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In this editorial, Executive Editor and Editor-in-Chief, Dr. Amanda Baskwill, celebrates 15 years of publications of the IJTMB.
Benefits of attachment security have been demonstrated in multiple realms of development, and an extensive body of research has identified some of the antecedents associated with the development of secure attachments. While previous research has indicated that infant massage may support the development of mothers' attachment to their babies, no published research exists that investigated infants' attachment security after mothers learn infant massage strokes. This study tested the impact of an infant massage intervention on mothers' massage frequency and attachment security in infants. Fifty-eight mother-infant dyads were randomly assigned to a treatment (massage, n = 28) or control (education, n = 30) group. Most mothers had preschool aged children participating in Head Start as well as an infant under 8 months of age; the remaining mothers were from the community. Mothers in the treatment group completed 4 weeks of infant massage training using standard strokes from Infant Massage USA, a chapter of the International Association of Infant Massage, headquartered in Sweden. At 12 months, mothers were guided through the standard sorting procedure of the Attachment Q-set (Waters, 1987). The treatment was effective, as 86 % of mothers in the massage group were still massaging their babies at the follow-up, an average of 10 months later, and infants whose mothers massaged them had higher attachment security scores. Surprisingly, 29 % of the mothers in the comparison group reported that they massaged their babies. A treatment X massage frequency ANOVA indicated that 12-month-old infants whose mothers in the treatment group had massaged them more than once per week were more securely attached than infants of mothers who massaged their infants less than once per week and also were more securely attached than infants in the comparison group. However mothers in the control group defined massage, it was not associated with infant attachment security at the follow-up. These results indicate that this inexpensive, easy to implement intervention effectively increased mothers' ongoing use of infant massage, which in turn predicted more attachment security in their infants.
Chronic constipation is a common distressing symptom. Abdominal massage is a safe, noninvasive, and comfortable intervention. However, it is rarely used in formal clinical practice as its' effectiveness for chronic constipation remains unclear. This systematic review aimed to investigate the effectiveness of abdominal massage on defecation frequency, stool consistency, colonic transit time, constipation symptoms, quality of life, laxative use, and adverse events in adults. Additionally, we aimed to compare the effectiveness of abdominal massage in chronic constipation with different etiologies and types of abdominal massage techniques. Data from eight English and Chinese electronic databases until May 15, 2024, including randomized controlled trials (RCT) and quasi-experimental studies, were used. The risk of bias was assessed using the Cochrane risk-of-bias tool. Results were synthesized using a random-effect model. This study was registered on the 7th of January 2023 to the International Prospective Register of Systematic Reviews (PROSPERO, CRD42023385243). A total of 23 studies with 1431 participants were eligible for the meta-analysis. Abdominal massage statistically significantly increased weekly defecation frequency (MD = 1.59; 95 % CI 1.06, 2.11; df = 10; I2 = 82 %), decreased gut transit time (MD = -21.53 h; 95 % CI -35.94, -7.12; df = 3; I2 = 65 %), and decreased constipation symptoms (SMD = -1.06; 95 % CI -1.33, -0.80; df = 18; I2 = 79 %) as compared to the control group; however, it did not reduce laxative use (OR: 0.43, 95 % CI 0.14, 1.34, p = 0.15; I2 = 74 %). In subgroup analysis, the effectiveness of defecation frequency appeared to be greater for functional constipation (SMD = 1.23; 95 % CI 0.87, 1.60; df = 6; I2 = 86 %) as compared to opioid-induced constipation (SMD = 1.06; 95 % CI 0.61, 1.50; df = 5; I2 = 5 %) or neurogenic bowel dysfunction (SMD = 0.68; 95 % CI 0.26, 1.10; df = 4; I2 = 51 %). There were statistically significant differences in defecation frequency between the functional constipation and neurogenic bowel dysfunction groups (p = 0.075). Acupressure and aromatherapy massage had a greater effect on defecation frequency (SMD = 1.63; 95 % CI 1.06, 2.21; df = 3; I2 = 86 %) than circular massage (SMD = 0.90; 95 % CI 0.57, 1.22; df = 10; I2 = 68 %) or electric device massages (SMD = 0.83; 95 % CI 0.15, 1.51; df = 1; I2 = 82 %); however, high heterogeneity and a limited number of articles were encountered. No adverse reactions were observed in the non-neurogenic bowel dysfunction group. This study reveals the efficacy of abdominal massage in alleviating symptoms of chronic constipation, as well as the differences in the effectiveness of different constipation types and massage techniques. Patients, caregivers, and health professionals can select abdominal massage techniques based on their effectiveness in specific type of constipation or troublesome symptoms. Abdominal massage is effective for chronic constipation, increasing defecation frequency and improving symptoms. Users can tailor massage technique to specific constipation type for optimal results. #ConstipationRelief #GutHealth.
