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Massage therapy versus simple touch to improve pain and mood in patients with advanced cancer
Annals of Internal Medicine, 09/19/08
Kutner JS et al. - In a trial to evaluate the efficacy of massage for decreasing pain and symptom distress and improving quality of life among persons with advanced cancer, it was shown that massage may have immediately beneficial effects on pain and mood among pts with advanced cancer. Given the lack of sustained effects and observed improvements in both study groups, the potential benefits of attention and simple touch should also be considered
Methods- 380 adults with advanced cancer were experiencing moderate-to-severe pain; 90% were enrolled in hospice
- 6 30-minute massage or simple-touch sessions were done over 2 wks
- Primary outcomes were immediate and sustained change in pain
- Secondary outcomes were immediate change in mood and 60-second heart and respiratory rates and sustained change in quality of life, symptom distress, and analgesic medication use
- Immediate outcomes were obtained just before and after each treatment session
- Sustained outcomes were obtained at baseline and weekly for 3 wks
- 298 persons were included in the immediate outcome analysis and 348 in the sustained outcome analysis
- 82 persons did not receive any allocated study treatments
- Both groups demonstrated immediate improvement in pain and mood
- Massage was superior for both immediate pain and mood
- No between-group mean differences occurred over time in sustained pain, quality of life, symptom distress, or analgesic medication use
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