Effect of Massage on Chronic Low Back Pain

按摩对慢性腰痛的疗效

• 批准号: 7126883
• 负责人: DANIEL C. CHERKIN
• 金额: $ 61.77万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7126883
• 关键词: alternative medicine; backache; chronic pain; clinical research; functional ability; human subject; human therapy evaluation; massage therapy; outcomes research; patient oriented research; relaxation

DESCRIPTION (provided by applicant): Americans are increasingly seeking care from massage therapists for relief of back pain. Unfortunately, little is known about the effectiveness of the most readily available form of massage, Swedish massage for relaxation. Relaxation massage is intended to relax the whole body, in contrast to more therapeutically-oriented forms of massage that involve manipulation of the muscles, fascia or ligaments believed responsible for the pain. Although relaxation massage is taught in almost all massage schools and used by most US massage therapists, its effectiveness for back pain has never been evaluated. The primary aim of this study is to determine if relaxation massage is an effective treatment for chronic low back pain. If found effective, relaxation massage would represent a widely available and safe alternative to commonly prescribed muscle relaxant medications that can have side effects and a risk of habituation. The study will also allow us to determine if relaxation massage is more or less effective than therapeutic massage in reducing short-term and long-term pain and dysfunction due to back pain. 399 health plan members (133 per group) with non-specific low back pain lasting at least 3 months will be randomized to relaxation massage, therapeutic massage, or a control group that receives no treatment beyond their usual care. Massage therapists will provide 10 treatments over 10-weeks. The primary outcomes, function and bothersomeness of low back pain, will be assessed at baseline and 4, 10, 26, and 52 weeks after randomization by interviewers masked to treatment. This study will also explore the ability of physical, psychosocial, and clinical baseline characteristics of patients with chronic low back to predict which patients will benefit most from each type of massage. The results of this study will clarify the value of the most common form of massage for treating one of the most common, challenging, and expensive health problems plaguing developed countries. The findings will help physicians make informed and confident referrals, consumers and insurers make safe and cost-effective choices, and massage schools make responsible curriculum decisions.

描述（由申请人提供）：越来越多的美国人寻求按摩治疗师的护理来缓解背痛。不幸的是，人们对最常见的按摩形式（瑞典式放松按摩）的有效性知之甚少。放松按摩的目的是放松整个身体，与更多以治疗为导向的按摩形式相反，后者涉及对被认为是造成疼痛的肌肉、筋膜或韧带进行操作。尽管几乎所有按摩学校都教授放松按摩，并且大多数美国按摩治疗师都使用放松按摩，但其治疗背痛的效果从未得到评估。这项研究的主要目的是确定放松按摩是否是治疗慢性腰痛的有效方法。如果发现有效，放松按摩将成为一种广泛使用且安全的替代常用肌肉松弛药物的方法，而常用的肌肉松弛药物可能有副作用和习惯风险。这项研究还将使我们能够确定放松按摩在减少背痛引起的短期和长期疼痛和功能障碍方面是否比治疗性按摩更有效或更无效。 399 名健康计划成员（每组 133 名）患有持续至少 3 个月的非特异性腰痛，将被随机分配到放松按摩组、治疗性按摩组或对照组，不接受超出常规护理的治疗。按摩治疗师将在 10 周内提供 10 次护理。主要结果、腰痛的功能和困扰将由不接受治疗的访谈者在基线和随机分组后 4、10、26 和 52 周进行评估。这项研究还将探讨慢性腰背患者的身体、社会心理和临床基线特征的能力，以预测哪些患者将从每种类型的按摩中受益最多。这项研究的结果将阐明最常见的按摩形式对于治疗困扰发达国家的最常见、最具挑战性和最昂贵的健康问题之一的价值。研究结果将帮助医生做出知情且自信的转诊，消费者和保险公司做出安全且具有成本效益的选择，按摩学校做出负责任的课程决策。