The purpose of this study was to systematically evaluate the methodological quality of massage-related clinical practice guidelines (CPGs)/consensus on massage using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument and to summarize the current status of recommendations in the CPGs. The Chinese National Knowledge Infrastructure (CNKI), WanFang Data, China Science and Technology Journal Database (VIP), China Biology Medicine disc (CBM), PubMed, Embase, and guideline websites (such as the Chinese Medical Ace Base, the China Association of Chinese Medicine, the World Health Organization, Guideline International Network, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network) were searched from inception to October 31, 2022. In addition, the reference lists of relevant studies were reviewed to identify domestic and overseas massage CPGs/consensus. The search terms adopted a combination of subject words and free words, mainly including traditional Chinese medicine, complementary therapies, Tuina, massage, manipulation, chiropractic/osteopathic, spinal, acupressure, guideline, and consensus. Two researchers independently completed the eligible records and extracted the data. Before the formal research, calibrations were performed twice on AGREE II, and all reviewers completed the pilot test three times until they understood and reached an agreement on the assessment items. Three researchers appraised the methodological quality of the included guidelines using the AGREE II instrument and calculated the overall intraclass correlation coefficient (ICC) of agreement. The evaluation results showed that among the 49 eligible CPGs/consensus, 4 (8.2%) CPGs/consensus were considered "recommended", 15 (30.6%) CPGs/consensus were considered "recommended with modifications", and 30 (61.2%) CPGs/consensus were considered "not recommended", while the consensus was considered "not recommended". Generally, the scores in the six domains of the guidelines were all higher than the consensus. Evaluation results for the overall quality of 36 CPGs showed that 4 (11%) were "good quality", 15 (42%) were "sufficient quality" and 17 (47%) were "lower quality". The AGREE II quality scores of domains ranged from 0.30 to 0.75 ([ICC = 0.993, 95% CI (0.992, 0.995)]). The domain of scope and purpose (domain 1), with a median score of 0.75 (0.52~0.91), performed best in the guidelines with AGREE II, and stakeholder involvement (domain 2) [median 0.39 (0.31~0.56)] and application (domain 5) [median 0.30 (0.17~0.47] obtained lower scores. The consensus score of domain 1 was better at 26.0 (21.6~44.8), followed by rigor of development (domain 3) with a score of 18.0 (10.0~28.9). A total of 119 massage-related recommendations were extracted from 49 guidelines/consensuses, including "in favor" (102, 85.7%), "against" (9, 7.6%), and "did not make recommendations" (8, 6.7%). The overall quality of the included guidelines was low, and most of the guidelines were not "recommended". In future guideline updates, the existing evidence should be used, the professional composition of members of the expert group should be enriched, and patients' values and preferences should be fully considered. It is necessary to clearly propose recognizable recommendations and strengthen the rigor and standardization of guideline formulation. Thus, clear standard guidelines can be formulated to better guide clinical practice.
There are limited studies on the use of mechanical massage applications during labor, but its use is expected to increase with the changing technologies. This study was conducted to determine the effects of mechanical massage (controlled by the user) applied on pain during labor, labor duration, and maternal satisfaction. One hundred and fifty-four primiparous pregnant women were included in the study. Participants were randomly divided into 3 groups: control group (n = 53), mechanical massage with mechanical cushion (controlled by midwives) application group (n = 50), mechanical massage with mechanical cushion (controlled by pregnant women) application group (n = 51). Participants used mechanical massage in the active and transitional phases. Data were collected using the "Personal Information Form", "Visual Analog Scale", "Verbal Rating Scale", "Maternal Satisfaction Measurement Scale for Normal Birth", "Partograph", and "Individual Mechanical Massage Follow-up Form". In the comparison made between the experimental groups in the study, it was found that the duration and intensity of the midwife-controlled mechanical massage were significantly longer than the duration and intensity of the pregnant-controlled mechanical massage (respectively; p = 0.001; p = 0.010). Based on the participants' mean VAS and VRS scores due to labor phases, it was determined that the experimental group participants perceived significantly lower pain levels than those in the control group (respectively; p = 0.001; p = 0.001). In the comparison of the labor durations of the control group and the experimental groups, it was determined that the difference between the groups was not statistically significant in terms of the durations of phases of labor and overall labor (p > 0.05). However, levels of total maternal satisfaction among the groups were not statistically significant (p > 0.05); some of the sub-dimensions of maternal satisfaction scores were significantly higher than the control group (p < 0.05). It was determined that the mechanical massage intervention that applied in this study reduced labor pain, but it did not affect the duration of labor and the satisfaction levels of the women. The sub-dimensions of Comforting, Meeting the Baby, Hospital Facilities, and Meeting Expectations were effective in the maternal satisfaction with normal birth.
