F1RefidQuick AuthorAuthorTitlePublication DatePeriodicalF8VolumeF10IssueF12Page Start-EndGroupF15Publication DataConditionCondition (to hide)Outcome Measurescleaned up resultsOutcome Measures_Total ParticipantsQuality Assignment (SIGN 50)AbstractKeywordsPowerPower1Provider TypeIntervention Description: Number Assigned (Dropout Rate)# Assigned (Dropout Rate)_double check # assignIntervention Description: DosagesIntervention Description: Dosages1*Meta-AnalysisRelevant Results _ConclusionsAdverse EventsPubMed Link
8 1073 Fischer, 2000* R. L. Fischer, K. W. Bianculli, H. Sehdev and M. L. Hediger Does light pressure effleurage reduce pain and anxiety associated with genetic amniocentesis? A randomized clinical trial 2000 Journal of Maternal-Fetal Medicine vol 9 vol 9 5 pages 294-297 Surgery pages 294-297 Journal of Maternal-Fetal Medicine, vol 9: 5, pages 294-297 Surgery: Pain during genetic amniocentesis 200 females with pain during genetic amniocentesis (mean age = 34 ± 5.25) Visual Analog Scale (pain) Visual Analog Scale (anxiety) Pain: Visual Analog Scale; Mood: Visual Analog Scale. 200 2-Acceptable OBJECTIVE: To determine if light pressure effleurage (leg rubbing) during genetic amniocentesis reduces procedure-related pain and anxiety. METHODS: Two hundred women with singleton gestations undergoing genetic amniocentesis between 15-22 weeks recorded their level of anticipated pain and anxiety on a 10-cm linear visual analog scale prior to the amniocentesis. Subjects were then randomized to receive effleurage or no effleurage by the assisting nurse during the procedure. Subjects were blinded to the effleurage nature of the study. Following the amniocentesis, subjects repeated the pain and anxiety scoring. RESULTS: The two groups were similar with respect to subject and procedure characteristics, as well as anticipated pain or anxiety prior to amniocentesis. Postamniocentesis pain and anxiety scoring were similar in the two groups. The mean effleurage acceptance score was 8.3 +/- 1.8 (out of 10), and 90.2% of subjects reported that they would want effleurage with future amniocenteses. CONCLUSIONS: Although well accepted by women, light pressure effleurage during genetic amniocentesis does not reduce procedure-related pain or anxiety. Amniocentesis Not Described ND Nurse Light Pressure Effleurage: 103 (0%); Amniocentisis only (Active Control): 97 (0%). 103 (0%); 97 (0%). Light Pressure Effleurage: 1 x ND, ND, ND + ND; Amniocentisis only (Active Control): 1 x ND, 1x, 1d + ND. 1 x ND, ND, ND + ND; 1 x ND, 1x, 1d + ND. Yes *Visual Analog Scale (pain): p = Not Significant (between groups) over time, Effect Size = -0.12, Active Control, pre / post; *Visual Analog Scale (anxiety): p = Not Significant (between groups) over time, Effect Size = -0.07, Active Control, pre / post. No relevant significant results.  Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=Does+light+pressure+effleurage+reduce+pain+and+anxiety+associated+with+genetic+amniocentesis%3F+A+randomized+clinical+trial
F1 8
Refid 1073
Quick Author Fischer, 2000*
Author R. L. Fischer, K. W. Bianculli, H. Sehdev and M. L. Hediger
Title Does light pressure effleurage reduce pain and anxiety associated with genetic amniocentesis? A randomized clinical trial
Publication Date 2000
Periodical Journal of Maternal-Fetal Medicine
F8 vol
Volume 9
F10 vol 9
Issue 5
F12 pages
Page Start-End 294-297
Group Surgery
F15 pages 294-297
Publication Data Journal of Maternal-Fetal Medicine, vol 9: 5, pages 294-297
Condition Surgery: Pain during genetic amniocentesis
Condition (to hide) 200 females with pain during genetic amniocentesis (mean age = 34 ± 5.25)
Outcome Measures
cleaned up results Visual Analog Scale (pain) Visual Analog Scale (anxiety)
Outcome Measures_ Pain: Visual Analog Scale; Mood: Visual Analog Scale.
Total Participants 200
Quality Assignment (SIGN 50) 2-Acceptable
Abstract OBJECTIVE: To determine if light pressure effleurage (leg rubbing) during genetic amniocentesis reduces procedure-related pain and anxiety. METHODS: Two hundred women with singleton gestations undergoing genetic amniocentesis between 15-22 weeks recorded their level of anticipated pain and anxiety on a 10-cm linear visual analog scale prior to the amniocentesis. Subjects were then randomized to receive effleurage or no effleurage by the assisting nurse during the procedure. Subjects were blinded to the effleurage nature of the study. Following the amniocentesis, subjects repeated the pain and anxiety scoring. RESULTS: The two groups were similar with respect to subject and procedure characteristics, as well as anticipated pain or anxiety prior to amniocentesis. Postamniocentesis pain and anxiety scoring were similar in the two groups. The mean effleurage acceptance score was 8.3 +/- 1.8 (out of 10), and 90.2% of subjects reported that they would want effleurage with future amniocenteses. CONCLUSIONS: Although well accepted by women, light pressure effleurage during genetic amniocentesis does not reduce procedure-related pain or anxiety.
Keywords Amniocentesis
Power Not Described
Power1 ND
Provider Type Nurse
Intervention Description: Number Assigned (Dropout Rate) Light Pressure Effleurage: 103 (0%); Amniocentisis only (Active Control): 97 (0%).
# Assigned (Dropout Rate)_ 103 (0%); 97 (0%).
double check # assign
Intervention Description: Dosages Light Pressure Effleurage: 1 x ND, ND, ND + ND; Amniocentisis only (Active Control): 1 x ND, 1x, 1d + ND.
Intervention Description: Dosages1 1 x ND, ND, ND + ND; 1 x ND, 1x, 1d + ND.
*Meta-Analysis Yes
Relevant Results _ *Visual Analog Scale (pain): p = Not Significant (between groups) over time, Effect Size = -0.12, Active Control, pre / post; *Visual Analog Scale (anxiety): p = Not Significant (between groups) over time, Effect Size = -0.07, Active Control, pre / post.
