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Does touch massage facilitate recovery after stroke? A study protocol of a randomized controlled trial.

BMC complementary and alternative medicine
January 1, 1970
Kristina Lämås et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of Touch Massage (TM) on anxiety, pain, sensorimotor function, and quality of life in stroke patients compared to a sham treatment.

Results Summary

The study suggests TM may decrease anxiety and pain, improve health-related quality of life, and enhance sensorimotor function in stroke patients, though the field remains largely unexplored. The trial design includes blinded evaluations and multiple assessments to validate these effects.

Population

Fifty patients admitted to stroke units with stroke-related impairments.

Effective Dosage

Ten sessions of 30-minute treatments over two weeks.

Duration

Two weeks of intervention with a two-month follow-up.

Interactions

None mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Touch massage (TM)
decrease
anxiety
other conditions of reduced health
-
has been proven to decrease
#1
Touch massage (TM)
decrease
pain
other conditions of reduced health
-
has been proven to decrease
#2
Touch massage (TM)
increase
quality of health
other conditions of reduced health
-
improve
#3
Touch massage (TM)
decrease
anxiety
after stroke
-
may also reduce
#4
Touch massage (TM)
decrease
pain
after stroke
-
may also reduce
#5
Touch massage (TM)
increase
quality of life
after stroke
-
improve
#6
somatosensory stimulation
increase
sensorimotor function
-
-
can increase
#7
Touch massage (TM)
increase
independence
after stroke
-
could increase
#8
Touch massage (TM)
decrease
anxiety
after stroke
-
seems to decrease
#9
Touch massage (TM)
decrease
pain
after stroke
-
seems to decrease
#10
Touch massage (TM)
increase
health-related quality of life
after stroke
-
increase
#11
Touch massage (TM)
increase
sensorimotor functions
after stroke
-
improve
#12
Abstract

BACKGROUND: Despite high quality stroke care, decreased sensorimotor function, anxiety and pain often remain one year after stroke which can lead to impaired health and dependence, as well as higher healthcare costs. Touch massage (TM) has been proven to decrease anxiety and pain, and improve quality of health in other conditions of reduced health, where reduced anxiety seems to be the most pronounced benefit. Thus there are reasons to believe that TM may also reduce anxiety and pain, and improve quality of life after stroke. Further, several studies indicate that somatosensory stimulation can increase sensorimotor function, and it seems feasible to believe that TM could increase independence after stroke. In this study we will evaluate effects of TM after stroke compared to sham treatment. METHODS: This is a prospective randomized open-labelled control trial with blinded evaluation (PROBE-design). Fifty patients with stroke admitted to stroke units will be randomized (1:1) to either a TM intervention or a non-active transcutaneous electrical nerve stimulation (non-TENS) control group. Ten sessions of 30 min treatments (TM or control) will be administered during two weeks. Assessment of status according to the International Classification of Functioning, Disability and Health (ICF), including body function, activity, and participation. Assessment of body function will include anxiety, pain, and stress response (heart rate variability and salivary cortisol), where anxiety is the primary outcome. Activity will be assessed by means of sensorimotor function and disability, and participation by means of health-related quality of life. Assessments will be made at baseline, after one week of treatment, after two weeks of treatment, and finally a follow-up after two months. The trial has been approved by the Regional Ethical Review Board. DISCUSSION: TM seems to decrease anxiety and pain, increase health-related quality of life, and improve sensorimotor functions after stroke, but the field is largely unexplored. Considering the documented pleasant effects of massage in general, absence of reported adverse effects, and potential effects in relation to stroke, it is essential to evaluate effects of TM during the sub-acute phase after stroke. The results of this project will hopefully provide important knowledge for evidence-based care. TRIAL REGISTRATION: ClinicalTrials.gov: NTC01883947.

Medical Subject Headings (MeSH)
Clinical ProtocolsHumansMassageOutcome Assessment, Health CareProspective StudiesStrokeTherapeutic Touch
Study Links
Quality Scores
Safety90
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations5
Citations/Year0.6
Relative Citation Ratio0.29
NIH Percentile15.3%
Research Impact Scores
APT Score0.25
Weight Score1.63
Normalized Score0.83
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