Chronic constipation is a prevalent and often underestimated gastrointestinal disorder that significantly affects quality of life, particularly among women and older adults. In Spain, it is estimated to affect between 12% and 20% of the population, contributing to increased health care visits, economic costs, and medication dependency. Although pharmacological treatments such as laxatives are widely used, they often offer only temporary relief and may lead to adverse effects or dependency. There is growing interest in nonpharmacological interventions that address the root behavioral and functional causes of constipation, such as dietary habits, physical inactivity, and impaired defecation techniques. However, evidence regarding the effectiveness of such approaches, especially within a primary care setting, remains limited. This study aims to evaluate the effectiveness of a primary care-based structured rehabilitation program that combines behavioral reeducation and abdominal massage therapy in reducing the severity of chronic constipation and use of laxatives. A secondary aim is to assess improvements in quality of life and sustainability of effects over time. This is a randomized controlled trial involving adults aged 18 to 75 years from the counties of l'Anoia and Bages (Catalonia, Spain) who meet the Rome IV diagnostic criteria for chronic constipation. A total of 45 participants will be randomly assigned in a 1:1:1 ratio (approximately 22-23 per center, with 15 per group overall) into 3 groups: a control group, behavioral intervention (BI) group, and behavioral intervention and massage (BIM) group. All participants will complete baseline assessments that include the Rome IV criteria, the Bristol Stool Form Scale, the CVE-20 quality of life questionnaire, and the International Physical Activity Questionnaire. The BI group will receive 2 group education sessions, focused on healthy bowel habits, diet, hydration, physical activity, stress management, and medication use, delivered by a multidisciplinary team. The BIM group will receive the same intervention as the BI group, plus two 30-minute sessions with a physiotherapist to learn abdominal self-massage techniques. The control group will receive usual care. Follow-up assessments will occur at 3 and 6 months after the intervention using the same instruments and a self-recorded calendar of laxative use and massage application. Data will be analyzed using appropriate statistical tests, including the χ2 test, a 2-tailed t test, and ANOVA/Kruskal-Wallis tests, depending on variable type. Participant enrollment concluded in August 2025, and data collection is ongoing and expected to continue until April 2026. This trial will provide evidence on the efficacy of conservative, low-risk interventions for managing chronic constipation in primary care. The findings may support broader implementation of integrative approaches that reduce pharmacological dependence and enhance patient empowerment, with potential public health and economic benefits.
Trigger points can disrupt muscle activity patterns and cause cramping, fatigue, and weakening. Massage guns and myofascial release are widely employed for such circumstances, but their isolated outcomes are unknown. This study aimed to compare the effectiveness of a massage gun versus myofascial release technique on subjective pain, pain pressure threshold and ankle ROM for 12 weeks in people with pain and latent trigger points in the calf muscles. From December 2024 to November 2025, this assessor-blinded randomized clinical trial will enroll 60 patients with latent myofascial trigger points in the calf and equally (1:1) allocate them randomly to either massage gun (Group A) or myofascial release technique (Group B) at the Outpatient Service Unit, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh. Both groups will receive 12 sessions of massage gun or myofascial release on latent trigger points, with 20 min of ice once a week for 12 weeks. The primary outcomes are subjective pain severity by the visual analog scale and pain sensitivity by pressure algometry, while the secondary outcome is ankle dorsiflexion range of motion by an inclinometer to be measured at the baseline and 12 weeks post-treatment. The ethical approval and trial registration obtained prospectively, we will adhere to the International committee on harmonization good clinical practice (ICH-GCP) by confirming confidentiality, respect, voluntary participation and withdrawal rights of participants and justice. To ensure trial safety, the manageable and fatal adverse effects will be recorded and reported. Sociodemographic, clinical, and outcome characteristics will be collected at baseline after randomization. A non-experimental assessor will evaluate group treatments afterward. A data monitoring committee-appointed expert data analyst will compare and analyze the independent assessors' baseline and post-treatment outcome values. This study will address the research gap on isolated outcomes of newly addressed widely used massage guns and conventional myofascial release techniques on reducing subjective pain, and pressure pain threshold and improving ankle ROM for patients with pain and latent trigger points at the calf muscle. This single-centre study will indicate short-term outcomes with poor external generalization, but the study will help the clinicians in evidence-based practice and guide future multicenter studies with long term evaluations with a follow-up design. Clinical Trial Registry of India (CTRI) (XXXXXXXXXXX) (Prospectively registered).