Conclusions No relevant significant results. 
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=Does+light+pressure+effleurage+reduce+pain+and+anxiety+associated+with+genetic+amniocentesis%3F+A+randomized+clinical+trial
9 1393 Hattan, 2002* J. Hattan, L. King and P. Griffiths The impact of foot massage and guided relaxation following cardiac surgery: a randomized controlled trial 2002 Journal of Advanced Nursing vol 37 vol 37 2 pages 199-207 Surgery pages 199-207 Journal of Advanced Nursing, vol 37: 2, pages 199-207 Surgery: Cardiac 25c(20 M/5 F) patients with pain following cardiac surgery (mean age = 63) Visual Analog Scale (pain) Visual Analog Scale (anxiety) Visual Analog Scale (tension) Visual Analog Scale (calm) Visual Analog Scale (relaxation) Visual Analog Scale (rest) Systolic Blood Pressure Diastolic Blood Pressure Pulse Respiration Rate Pain: Visual Analog Scale; Mood: Visual Analog Scale; Sleep: Visual Analog Scale; Physiological: Systolic Blood Pressure, Diastolic Blood Pressure, Pulse, Respiration Rate. 25 3-Low BACKGROUND: Because of the widely presumed association between heart disease and psychological wellbeing the use of so-called ''complementary'' therapies as adjuncts to conventional treatment modalities have been the subject of considerable debate. The present study arose from an attempt to identify a safe and effective therapeutic intervention to promote well being which could be practicably delivered by nurses to patients in the postoperative recovery period following coronary artery bypass graft (CABG) surgery. Aim. To investigate the impact of foot massage and guided relaxation on the wellbeing of patients who had undergone CABG surgery. METHOD: Twenty-five subjects were randomly assigned to either a control or one of two intervention groups. Psychological and physical variables were measured immediately before and after the intervention. A discharge questionnaire was also administered. RESULTS: No significant differences between physiological parameters were found. There was a significant effect of the intervention on the calm scores (ANOVA P=0.014). Dennett''s multiple comparison showed that this was attributable to increased calm among the massage group. Although not significant the guided relaxation group also reported substantially higher levels of calm than control. There was a clear (nonsignificant) trend across all psychological variables for both foot massage and to a lesser extent guided relaxation to improve psychological wellbeing. Both interventions were well received by the subjects. CONCLUSIONS: These interventions appear to be effective noninvasive techniques for promoting psychological wellbeing in this patient group. Further investigation is indicated. Psychological Well-Being Not Described ND Massage therapist Foot Massage: 9 (0%); Guided Relaxation Group (Active Control): 9 (0%); Normal Activity: 7 (0%). 9 (0%); 9 (0%); 7 (0%). Foot Massage: 1 x 20 mins, 1x, ND + ND; Guided Relaxation Group (Active Control): 1 x 20 mins, 1x, ND + ND; Normal Activity: 1 x 20 mins, 1x, ND + ND. 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, ND + ND. Yes *Visual Analog Scale (pain): p = Not Significant (between groups) over time, Effect Size = -2.33, Active Control, pre / post; *Visual Analog Scale (anxiety): p = Not Significant (between groups) over time, Effect Size = 2.74, Active Control, pre / post; Visual Analog Scale (tension): p = Not Significant (between groups) over time; Visual Analog Scale (calm): p = 0.014 (between groups) over time; Visual Analog Scale (relaxation): p = Not Significant (between groups) over time; Visual Analog Scale (rest): p = Not Significant (between groups) over time; Systolic Blood Pressure: p = Not Significant (between groups) over time; Diastolic Blood Pressure: p = Not Significant (between groups) over time; Pulse: p = Not Significant (between groups) over time; Respiration Rate: p = Not Significant (between groups) over time. Massage effective for: Mood. Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=The+impact+of+foot+massage+and+guided+relaxation+following+cardiac+surgery%3A+a+randomized+controlled+trial
F1 9
Refid 1393
Quick Author Hattan, 2002*
Author J. Hattan, L. King and P. Griffiths
Title The impact of foot massage and guided relaxation following cardiac surgery: a randomized controlled trial
Publication Date 2002
Periodical Journal of Advanced Nursing
F8 vol
Volume 37
F10 vol 37
Issue 2
F12 pages
Page Start-End 199-207
Group Surgery
F15 pages 199-207
Publication Data Journal of Advanced Nursing, vol 37: 2, pages 199-207
Condition Surgery: Cardiac
Condition (to hide) 25c(20 M/5 F) patients with pain following cardiac surgery (mean age = 63)
Outcome Measures
cleaned up results Visual Analog Scale (pain) Visual Analog Scale (anxiety) Visual Analog Scale (tension) Visual Analog Scale (calm) Visual Analog Scale (relaxation) Visual Analog Scale (rest) Systolic Blood Pressure Diastolic Blood Pressure Pulse Respiration Rate
Outcome Measures_ Pain: Visual Analog Scale; Mood: Visual Analog Scale; Sleep: Visual Analog Scale; Physiological: Systolic Blood Pressure, Diastolic Blood Pressure, Pulse, Respiration Rate.
Total Participants 25
Quality Assignment (SIGN 50) 3-Low
Abstract BACKGROUND: Because of the widely presumed association between heart disease and psychological wellbeing the use of so-called ''complementary'' therapies as adjuncts to conventional treatment modalities have been the subject of considerable debate. The present study arose from an attempt to identify a safe and effective therapeutic intervention to promote well being which could be practicably delivered by nurses to patients in the postoperative recovery period following coronary artery bypass graft (CABG) surgery. Aim. To investigate the impact of foot massage and guided relaxation on the wellbeing of patients who had undergone CABG surgery. METHOD: Twenty-five subjects were randomly assigned to either a control or one of two intervention groups. Psychological and physical variables were measured immediately before and after the intervention. A discharge questionnaire was also administered. RESULTS: No significant differences between physiological parameters were found. There was a significant effect of the intervention on the calm scores (ANOVA P=0.014). Dennett''s multiple comparison showed that this was attributable to increased calm among the massage group. Although not significant the guided relaxation group also reported substantially higher levels of calm than control. There was a clear (nonsignificant) trend across all psychological variables for both foot massage and to a lesser extent guided relaxation to improve psychological wellbeing. Both interventions were well received by the subjects. CONCLUSIONS: These interventions appear to be effective noninvasive techniques for promoting psychological wellbeing in this patient group. Further investigation is indicated.
