74.7, a significantly higher mean (p < 0.001).


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)

Mean and 95% confidence interval for the mean pain VAS scores for the massage group (- - - - -) and the control group (―) at three time points.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Mean and 95% confidence interval for the mean pain VAS scores for the massage group (- - - - -) and the control group (―) at three time points.
Mentions: Comparisons post-treatment of pain VAS scores are shown in Figure 3 and Table 2. Figure 3 illustrates that the 95% confidence intervals for mean pain VAS for the massage and control groups overlap at baseline, the means are not significantly different. However, the confidence intervals are clearly distinct both immediately post treatment and at 1 hour post treatment, consistent with the massage group having significantly lower mean pain VAS. For the control group mean pain VAS for those who continue beyond 1 hour (the minority) is 36.4, but mean pain VAS for those in the control group who withdraw at 1 hour (the majority) is 74.7, a significantly higher mean (p < 0.001).

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