Ocular massage has been reported to lower intraocular pressure (IOP) temporarily. This effect could be related to enhanced aqueous humor outflow; however, the mechanism is unclear. This study aims to examine the impact of digital and EyePeace ocular massage on IOP fluctuations and investigate whether the observed reduction in IOP is attributable to morphological changes in the Schlemm canal (SC). Participants were randomly assigned in a 1:1:1 ratio to 1 of 3 groups: digital ocular massage, EyePeace ocular massage, or no ocular massage. The primary outcome measure will be IOP. The secondary outcome measures will include anterior segment optical coherence tomography assessment of the SC and trabecular meshwork. In addition, adverse events in the quality of vision will be monitored and documented using a mobile app-based questionnaire. All assessments will be performed at baseline and 10 minutes after the assigned interventions. Data collection was completed in the summer of 2025. The study results are expected to be published by the end of 2025. This study will investigate the impact of ocular massage on IOP and SC dimensions by using a randomized controlled design. As preliminary evidence suggests that ocular massage may transiently reduce IOP by enhancing aqueous humor outflow, this study will aim to clarify the underlying mechanism. By comparing digital ocular massage, EyePeace ocular massage, and no ocular massage, the study will assess changes in IOP and SC morphology. The findings are expected to provide insights into the role of mechanical manipulation in modulating aqueous humor outflow, potentially informing nonpharmacological strategies for possible glaucoma management. Chinese Clinical Trial Registry ChiCTR2400093512; https://www.chictr.org.cn/showproj.html?proj=250459. DERR1-10.2196/78864.
The International Consortium on Manual Therapies (ICMT) is a grassroots interprofessional association open to any formally trained practitioner of manual therapy (MT) and basic scientists promoting research related to the practice of MT. Currently, MT research is impeded by professions' lack of communication with other MT professions, biases, and vernacular. Current ICMT goals are to minimize these barriers, compare MT techniques, and establish an interprofessional MT glossary. Practitioners from all professions with training in manual therapies were encouraged by e-mail and website to participate (www.ICMTConferene.org). Video conferences were conducted at least bimonthly for 2.5 years by profession-specific and interprofessional focus groups (FGs). Members summarized scopes of practice, technique descriptions, associated mechanisms of action (MOA), and glossary terms. Each profession presented their work to the interprofessional FG to promote dialogue, understanding and consensus. Outcomes were reported and refined at numerous public events. Focus groups with representatives from 5 MT professions, chiropractic, massage therapy, osteopathic, physical therapy and structural integration identified 17 targeting osseous structures and 49 targeting nonosseous structures. Thirty-two techniques appeared distinct to a specific profession, and 13 were used by more than 1. Comparing descriptions identified additional commonalities. All professions agreed on 4 MOA categories for MT. A glossary of 280 terms and definitions was consolidated, representing key concepts in MT. Twenty-one terms were used by all MT professions and basic scientists. Five terms were used by MT professions exclusive of basic scientists. Outcomes suggested a third to a half of techniques used in MT are similar across professions. Additional research is needed to better define the extent of similarity and how to consistently identify those approaches. Ongoing expansion and refinement of the glossary is necessary to promote descriptive clarity and facilitate communication between practitioners and basic scientists.
The massage industry has been in the market for more than thousands of years. Consumers purchase massage services to treat illnesses, alleviate pain, or improve well-being. Despite the popularity of this industry and the benefits it entails, consumers' preferences vary and massage parlors' stakeholders have inconsistent market segmentation. Therefore, the purpose of this study was to investigate consumer preferences toward massage services offered by massage parlors in Indonesia through conjoint analysis. Conjoint analysis' orthogonal design concentrated on stimuli preferences and it was further supported by generating 1.000 consistency and reliability based on Kendall Tau's holdout. A total of 212 respondents answered the online questionnaire voluntarily. The results showed that the Google rating was the most important attribute (68.5%), followed by the gender of the massage therapist (12.4%), the type of massage (9.6%), the type of room (4.5%), the duration (3.6%) and the price (1.4%). Moreover, this research assessed 27 stimuli and found that the best combination was employing female massage therapists, IDR 100k-150k price every session, 90 minutes massage duration, couple room with two beds, acupuncture and cupping massage type, and massage parlors with greater than 4.6 Google review rating. This present research was one of the first studies that explored unique and holistic massage services through conjoint analysis. Unlike the previous studies that only focused on one massage service attribute or did not provide specific levels for evaluated attributes, the conjoint's orthogonal design delivered a new perception of prioritizing both consumers and the business side as some would only focus on one or the other. Also, the findings could be useful for massage parlors' stakeholders in developing marketing strategies, enhancing operational strategies, and promoting customer satisfaction. Marketing tactics such as promotional discounts would inspire customers to provide an optimistic Google review. Business owners were encouraged to focus on giving the best experience starting with a well-trained massage therapist, clean and hygienic rooms, and quality materials. These theoretical and practical implications aid in building the massage parlor's credibility that could be perceived positively by consumers.