Keywords Psychological Well-Being
Power Not Described
Power1 ND
Provider Type Massage therapist
Intervention Description: Number Assigned (Dropout Rate) Foot Massage: 9 (0%); Guided Relaxation Group (Active Control): 9 (0%); Normal Activity: 7 (0%).
# Assigned (Dropout Rate)_ 9 (0%); 9 (0%); 7 (0%).
double check # assign
Intervention Description: Dosages Foot Massage: 1 x 20 mins, 1x, ND + ND; Guided Relaxation Group (Active Control): 1 x 20 mins, 1x, ND + ND; Normal Activity: 1 x 20 mins, 1x, ND + ND.
Intervention Description: Dosages1 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, ND + ND.
*Meta-Analysis Yes
Relevant Results _ *Visual Analog Scale (pain): p = Not Significant (between groups) over time, Effect Size = -2.33, Active Control, pre / post; *Visual Analog Scale (anxiety): p = Not Significant (between groups) over time, Effect Size = 2.74, Active Control, pre / post; Visual Analog Scale (tension): p = Not Significant (between groups) over time; Visual Analog Scale (calm): p = 0.014 (between groups) over time; Visual Analog Scale (relaxation): p = Not Significant (between groups) over time; Visual Analog Scale (rest): p = Not Significant (between groups) over time; Systolic Blood Pressure: p = Not Significant (between groups) over time; Diastolic Blood Pressure: p = Not Significant (between groups) over time; Pulse: p = Not Significant (between groups) over time; Respiration Rate: p = Not Significant (between groups) over time.
Conclusions Massage effective for: Mood.
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=The+impact+of+foot+massage+and+guided+relaxation+following+cardiac+surgery%3A+a+randomized+controlled+trial
10 1521 Hulme, 1999 J. Hulme, H. Waterman and V. F. Hillier The effect of foot massage on patients'' perception of care following laparoscopic sterilization as day case patients 1999 J Adv Nurs vol 30 vol 30 2 pages 460-8 Surgery pages 460-8 J Adv Nurs, vol 30: 2, pages 460-8 Surgery: Laparoscopic sterilization 60c women having postoperative pain following laparoscopic sterilization (mean age = ND) Numerical Rating Scale (pain intensity) Pain: Numerical Rating Scale. 60 3-Low This randomized-controlled study examined the effects of foot massage on patients'' perception of care received following surgery. The sample of 59 women who underwent laparoscopic sterilization as day case patients were randomly allocated into two groups. The experimental group received a foot massage and analgesia post-operatively whilst the control group received only analgesia post-operatively. Each participant was asked to complete a questionnaire on the day following surgery. This examined satisfaction memory and analgesia taken. The 76% response rate was comparable with other patient satisfaction studies following day-case surgery. Statistical analysis showed no overall significant difference in the pain experienced by the two groups; however the mean pain scores recorded following surgery showed a significantly different pattern over time such that the experimental group consistently reported less pain following a foot massage than the control group. This study has attempted to explore the use of foot massage in a systematic way and is therefore a basis for further study. Ambulatory Surgical Procedures/nursing Not Described ND Nurse Foot Massage + Standard post-op analgesia: 30 (0%); Standard post-op analgesia: 30 (3%). 30 (0%); 30 (3%). Foot Massage + Standard post-op analgesia: ND x 5 mins, ND, ND + ND; Standard post-op analgesia: ND. ND x 5 mins, ND, ND + ND; ND. No Numerical Rating Scale (pain intensity): p = 0.008 (within groups) (both groups) over time; p = 0.04 (between groups) over time. Massage effective for: Pain. Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=hulme++The+effect+of+foot+massage+on+patients''+perception+of+care+following+laparoscopic+sterilization+as+day+case+patients
F1 10
Refid 1521
Quick Author Hulme, 1999
Author J. Hulme, H. Waterman and V. F. Hillier
Title The effect of foot massage on patients'' perception of care following laparoscopic sterilization as day case patients
Publication Date 1999
Periodical J Adv Nurs
F8 vol
Volume 30
F10 vol 30
Issue 2
F12 pages
Page Start-End 460-8
Group Surgery
F15 pages 460-8
Publication Data J Adv Nurs, vol 30: 2, pages 460-8
Condition Surgery: Laparoscopic sterilization
Condition (to hide) 60c women having postoperative pain following laparoscopic sterilization (mean age = ND)
Outcome Measures
cleaned up results Numerical Rating Scale (pain intensity)
Outcome Measures_ Pain: Numerical Rating Scale.
Total Participants 60
Quality Assignment (SIGN 50) 3-Low
Abstract This randomized-controlled study examined the effects of foot massage on patients'' perception of care received following surgery. The sample of 59 women who underwent laparoscopic sterilization as day case patients were randomly allocated into two groups. The experimental group received a foot massage and analgesia post-operatively whilst the control group received only analgesia post-operatively. Each participant was asked to complete a questionnaire on the day following surgery. This examined satisfaction memory and analgesia taken. The 76% response rate was comparable with other patient satisfaction studies following day-case surgery. Statistical analysis showed no overall significant difference in the pain experienced by the two groups; however the mean pain scores recorded following surgery showed a significantly different pattern over time such that the experimental group consistently reported less pain following a foot massage than the control group. This study has attempted to explore the use of foot massage in a systematic way and is therefore a basis for further study.
Keywords Ambulatory Surgical Procedures/nursing
Power Not Described
Power1 ND
Provider Type Nurse
Intervention Description: Number Assigned (Dropout Rate) Foot Massage + Standard post-op analgesia: 30 (0%); Standard post-op analgesia: 30 (3%).
# Assigned (Dropout Rate)_ 30 (0%); 30 (3%).
double check # assign
Intervention Description: Dosages Foot Massage + Standard post-op analgesia: ND x 5 mins, ND, ND + ND; Standard post-op analgesia: ND.
