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Effectiveness of aromatherapy with light thai massage for cellular immunity improvement in colorectal cancer patients receiving chemotherapy.

Asian Pacific journal of cancer prevention : APJCP
January 1, 2013
Santisith Khiewkhern et al. (5 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether aromatherapy with coconut oil and Thai massage could improve cellular immunity and reduce symptom severity in colorectal cancer patients undergoing chemotherapy.

Results Summary

The study found that aromatherapy with coconut oil and Thai massage significantly increased lymphocyte counts by 11% and reduced symptom severity for fatigue, pain, and stress compared to standard care.

Population

Sixty-six colorectal cancer patients in Phichit Hospital, Thailand, undergoing chemotherapy.

Effective Dosage

Three massage sessions with ginger and coconut oil over one week (specific oil dosage not detailed).

Duration

One week.

Interactions

None mentioned.

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
aromatherapy with light Thai massage
increase
mean lymphocyte count
patients with colorectal cancer who have received chemotherapy
-
significantly higher
#1
aromatherapy with Thai massage
increase
lymphocyte numbers
-
11%
could boost
#2
aromatherapy with light Thai massage
decrease
symptom severity scores for fatigue
patients with colorectal cancer who have received chemotherapy
-
significantly lower
#3
aromatherapy with light Thai massage
decrease
symptom severity scores for presenting symptom
patients with colorectal cancer who have received chemotherapy
-
significantly lower
#4
aromatherapy with light Thai massage
decrease
symptom severity scores for pain
patients with colorectal cancer who have received chemotherapy
-
significantly lower
#5
aromatherapy with light Thai massage
decrease
symptom severity scores for stress
patients with colorectal cancer who have received chemotherapy
-
significantly lower
#6
chemotherapy
decrease
number of blood cells, especially white blood cells
patients with colorectal cancer
-
reduces
#7
chemotherapy
increase
risk of infections
patients with colorectal cancer
-
increases
#8
aromatherapy massage
neutral
immune system
-
-
affects
#9
aromatherapy massage
increase
immune function
-
-
improves
#10
aromatherapy massage
increase
numbers of natural killer cells and peripheral blood lymphocytes
-
-
increasing
#11
Abstract

BACKGROUND: Patients with colorectal cancer are usually treated with chemotherapy, which reduces the number of blood cells, especially white blood cells, and consequently increases the risk of infections. Some research studies have reported that aromatherapy massage affects the immune system and improves immune function by, for example, increasing the numbers of natural killer cells and peripheral blood lymphocytes. However, there has been no report of any study which provided good evidence as to whether aromatherapy with Thai massage could improve the immune system in patients with colorectal cancer. The objectives of this study were to determine whether the use of aromatherapy with light Thai massage in patients with colorectal cancer, who have received chemotherapy, can result in improvement of the cellular immunity and reduce the severity of the common symptoms of side effects. MATERIALS AND METHODS: Sixty-six patients with colorectal cancer in Phichit Hospital, Thailand, were enrolled in a single-blind, randomised-controlled trial. The intervention consisted of three massage sessions with ginger and coconut oil over a 1-week period. The control group received standard supportive care only. Assessments were conducted at pre-assessment and at the end of one week of massage or standard care. Changes from pre-assessment to the end of treatment were measured in terms of white blood cells, neutrophils, lymphocytes, CD4 and CD8 cells and the CD4/CD8 ratio and also the severity of self-rated symptom scores. RESULTS: The main finding was that after adjusting for pre-assessment values the mean lymphocyte count at the post-assessment was significantly higher (P=0.04) in the treatment group than in the controls. The size of this difference suggested that aromatherapy with Thai massage could boost lymphocyte numbers by 11%. The secondary outcomes were that at the post assessment the symptom severity scores for fatigue, presenting symptom, pain and stress were significantly lower in the massage group than in the standard care controls. CONCLUSIONS: Aromatherapy with light Thai massage can be beneficial for the immune systems of cancer patients who are undergoing chemotherapy by increasing the number of lymphocytes and can help to reduce the severity of common symptoms.

Medical Subject Headings (MeSH)
AdultAgedAntineoplastic Combined Chemotherapy ProtocolsAromatherapyCase-Control StudiesCoconut OilColorectal NeoplasmsCombined Modality TherapyFemaleFollow-Up StudiesZingiber officinaleHumansImmunity, CellularMaleMassageMiddle AgedNeoplasm StagingOils, VolatilePlant OilsPrognosisQuality of LifeSingle-Blind MethodThailand
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations27
Citations/Year2.3
Relative Citation Ratio1.11
NIH Percentile54.1%
Research Impact Scores
APT Score0.75
Weight Score1.56
Normalized Score0.66
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