This systematic review and meta-analysis aimed to examine the effects of massage therapy on pain and anxiety intensity in patients with burns. A comprehensive, systematic search was conducted in various international electronic databases, such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as 'Massage therapy', 'Musculoskeletal manipulations', 'Acute pains', 'Burning pain', and 'Burn' from the earliest to October 17, 2022. Cochran's tool is used to check the risk of bias for randomised clinical trial (RCT) articles. The methodological index for non-randomised studies was used to assess the risk of bias in quasi-experimental studies. STATA version 14 software was used to perform the meta-analysis. A 95% confidence interval (CI) was used to determine statistical significance. Heterogeneity was investigated with I2 . A P-value less than .1 was considered statistically significant for publication bias value. A total of 733 patients with burns were included in seven studies. Five studies had an RCT design and two studies had a quasi-experimental design. The duration of the study was reported in five studies, with a mean of 42.40 weeks. The duration of the intervention was reported in seven studies with a mean of 22.86 minutes. The results of the meta-analysis showed using various types of massage therapy interventions significantly reduced pain intensity in the intervention group compared with the control group (weighted mean difference: -2.08, 95% CI: -2.55 to -1.62, Z = 8.77, I2 : 67.1%, P < .001). Massage therapy intervention significantly reduced the intensity of anxiety in burn patients (standard mean difference: -7.07, 95% CI: -10.13 to -4.01, Z = 4.53, I2 : 98.2, P < .001). Overall, the present systematic review and meta-analysis showed that massage therapy can reduce the intensity of pain and anxiety in burn patients. Therefore, it is recommended that health managers and policymakers pay special attention to massage therapy as a simple, low-cost, and efficient non-pharmacological treatment to relieve pain and anxiety in burn patients.
Uremic pruritus, one of the most painful symptoms experienced by patients receiving dialysis, seriously affects patient quality of life and health, causes physical and mental damage, and increases hospitalization and mortality rates. Multi-modal therapies with evidence-based healthcare are needed to provide patients receiving dialysis with more convenient and feasible medical resources. Relevant domestic and international research on the effectiveness and methods of non-invasive acupoint therapy in improving uremic pruritus in dialysis patients was reviewed. Discussing related knowledge can facilitate the evidence-based use of non-invasive acupoint therapy in clinical practice by clinical medical personnel. Based on the PRISMA (preferred reporting items for systematic reviews and meta-analyses) systematic literature review and integrated analysis method, a keyword search of related articles published before September 2023 was conducted in the following databases: PubMed, Cochrane Library, Embase, Web of Science, Airiti Library, Taiwan Master and Doctoral Dissertation System, Chinese Journal Full-text Database and Wanfang Data Knowledge Service Platform. In 2019, the second version of the Risk of Bias Tool for Randomized Controlled Trials was used to evaluate research quality, after which RevMan 5.4 and Stata 14.0 suite software were used for meta-analysis. Nine of the 112 articles selected, including 10 sets of data and 597 participants, were included in the meta-analysis. The results indicate non-invasive acupoint therapy significantly reduces the degree of uremic pruritus (synthetic effect size = -1.30, 95% confidence interval [-1.67, -0.93], p < .00001). Because the heterogeneity test I² = 76%, showed a high degree of heterogeneity, a subgroup analysis was performed, showing that acupoint massage combined with traditional Chinese medicine fumigation and washing, a general simple itching assessment scale, and the Chinese region achieved better effect sizes. Non-invasive acupoint therapy is easy to implement, inexpensive, non-invasive, and associated with few side effects. The authors hope these findings may increase the awareness and understanding of patients with dialysis regarding the practical operation techniques of itching acupoints. According to the results of this systematic review and meta-analysis, massage of the lung and endocrine acupoints at ST-6, SP-10, and LI-11 as well as the relevant points on the ear may be most effective in achieving urinary itching relief. Also, acupoint massage combined with traditional Chinese medicine fumigation, ST-6 far-infrared irradiation, or LI11 transcutaneous acupoint electrical stimulation can further relieve uremic pruritus in this patient population. Based on the results, acupoint massage combined with traditional Chinese medicine fumigation and washing is a complementary method of treatment for uremic pruritus that may be recommended to patients in the future. 非侵入性穴位療法改善透析病人尿毒搔癢成效之系統性文獻回顧暨統合分析. 尿毒搔癢是令透析病人非常痛苦的症狀之一，嚴重影響其生活品質與健康，導致其身心靈受損，更進而使住院率及死亡率增加，有需要發展具實證健康照護依據的多元療法，以使透析病人取得更方便可行的醫療資源。. 統合國內外非侵入性穴位療法運用於改善透析病人之尿毒搔癢有效方式的相關研究，以協助臨床醫療人員能更有依據將非侵入性穴位療法運用在臨床實務。. PRISMA （preferred reporting items for systematic reviews and meta-analyses）系統文獻回顧和統合分析方法，搜尋2023年9月前發表於PubMed、Cochrane Library、Embase、Web of Science、華藝線上圖書館、臺灣博碩士論文知識加值系統、中國期刊全文數據庫及萬方數據知識服務平臺，以2019年隨機對照試驗之偏差風險工具第二版評讀研究品質，再以RevMan 5.4及Stata 14.0套裝軟體進行統合分析。. 共搜集112篇文獻，最後納入9篇文獻（10組數據），有597名參與者進行分析。結果顯示非侵入性穴位療法可顯著降低透析病人尿毒搔癢程度，綜合效果量（standardized mean difference） = -1.30，95% confidence interval [-1.67, -0.93]，p < .00001。異質性檢定I² = 76%，顯示有高度異質性，故進行次群組分析，顯示穴位按摩配合中藥薰洗、一般簡易的搔癢評估量表及中國地區的綜合效果量較佳。. 非侵入性穴位療法具有操作簡單、價廉、無創和副作用少的特點，可加強透析病人對搔癢穴位的認知與實際操作手法，依本文獻回顧及統合分析結果顯示可在三陰交、血海和曲池穴位或耳穴的肺及內分泌穴位按摩，或按摩穴位配合中藥薰洗，也可運用紅外線照射三陰交或將經皮穴位電刺激於曲池穴，能達到改善尿毒搔癢程度之效果，而穴位按摩配合中藥薰洗是未來可向病人推薦的另一種方式。.