Intervention Description: Dosages1 ND x 5 mins, ND, ND + ND; ND.
*Meta-Analysis No
Relevant Results _ Numerical Rating Scale (pain intensity): p = 0.008 (within groups) (both groups) over time; p = 0.04 (between groups) over time.
Conclusions Massage effective for: Pain.
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=hulme++The+effect+of+foot+massage+on+patients''+perception+of+care+following+laparoscopic+sterilization+as+day+case+patients
11 2309 Mitchinson, 2007* A. R. Mitchinson, H. M. Kim, J. M. Rosenberg, M. Geisser, M. Kirsh, D. Cikrit and D. B. Hinshaw Acute postoperative pain management using massage as an adjuvant therapy: a randomized trial 2007 Arch Surg vol 142 vol 142 12 pages 1158-67; discussion 1167 Surgery pages 1158-67; discussion 1167 Arch Surg, vol 142: 12, pages 1158-67; discussion 1167 Surgery: Postoperative pain following an operation requiring either a sternotomy or an abdominal incision 605ac(596 M/9 F) patients with postoperative pain (mean age = 63.8 ± 10.2) Visual Analog Scale (pain intensity) Visual Analog Scale (pain unpleasantness) Visual Analog Scale (anxiety) Pain: Visual Analog Scale; Mood: Visual Analog Scale. 645 2-Acceptable HYPOTHESIS: Adjuvant massage therapy improves pain management and postoperative anxiety among many patients who experience unrelieved postoperative pain. Pharmacologic interventions alone may not address all of the factors involved in the experience of pain. DESIGN: Randomized controlled trial. SETTING: Department of Veterans Affairs hospitals in Ann Arbor Michigan and Indianapolis Indiana. PATIENTS: Six hundred five veterans (mean age 64 years) undergoing major surgery from February 1 2003 through January 31 2005. INTERVENTIONS: Patients were assigned to the following 3 groups: (1) control (routine care) (2) individualized attention from a massage therapist (20 minutes) or (3) back massage by a massage therapist each evening for up to 5 postoperative days. Main Outcome Measure Short- and long-term (> 4 days) pain intensity pain unpleasantness and anxiety measured by visual analog scales. RESULTS: Compared with the control group patients in the massage group experienced short-term (preintervention vs postintervention) decreases in pain intensity (P = .001) pain unpleasantness (P < .001) and anxiety (P = .007). In addition patients in the massage group experienced a faster rate of decrease in pain intensity (P = .02) and unpleasantness (P = .01) during the first 4 postoperative days compared with the control group. There were no differences in the rates of decrease in long-term anxiety length of stay opiate use or complications across the 3 groups. CONCLUSION: Massage is an effective and safe adjuvant therapy for the relief of acute postoperative pain in patients undergoing major operations. Aged Yes, power achieved Yes, The sample size was determined to have 80% power to detect a difference in the rate of decline in the pain intensity score of 0.22 (scale range, 0-10) per day during the first 4 postoperative days with an of .05, assuming 4 measurements (including Massage therapist Back Massage: 214 (15%); Individualized Attention Group (Active Control): 211 (11%); Routine Care: 220 (8%). 214 (15%); 211 (11%); 220 (8%). 645 Back Massage: ND x 20 mins, ND, ND + ND; Individualized Attention Group (Active Control): ND x 20 mins, 5x, ND + ND; Routine Care: ND. ND x 20 mins, ND, ND + ND; ND x 20 mins, 5x, ND + ND; ND. Yes *Visual Analog Scale (pain intensity): p = 0.001 (between groups) (Massage / Active Control), p = 0.001 (between groups) (Massage / routine care), p = Not Significant (between groups) (Active Control / Routine care) over time, Effect Size = 0.04, Active Control, pre / post; Visual Analog Scale (pain unpleasantness): p < 0.001 (between groups) (Massage / Routine care) over time; p = 0.001 (within groups) (all groups) over time; *Visual Analog Scale (anxiety): p < 0.001 (between groups) (Massage / Routine care) over time; p = 0.007 (between groups) (all groups) over time, Effect Size = -0.35, Active Control, pre / post. Massage effective for: Pain, Mood. None of the patients reported any adverse events related to the massage intervention. However, several serious adverse events occurred related to the operations. Nine patients died during the study, and 7 of them were in the individual-attention group. Af http://www.ncbi.nlm.nih.gov/pubmed/18086982
F1 11
Refid 2309
Quick Author Mitchinson, 2007*
Author A. R. Mitchinson, H. M. Kim, J. M. Rosenberg, M. Geisser, M. Kirsh, D. Cikrit and D. B. Hinshaw
Title Acute postoperative pain management using massage as an adjuvant therapy: a randomized trial
Publication Date 2007
Periodical Arch Surg
F8 vol
Volume 142
F10 vol 142
Issue 12
F12 pages
Page Start-End 1158-67; discussion 1167
Group Surgery
F15 pages 1158-67; discussion 1167
Publication Data Arch Surg, vol 142: 12, pages 1158-67; discussion 1167
Condition Surgery: Postoperative pain following an operation requiring either a sternotomy or an abdominal incision
Condition (to hide) 605ac(596 M/9 F) patients with postoperative pain (mean age = 63.8 ± 10.2)
Outcome Measures
cleaned up results Visual Analog Scale (pain intensity) Visual Analog Scale (pain unpleasantness) Visual Analog Scale (anxiety)
Outcome Measures_ Pain: Visual Analog Scale; Mood: Visual Analog Scale.
