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）：美国人越来越多地寻求按摩治疗师的护理，以缓解背痛。不幸的是，对于最容易获得的按摩形式，瑞典按摩的效果知之甚少。放松按摩旨在放松整个身体，与涉及对肌肉，筋膜或韧带操纵造成疼痛的肌肉，筋膜或韧带操纵的按摩形式相反。尽管几乎所有按摩学校都在教授放松按摩，并由大多数美国按摩治疗师使用，但从未评估过其背痛的有效性。这项研究的主要目的是确定松弛按摩是否是慢性下腰痛的有效治疗方法。如果发现有效，放松按摩将代表一种可广泛可用且安全的替代品，用于常见的肌肉放松药物，可以具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是否比治疗按摩更有效，以减轻由于背痛而减少短期和长期疼痛和功能障碍。 399名健康计划成员（每组133个）至少3个月的非特异性下腰痛将被随机分配给放松按摩，治疗性按摩或对照组，该对照组除了通常的护理以外没有接受治疗。按摩治疗师将在10周内提供10次治疗。在基线和遭到掩盖治疗的访调员随机分组后的4、10、26和52周后，将评估下背部疼痛的主要结果，功能和麻烦。这项研究还将探索慢性低腰部患者的身体，心理和临床基线特征的能力，以预测哪种类型的按摩将受益最多。这项研究的结果将阐明按摩最常见的按摩形式的价值，以处理困扰发达国家的最常见，具有挑战性且昂贵的健康问题。这些发现将帮助医生做出知情和自信的推荐，消费者和保险公司做出安全且经济高效的选择，按摩学校做出负责任的课程决定。