Few studies have investigated the application of massage to bony prominences, and international guidelines do not currently recommend additional massage in these areas. To investigate the impact of the effleurage technique, a component of classical massage known for its clinical applicability and practicality, in preventing pressure injuries (PIs). The study focused on bedridden patients in the ICU of a state hospital. The sample included patients admitted between July 1, 2021, and November 30, 2021, without preexisting PIs. Using a randomized controlled trial design with simple randomization, routine nursing care was provided to the control group of 30 patients, and the experimental group of 30 patients received classical massage (effleurage technique) in addition to routine care. Both groups were followed up for an average of 12 days using various assessment tools, including a patient information form, the Braden Risk Assessment Scale, the Pressure Wound Staging Form, and an experimental/control group follow-up form. The research results revealed a statistically significant impact of massage application on preventing PIs (P < .05). The average day of PI development was 10.93 ± 2.31 in the experimental group and 6.79 ± 4.42 in the control group. The study findings suggest that the effleurage technique, as part of classical massage, can be integrated into nursing practices to effectively prevent PIs.
This systematic review and meta-analysis examined the effects of foam roller or stick massage performed after exercise-induced muscle damage protocols on indirect markers of muscle damage compared to a non-intervention control group in healthy individuals. PubMed, Biblioteca Virtual em Saúde, Scopus, Google Scholar, and Cochrane Library database were searched in August 2, 2020, with last update on February 21, 2021. Were included clinical trials involving healthy adult individuals who received foam roller/stick massage versus a non-intervention group and evaluated indirect markers of muscle damage. Risk of bias was assessed by the Cochrane Risk of Bias tools. Standardized mean differences with 95% confidence intervals were used to measure the foam roller/stick massage effect on muscle soreness. The five included studies investigated 151 participants (136 men). Overall, the studies presented a moderate/high risk of bias. A between-groups meta-analysis showed no significant difference between massage and non-intervention control groups on muscle soreness immediately after (0.26 [95%CI: 0.14; 0.65], p = 0.20), 24 h (-0.64 [95%CI: 1.34; 0.07], p = 0.08), 48 h (-0.35 [95%CI: 0.85; 0.15], p = 0.17), 72 h (-0.40 [95%CI: 0.92; 0.12], p = 0.13), and 96 h (0.05 [95%CI: 0.40; 0.50], p = 0.82) after an exercise-induced muscle damage protocol. Moreover, the qualitative synthesis showed that foam roller or stick massage had no significant effect on range of motion, muscle swelling, and maximal voluntary isometric contraction recovery. In conclusion, the current literature appears to not support the advantage of foam roller or stick massage to improve recovery of muscle damage indirect markers (muscle soreness, range of motion, muscle swelling, and maximal voluntary isometric contraction) compared to a non-intervention control group in healthy individuals. Furthermore, due to the heterogeneity of the methodological designs among the included studies, making it difficult to compare the results. In addition, there are not enough high-quality and well-designed studies on foam roller or stick massage to draw any definite conclusions. The study was pre-registered in the International Prospective Register of Systematic Review (PROSPERO) on August 2, 2020, with last update on February 21, 2021. Protocol number: CRD2017058559.