Total Participants 645
Quality Assignment (SIGN 50) 2-Acceptable
Abstract HYPOTHESIS: Adjuvant massage therapy improves pain management and postoperative anxiety among many patients who experience unrelieved postoperative pain. Pharmacologic interventions alone may not address all of the factors involved in the experience of pain. DESIGN: Randomized controlled trial. SETTING: Department of Veterans Affairs hospitals in Ann Arbor Michigan and Indianapolis Indiana. PATIENTS: Six hundred five veterans (mean age 64 years) undergoing major surgery from February 1 2003 through January 31 2005. INTERVENTIONS: Patients were assigned to the following 3 groups: (1) control (routine care) (2) individualized attention from a massage therapist (20 minutes) or (3) back massage by a massage therapist each evening for up to 5 postoperative days. Main Outcome Measure Short- and long-term (> 4 days) pain intensity pain unpleasantness and anxiety measured by visual analog scales. RESULTS: Compared with the control group patients in the massage group experienced short-term (preintervention vs postintervention) decreases in pain intensity (P = .001) pain unpleasantness (P < .001) and anxiety (P = .007). In addition patients in the massage group experienced a faster rate of decrease in pain intensity (P = .02) and unpleasantness (P = .01) during the first 4 postoperative days compared with the control group. There were no differences in the rates of decrease in long-term anxiety length of stay opiate use or complications across the 3 groups. CONCLUSION: Massage is an effective and safe adjuvant therapy for the relief of acute postoperative pain in patients undergoing major operations.
Keywords Aged
Power Yes, power achieved
Power1 Yes, The sample size was determined to have 80% power to detect a difference in the rate of decline in the pain intensity score of 0.22 (scale range, 0-10) per day during the first 4 postoperative days with an of .05, assuming 4 measurements (including
Provider Type Massage therapist
Intervention Description: Number Assigned (Dropout Rate) Back Massage: 214 (15%); Individualized Attention Group (Active Control): 211 (11%); Routine Care: 220 (8%).
# Assigned (Dropout Rate)_ 214 (15%); 211 (11%); 220 (8%).
double check # assign 645
Intervention Description: Dosages Back Massage: ND x 20 mins, ND, ND + ND; Individualized Attention Group (Active Control): ND x 20 mins, 5x, ND + ND; Routine Care: ND.
Intervention Description: Dosages1 ND x 20 mins, ND, ND + ND; ND x 20 mins, 5x, ND + ND; ND.
*Meta-Analysis Yes
Relevant Results _ *Visual Analog Scale (pain intensity): p = 0.001 (between groups) (Massage / Active Control), p = 0.001 (between groups) (Massage / routine care), p = Not Significant (between groups) (Active Control / Routine care) over time, Effect Size = 0.04, Active Control, pre / post; Visual Analog Scale (pain unpleasantness): p < 0.001 (between groups) (Massage / Routine care) over time; p = 0.001 (within groups) (all groups) over time; *Visual Analog Scale (anxiety): p < 0.001 (between groups) (Massage / Routine care) over time; p = 0.007 (between groups) (all groups) over time, Effect Size = -0.35, Active Control, pre / post.
Conclusions Massage effective for: Pain, Mood.
Adverse Events None of the patients reported any adverse events related to the massage intervention. However, several serious adverse events occurred related to the operations. Nine patients died during the study, and 7 of them were in the individual-attention group. Af
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/18086982
12 2439 Nerbass, 2010 F. B. Nerbass, M. I. Feltrim, S. A. Souza, D. S. Ykeda and G. Lorenzi-Filho Effects of massage therapy on sleep quality after coronary artery bypass graft surgery 2010 Clinics (Sao Paulo) vol 65 vol 65 11 pages 1105-10 Surgery pages 1105-10 Clinics (Sao Paulo), vol 65: 11, pages 1105-10 Surgery: Postoperative pain following Cardiopulmonary artery bypass graft surgery 57c (sex = ND) patients with postoperative pain following cardiopulmonary artery bypass graft surgery (mean age = ND) Visual Analog Scale (pain) Epworth Sleepiness Scale (sleep) Pittsburgh Sleep Quality (sleep) Berlin Questionnaire (sleep apnea Visual Analog Scale (fatigue) Pain: Visual Analog Scale; Sleep: Epworth Sleepiness Scale, Pittsburgh Sleep Quality, Berlin Questionnaire, Visual Analog Scale. 57 2-Acceptable INTRODUCTION: Having poor sleep quality is common among patients following cardiopulmonary artery bypass graft surgery. Pain stress anxiety and poor sleep quality may be improved by massage therapy. OBJECTIVE: This study evaluated whether massage therapy is an effective technique for improving sleep quality in patients following cardiopulmonary artery bypass graft surgery. METHOD: Participants included cardiopulmonary artery bypass graft surgery patients who were randomized into a control group and a massage therapy group following discharge from the intensive care unit (Day 0) during the postoperative period. The control group and the massage therapy group comprised participants who were subjected to three nights without massage and three nights with massage therapy respectively. The patients were evaluated on the following mornings (i.e. Day 1 to Day 3) using a visual analogue scale for pain in the chest back and shoulders in addition to fatigue and sleep. Participants kept a sleep diary during the study period. RESULTS: Fifty-seven cardiopulmonary artery bypass graft surgery patients were enrolled in the study during the preoperative period 17 of whom were excluded due to postoperative complications. The remaining 40 participants (male: 67.5% age: 61.9 years +/- 8.9 years body mass index: 27.2 kg/m(2) +/- 3.7 kg/m(2)) were randomized into control (n = 20) and massage therapy (n = 20) groups. Pain in the chest shoulders and back decreased significantly in both groups from Day 1 to Day 3. The participants in the massage therapy group had fewer complaints of fatigue on Day 1 (p=0.006) and Day 2 (p=0.028) in addition they reported a more effective sleep during all three days (p=0.019) when compared with the participants in the control group. CONCLUSION: Massage therapy is an effective technique for improving patient recovery from cardiopulmonary artery bypass graft surgery because it reduces fatigue and improves sleep. Aged Not Described ND Physiotherapist Massage Therapy: ND (ND); No Treatment: ND (ND). ND (ND); ND (ND). Massage Therapy: ND x ND, ND, 3d + ND; No Treatment: ND x ND, ND, 3d + ND. ND x ND, ND, 3d + ND; ND x ND, ND, 3d + ND. No Visual Analog Scale (pain): p < 0.05 (within groups) (both groups) over time; Epworth Sleepiness Scale (sleep): p = Not Described; Pittsburgh Sleep Quality (sleep): p = Not Described; Berlin Questionnaire (sleep apnea): p = Not Described; Visual Analog Scale (fatigue): p = 0.0006 (within groups) (Massage Therapy) at 1d; p = 0.028 (within groups) (Massage Therapy) at 2d; p = 0.019 (between groups) over time. Massage effective for: Pain, Sleep. Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=nerbass+Effects+of+massage+therapy+on+sleep+quality+after+coronary+artery+bypass+graft+surgery
F1 12
Refid 2439
Quick Author Nerbass, 2010
Author F. B. Nerbass, M. I. Feltrim, S. A. Souza, D. S. Ykeda and G. Lorenzi-Filho
Title Effects of massage therapy on sleep quality after coronary artery bypass graft surgery
Publication Date 2010
Periodical Clinics (Sao Paulo)
F8 vol
Volume 65
F10 vol 65
Issue 11
F12 pages
Page Start-End 1105-10
Group Surgery
F15 pages 1105-10
Publication Data Clinics (Sao Paulo), vol 65: 11, pages 1105-10
Condition Surgery: Postoperative pain following Cardiopulmonary artery bypass graft surgery
Condition (to hide) 57c (sex = ND) patients with postoperative pain following cardiopulmonary artery bypass graft surgery (mean age = ND)
Outcome Measures
cleaned up results Visual Analog Scale (pain) Epworth Sleepiness Scale (sleep) Pittsburgh Sleep Quality (sleep) Berlin Questionnaire (sleep apnea Visual Analog Scale (fatigue)
Outcome Measures_ Pain: Visual Analog Scale; Sleep: Epworth Sleepiness Scale, Pittsburgh Sleep Quality, Berlin Questionnaire, Visual Analog Scale.
Total Participants 57
Quality Assignment (SIGN 50) 2-Acceptable
Abstract INTRODUCTION: Having poor sleep quality is common among patients following cardiopulmonary artery bypass graft surgery. Pain stress anxiety and poor sleep quality may be improved by massage therapy. OBJECTIVE: This study evaluated whether massage therapy is an effective technique for improving sleep quality in patients following cardiopulmonary artery bypass graft surgery. METHOD: Participants included cardiopulmonary artery bypass graft surgery patients who were randomized into a control group and a massage therapy group following discharge from the intensive care unit (Day 0) during the postoperative period. The control group and the massage therapy group comprised participants who were subjected to three nights without massage and three nights with massage therapy respectively. The patients were evaluated on the following mornings (i.e. Day 1 to Day 3) using a visual analogue scale for pain in the chest back and shoulders in addition to fatigue and sleep. Participants kept a sleep diary during the study period. RESULTS: Fifty-seven cardiopulmonary artery bypass graft surgery patients were enrolled in the study during the preoperative period 17 of whom were excluded due to postoperative complications. The remaining 40 participants (male: 67.5% age: 61.9 years +/- 8.9 years body mass index: 27.2 kg/m(2) +/- 3.7 kg/m(2)) were randomized into control (n = 20) and massage therapy (n = 20) groups. Pain in the chest shoulders and back decreased significantly in both groups from Day 1 to Day 3. The participants in the massage therapy group had fewer complaints of fatigue on Day 1 (p=0.006) and Day 2 (p=0.028) in addition they reported a more effective sleep during all three days (p=0.019) when compared with the participants in the control group. CONCLUSION: Massage therapy is an effective technique for improving patient recovery from cardiopulmonary artery bypass graft surgery because it reduces fatigue and improves sleep.
Keywords Aged
Power Not Described
Power1 ND
Provider Type Physiotherapist
Intervention Description: Number Assigned (Dropout Rate) Massage Therapy: ND (ND); No Treatment: ND (ND).
# Assigned (Dropout Rate)_ ND (ND); ND (ND).
double check # assign
Intervention Description: Dosages Massage Therapy: ND x ND, ND, 3d + ND; No Treatment: ND x ND, ND, 3d + ND.
Intervention Description: Dosages1 ND x ND, ND, 3d + ND; ND x ND, ND, 3d + ND.
*Meta-Analysis No
Relevant Results _ Visual Analog Scale (pain): p < 0.05 (within groups) (both groups) over time; Epworth Sleepiness Scale (sleep): p = Not Described; Pittsburgh Sleep Quality (sleep): p = Not Described; Berlin Questionnaire (sleep apnea): p = Not Described; Visual Analog Scale (fatigue): p = 0.0006 (within groups) (Massage Therapy) at 1d; p = 0.028 (within groups) (Massage Therapy) at 2d; p = 0.019 (between groups) over time.
Conclusions Massage effective for: Pain, Sleep.
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=nerbass+Effects+of+massage+therapy+on+sleep+quality+after+coronary+artery+bypass+graft+surgery
13 2656 Piotrowski, 2003* M. M. Piotrowski, C. Paterson, A. Mitchinson, H. M. Kim, M. Kirsh and D. B. Hinshaw Massage as adjuvant therapy in the management of acute postoperative pain: a preliminary study in men 2003 J Am Coll Surg vol 197 vol 197 6 pages 1037-46 Surgery pages 1037-46 J Am Coll Surg, vol 197: 6, pages 1037-46 Surgery: Postoperative pain following an operation requiring either a sternotomy or an abdominal incision 245ac men with postoperative pain (mean age = ND) Visual Analog Scale (pain intensity) Visual Analog Scale (pain unpleasantness) Patient Satisfaction (satisfaction with pain management) Pain: Visual Analog Scale; Quality of Life: Patient Satisfaction. 222 2-Acceptable BACKGROUND: Opioid analgesia alone may not fully relieve all aspects of acute postoperative pain. Complementary medicine techniques used as adjuvant therapies have the potential to improve pain management and palliate postoperative distress. STUDY DESIGN: This prospective randomized clinical trial compared pain relief after major operations in 202 patients who received one of three nursing interventions: massage focused attention or routine care. Interventions were performed twice daily starting 24 hours after the operation through postoperative day 7. Perceived pain was measured each morning. RESULTS: The rate of decline in the unpleasantness of postoperative pain was accelerated by massage (p = 0.05). Massage also accelerated the rate of decline in the intensity of postoperative pain but this effect was not statistically significant. Use of opioid analgesics was not altered significantly by the interventions. CONCLUSIONS: Massage may be a useful adjuvant therapy for the management of acute postoperative pain. Its greatest effect appears to be on the affective component (ie unpleasantness) of the pain. Acute Disease Yes, power achieved Yes, Based on the findings of the average daily decline in pain intensity in the massage group compared with those in the focused attention and routine care groups, it appears that a sample of 194 patients per group(n  582) will give 80% power to detect Nurse Massage: 88 (8%); Focused Attention (Active Control): 74 (11%); Routine Care: 60 (8%). 