Lumbar disc herniation (LDH) has become a serious public health and socioeconomic problem. Tuina is a Chinese medicine treatment method based on meridian acupuncture theory and modern anatomy. Tuina can relieve pain and muscle tension and improve functional disorders; this massage is performed by pressing, kneading, pushing, pulling, and shaking the skin, muscles, and bones. However, the mechanism of action and the effect of Tuina as an external treatment on the activities of the central nervous system to relieve LDH pain is unclear. Therefore, we performed functional magnetic resonance imaging (fMRI), which is widely used in pain-related research, as it can detect the effects of different types of pain on brain activity. Our randomized controlled parallel-group trial aims to compare the effects of Tuina with those of transcutaneous electrical nerve stimulation (TENS) with traction in patients with LDH. This trial will be conducted between May 2024 and April 2025 in the Rehabilitation Hospital affiliated to Fujian University of Traditional Chinese Medicine. Seventy-six participants with LDH will be enrolled for this trial and randomly assigned to 2 groups: Tuina intervention group and TENS with traction intervention group. Participants in both groups will receive treatment for 14 days. fMRI will be performed for the main pain measurements by assessing the effect of the intervention on brain activity before and after the end of the intervention. Short-Form McGill Pain Questionnaire, pressure pain thresholds, and the Oswestry disability index will be used to reflect the degree of pain and lumbar dysfunction, and the results will be used as secondary outcome measurements. The study protocol has been approved by the ethics review committee of The Rehabilitation Hospital affiliated to Fujian University of Traditional Chinese Medicine. This study was registered on May 1, 2024, with the Chinese Clinical Trial Registry. Data collection began on May 2024 and is expected to end on April 2025. Currently, data from this trial are in the collection phase, and no data analysis has been performed. As of July 1, 2024, we have collected data from 21 patients. The results of this trial are expected to be submitted for publication in September 2025. This clinical trial will compare the effectiveness of Tuina with that of TENS with traction in the treatment of patients with LDH and will show the cerebral mechanism of Tuina in LDH treatment by using fMRI. The results of our trial will be helpful in clarifying the cerebral mechanism of Tuina in the treatment of LDH and provide a solid foundation for Tuina therapy research. Chinese Clinical Trial Registry ChiCTR2400083784; https://www.chictr.org.cn/showproj.html?proj=225157. DERR1-10.2196/63852.
Tuina has been proven to significantly relieve symptoms, demonstrating its clinical value. With the growth of related research, a comprehensive review is urgently needed to promote its development. This study aims to clarify the collaboration and current research status in the field of Tuina research using bibliometric analysis, and to discuss future directions. On February 4, 2023, the Web of Science Core Collection (WoSCC) database was searched using the keywords "tuina," "tui-na," "tui na," and "Chinese massage" to collect literature related to Tuina from its inception until December 31, 2022. The collected literature included all types of research articles and reviews. VOSviewer, CiteSpace, Pajek, and Scimago Graphica were utilized to perform a visual analysis of annual publication volume, as well as publication volume and collaboration networks of different countries, institutions, and authors, along with journal publication volume and keyword network analysis. A total of 761 publications were included in the analysis, with the total number of papers showed an increasing trend over time. The countries and institutions with the most publications were China and Shanghai University of Traditional Chinese Medicine, respectively. The authors who contributed the most were Min Fang, Qingguang Zhu, Zhiwei Wu, Lingjun Kong and Yufeng Wang. The most widely published journal in the field was the Journal of Acupuncture and Tuina Science. The clinical efficacy evaluation of Tuina therapy for musculoskeletal and spinal diseases, apoplexy sequelae, chronic diseases, and pediatric diseases were research hotspots and developing trends in this field. The research on Tuina has been increasing year by year. Currently, the focus of Tuina research lies in clinical studies, including the treatment of skeletal muscle and spinal diseases, stroke sequelae, chronic diseases, and pediatric illnesses, with pediatric Tuina emerging as a hot topic of research. Basic research in this field is relatively scarce, and the mechanisms of action of this therapy have not yet been fully elucidated. Future efforts in this area should aim to strengthen basic research and promote cooperation among international institutions.
To systematically analyse the efficacy and safety of Tuina massage therapy for paediatric fever. A search was conducted across PubMed, Embase, Cochrane Central Register of Controlled Trials and China National Knowledge Infrastructure databases, and it retrieved relevant randomised controlled trials (RCTs) up to November 2023. Fifteen trials (1,661 pediatric patients) were included, focusing on Tuina massage and tepid water massage. Studies were excluded due to: duplicate data, irrelevant types, incomplete outcomes and use of other interventions. The Cochrane RoB tool was employed to assess methodological quality, and the GRADE approach was used to evaluate the certainty of evidence. The review was registered with the International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY), registration number INPLASY202270041, following PRISMA 2020 guidelines. Massage treatment (120 min) showed a non-significant difference (standardized mean difference [SMD]: 0.68; 95% CI: - 0.31-1.67) compared with antipyretic medication. However, combining antipyretic medication and massage significantly reduced fever (SMD: 0.90; 95% CI: 0.50-1.30). Subgroup analysis indicated traditional Chinese Tuina massage significantly reduced pediatric fever (relative risk [RR]: 0.41; 95% CI: 0.26-0.65). This meta-analysis suggests that traditional Chinese Tuina may be a promising adjunctive therapy for pediatric fever. Careful consideration of each child's specific conditions is necessary to ensure safety and comfort. Future research should enhance study design quality and broaden the scope of non-pharmacological treatment methods.