88 (8%); 74 (11%); 60 (8%). 222 Massage: 12 x 10 mins, 2x, 6d + ND; Focused Attention (Active Control): 14 x 10mins, 2x, 7d + ND; Routine Care: ND x ND, ND, 7d + ND. 12 x 10 mins, 2x, 6d + ND; 14 x 10mins, 2x, 7d + ND; ND x ND, ND, 7d + ND. Yes *Visual Analog Scale (pain intensity): p = 0.05 (within groups) (Routine care), p = Not Significant (within groups) (massage / attention) over time, Effect Size = -0.31, Active Control, pre / post; Visual Analog Scale (pain unpleasantness): p = 0.05 (within groups) (massage), p = Not Significant (within groups) (Active Control / Routine care) over time; Patient Satisfaction (satisfaction with pain management): p = Not Described. Massage effective for: Pain. Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=Massage+as+adjuvant+therapy+in+the+management+of+acute+postoperative+pain%3A+a+preliminary+study+in+men
F1 13
Refid 2656
Quick Author Piotrowski, 2003*
Author M. M. Piotrowski, C. Paterson, A. Mitchinson, H. M. Kim, M. Kirsh and D. B. Hinshaw
Title Massage as adjuvant therapy in the management of acute postoperative pain: a preliminary study in men
Publication Date 2003
Periodical J Am Coll Surg
F8 vol
Volume 197
F10 vol 197
Issue 6
F12 pages
Page Start-End 1037-46
Group Surgery
F15 pages 1037-46
Publication Data J Am Coll Surg, vol 197: 6, pages 1037-46
Condition Surgery: Postoperative pain following an operation requiring either a sternotomy or an abdominal incision
Condition (to hide) 245ac men with postoperative pain (mean age = ND)
Outcome Measures
cleaned up results Visual Analog Scale (pain intensity) Visual Analog Scale (pain unpleasantness) Patient Satisfaction (satisfaction with pain management)
Outcome Measures_ Pain: Visual Analog Scale; Quality of Life: Patient Satisfaction.
Total Participants 222
Quality Assignment (SIGN 50) 2-Acceptable
Abstract BACKGROUND: Opioid analgesia alone may not fully relieve all aspects of acute postoperative pain. Complementary medicine techniques used as adjuvant therapies have the potential to improve pain management and palliate postoperative distress. STUDY DESIGN: This prospective randomized clinical trial compared pain relief after major operations in 202 patients who received one of three nursing interventions: massage focused attention or routine care. Interventions were performed twice daily starting 24 hours after the operation through postoperative day 7. Perceived pain was measured each morning. RESULTS: The rate of decline in the unpleasantness of postoperative pain was accelerated by massage (p = 0.05). Massage also accelerated the rate of decline in the intensity of postoperative pain but this effect was not statistically significant. Use of opioid analgesics was not altered significantly by the interventions. CONCLUSIONS: Massage may be a useful adjuvant therapy for the management of acute postoperative pain. Its greatest effect appears to be on the affective component (ie unpleasantness) of the pain.
Keywords Acute Disease
Power Yes, power achieved
Power1 Yes, Based on the findings of the average daily decline in pain intensity in the massage group compared with those in the focused attention and routine care groups, it appears that a sample of 194 patients per group(n  582) will give 80% power to detect
Provider Type Nurse
Intervention Description: Number Assigned (Dropout Rate) Massage: 88 (8%); Focused Attention (Active Control): 74 (11%); Routine Care: 60 (8%).
# Assigned (Dropout Rate)_ 88 (8%); 74 (11%); 60 (8%).
double check # assign 222
Intervention Description: Dosages Massage: 12 x 10 mins, 2x, 6d + ND; Focused Attention (Active Control): 14 x 10mins, 2x, 7d + ND; Routine Care: ND x ND, ND, 7d + ND.
Intervention Description: Dosages1 12 x 10 mins, 2x, 6d + ND; 14 x 10mins, 2x, 7d + ND; ND x ND, ND, 7d + ND.
*Meta-Analysis Yes
Relevant Results _ *Visual Analog Scale (pain intensity): p = 0.05 (within groups) (Routine care), p = Not Significant (within groups) (massage / attention) over time, Effect Size = -0.31, Active Control, pre / post; Visual Analog Scale (pain unpleasantness): p = 0.05 (within groups) (massage), p = Not Significant (within groups) (Active Control / Routine care) over time; Patient Satisfaction (satisfaction with pain management): p = Not Described.
Conclusions Massage effective for: Pain.