Pain management remains challenging for adolescent and young adult (AYA) cancer patients. Acupuncture and massage have been recommended for cancer-related pain management, but no prospective trials have been conducted in AYA patients. We explored the effects of acupuncture and massage on pain in AYAs. This subgroup analysis focused on AYA patients (aged 18-39 years) enrolled in a randomized controlled trial comparing acupuncture and massage for pain management in advanced cancer. Interventions were delivered weekly for 10 weeks, followed by monthly booster treatments through week 26. The primary outcome was the worst pain score from the Brief Pain Inventory, analyzed using a linear mixed-effects model. Thirty participants met eligibility criteria (13 acupuncture; 17 massage), with a mean age of 31.1 years (standard deviation, 5.8); 57% were female; 67% were White; and 53% had solid tumors. Both groups experienced reduced pain over time. Relative to baseline, patients receiving acupuncture had a mean change of -1.26 points (95% confidence interval [CI], -2.54 to 0.01) at 10 weeks and a mean change of -1.46 points (95% CI, -2.78 to -0.14) at 26 weeks. Patients receiving massage experienced a mean change of -2.81 points (95% CI, -3.92 to -1.70) at week 10 and a mean change of -3.79 points (95% CI, -4.85 to -2.73) at week 26. AYA patients with advanced cancer who received either acupuncture or massage experienced clinically meaningful and sustained reductions in pain. These findings provide a promising foundation for future trials aimed at evaluating integrative pain management strategies in AYAs.
Postoperative ileus (POI) is a common complication after colorectal surgery, characterised by impaired gastrointestinal motility leading to abdominal distension, delayed flatus and defecation, nausea and vomiting. Self-abdominal massage (SM) can promote bowel peristalsis, but its clinical efficacy on improving colorectal cancer patients with POI treated with an intestinal decompression tube remains to be further verified. Therefore, this study aims to evaluate the efficacy and safety of SM in improving gastrointestinal function in colorectal cancer patients with POI treated with an intestinal decompression tube. This is a prospective, single-centre, randomised controlled, assessor-blinded and statistician-blinded trial. A total of 102 colorectal cancer patients with POI undergoing intestinal decompression tube placement will be recruited. Participants will be randomised in a 1:1:1 ratio to receive basic treatment (BT), BT plus SM (BT-SM) or BT plus simple physical stimulation (BT-SPS). The primary outcome is the time to first defecation after intestinal decompression tube placement. Secondary outcomes include time to first flatus, radiological evaluation, time to tolerability of semiliquid and solid foods, severity of nausea, vomiting, pain and abdominal distension, analgesic consumption, time to intestinal decompression tube removal, incidence of complications and adverse events after intestinal decompression tube placement. Outcome measures are collected at baseline, at 1, 2, 3 and 4 days after the end of the intervention. The primary time point will be 4 days postintervention. This study has been approved by the ethical application of the ‌Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine Ethics Committee (2025-K-49-01). All patients will be required to provide informed consent. Study results will be disseminated through publication in peer-reviewed journals and international conferences. ITMCTR2025001401.
The systematic review and meta-analysis aim to thoroughly assess the efficacy of manual interventions like massage therapy, reflexology, and acupressure techniques in relation to overall symptoms, pain, and quality of life (QOL) in patients suffering from CIPN. A total of eight Chinese and English databases were searched, including PubMed, Embase, Cochrane Library, Web of Science, CINAHL, ProQuest, China National Knowledge Infrastructure, and Wan Fang Database. The searching lasted from the establishment of each database to July 2025. The study aims to include randomized controlled trials (RCTs) and quasi-experimental studies. The risk of bias was assessed using the Cochrane risk of bias tool. The primary outcome measures were symptoms of CIPN, pain, and QOL. Standard Deviation (SMD) and 95% CI were calculated in a random-effects model. This study was registered on the International Prospective Register of Systematic Reviews (PROSPERO, CRD420251112391). In total, 11 RCTs with a total of 646 patients were included. The meta-analysis showed that manual interventions may improve primary outcomes, including quality of life (SMD = 1.05; 95% CI = 0.60, 1.50; P < 0.00001), sensory (SMD = -0.62; 95% CI = -0.88, -0.35; P < 0.00001), and motor (SMD = -0.42; 95% CI = -0.72, -0.12; P = 0.006) symptoms, with low to moderate levels of heterogeneity. Although the aggregated data for overall CIPN symptoms (SMD = -1.67; 95% CI = -3.03, -0.30; P = 0.02) and pain (SMD = -0.77; 95% CI = -1.31, -0.24; P = 0.006) were statistically significant, they showed high heterogeneity (I2 > 90%), which may be related to the limited number of existing studies and differences in intervention details. Low- to very low-certainty evidence suggests that manual interventions may reduce core symptoms and pain associated with CIPN, and potentially improve sleep quality and quality of life. However, due to high heterogeneity and risk of bias, these findings should be interpreted with caution.