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=Massage+as+adjuvant+therapy+in+the+management+of+acute+postoperative+pain%3A+a+preliminary+study+in+men
14 2818 Rosen, 2013-surgery J. R. Rosen, R. Lawrence, M. Bouchard, G. Doros, P. Gardiner, R. Saper Massage for perioperative pain and anxiety in placement of vascular access devices. 2013 Adv Mind Body Med vol 27 vol 27 1 pages p 12-23 Surgery pages 12-23 Adv Mind Body Med, vol 27: 1, pages 12-23 Surgery: Cancer pain patients undergoing port placement 60bc (28 M/32F) cancer pain patients undergoing port placement (mean age = 54) Numerical Rating Scale (pain) State-Trait Anxiety Inventory (anxiety) Pain: Numerical Rating Scale; Mood: State-Trait Anxiety Inventory. 60 2-Acceptable CONTEXT: Despite major advances in cancer treatment, many patients undergo painful procedures during treatment and suffer debilitating side effects as well as report a decrease in quality of life (QOL). This problem is exacerbated for low-income, racial, and ethnic minorities with cancer. Minority cancer patients often enter care with larger tumors and with a more aggressive disease, increasing the risk of debilitating symptoms, such as pain and anxiety. Researchers have never assessed the feasibility and effectiveness of offering massage therapy for low-income, underserved cancer patients who are undergoing port insertion. OBJECTIVE: This study examined the feasibility of conducting a randomized, controlled trial (RCT) that would assess the use of massage therapy to reduce pain and anxiety in urban patients with cancer who undergo surgical placement of a vascular access device (port). The study also assessed the effectiveness of the intervention in reducing perioperative pain and anxiety. DESIGN: The research team conducted a 9-month RC T of 60 cancer patients undergoing port placement. The research team randomly assigned patients in a 2:1 ratio to usual care with massage therapy (intervention group) versus usual care with structured attention (control group). SETTING: The study took place at Boston Medical Center (BMC), which is an urban, tertiary-referral, safety-net hospital. PARTICIPANTS: Participants were cancer patients undergoing port placement. Sixty-seven percent were racial or ethnic minorities, and the majority were female and unemployed, with annual household incomes <$30 000 and publicly funded health insurance coverage. INTERVENTION: For the intervention, an expert panel developed a reproducible, standardized massage therapy intended for individuals undergoing surgical port insertion. Both groups received 20-minute interventions immediately pre- and postsurgery. The research team collected data on pain and anxiety before and after the preoperative and postoperative interventions as well as 1 day after the surgery. OUTCOME MEASURES: With respect to feasibility, the study examined (1) data about recruitment--time to complete enrollment and proportion of racial and ethnic minorities enrolled; (2) participants' retention; and (3) adherence to treatment allocation. The efficacy outcomes included measuring (1) participants' average pain level using an 11-point numerical rating scale (0 = no pain to 10 = worst possible pain) and (2) participants' situational anxiety using the State-Trait Anxiety Inventory (STAI). RESULTS: The research team assigned the 60 patients to the groups over 53 weeks. Sixty-seven percent of the participants were racial or ethnic minorities. A majority were female and unemployed, with annual household incomes <$30 000 and publicly funded health insurance coverage. Of the 40 patients allocated to massage therapy, the majority (n = 33) received both the pre- and postoperative interventions. Massage therapy participants had a statistically significant, greater reduction in anxiety after the first intervention compared with individuals receiving structured attention (-10.27 vs -5.21, P = .0037). CONCLUSIONS: Recruitment of low-income, minority patients into an RCT of massage therapy for perioperative pain and anxiety is feasible. Both massage therapy and structured attention proved beneficial for alleviating preoperative anxiety in cancer patients undergoing port placement Adolescent No, power not achieved No, not achieved Massage therapist Massage: 40 (18%); Structured Attention: 20 (30%). 40 (18%); 20 (30%). Massage: 2 x 20 mins, 2x, ND + ND; Structured Attention: 2 x 20 mins, 2x, ND + ND. 2 x 20 mins, 2x, ND + ND; 2 x 20 mins, 2x, ND + ND. No Numerical Rating Scale (pain): p = 0.0037 (between groups) post-op, prior to second intervention; p < 0.0001 (between groups) 1d post-op; State-Trait Anxiety Inventory (anxiety): p < 0.0001 (between groups) at all time points. Massage effective for: Pain, Mood. Authors do not report or mention anything about Aes http://www.ncbi.nlm.nih.gov/pubmed/?term=23341418
F1 14
Refid 2818
Quick Author Rosen, 2013-surgery
Author J. R. Rosen, R. Lawrence, M. Bouchard, G. Doros, P. Gardiner, R. Saper
Title Massage for perioperative pain and anxiety in placement of vascular access devices.
Publication Date 2013
Periodical Adv Mind Body Med
F8 vol
Volume 27
F10 vol 27
Issue 1
F12 pages
Page Start-End p 12-23
Group Surgery
F15 pages 12-23
Publication Data Adv Mind Body Med, vol 27: 1, pages 12-23
Condition Surgery: Cancer pain patients undergoing port placement
Condition (to hide) 60bc (28 M/32F) cancer pain patients undergoing port placement (mean age = 54)
Outcome Measures
cleaned up results Numerical Rating Scale (pain) State-Trait Anxiety Inventory (anxiety)
Outcome Measures_ Pain: Numerical Rating Scale; Mood: State-Trait Anxiety Inventory.
Total Participants 60
Quality Assignment (SIGN 50) 2-Acceptable
Abstract CONTEXT: Despite major advances in cancer treatment, many patients undergo painful procedures during treatment and suffer debilitating side effects as well as report a decrease in quality of life (QOL). This problem is exacerbated for low-income, racial, and ethnic minorities with cancer. Minority cancer patients often enter care with larger tumors and with a more aggressive disease, increasing the risk of debilitating symptoms, such as pain and anxiety. Researchers have never assessed the feasibility and effectiveness of offering massage therapy for low-income, underserved cancer patients who are undergoing port insertion. OBJECTIVE: This study examined the feasibility of conducting a randomized, controlled trial (RCT) that would assess the use of massage therapy to reduce pain and anxiety in urban patients with cancer who undergo surgical placement of a vascular access device (port). The study also assessed the effectiveness of the intervention in reducing perioperative pain and anxiety. DESIGN: The research team conducted a 9-month RC T of 60 cancer patients undergoing port placement. The research team randomly assigned patients in a 2:1 ratio to usual care with massage therapy (intervention group) versus usual care with structured attention (control group). SETTING: The study took place at Boston Medical Center (BMC), which is an urban, tertiary-referral, safety-net hospital. PARTICIPANTS: Participants were cancer patients undergoing port placement. Sixty-seven percent were racial or ethnic minorities, and the majority were female and unemployed, with annual household incomes <$30 000 and publicly funded health insurance coverage. INTERVENTION: For the intervention, an expert panel developed a reproducible, standardized massage therapy intended for individuals undergoing surgical port insertion. Both groups received 20-minute interventions immediately pre- and postsurgery. The research team collected data on pain and anxiety before and after the preoperative and postoperative interventions as well as 1 day after the surgery. OUTCOME MEASURES: With respect to feasibility, the study examined (1) data about recruitment--time to complete enrollment and proportion of racial and ethnic minorities enrolled; (2) participants' retention; and (3) adherence to treatment allocation. The efficacy outcomes included measuring (1) participants' average pain level using an 11-point numerical rating scale (0 = no pain to 10 = worst possible pain) and (2) participants' situational anxiety using the State-Trait Anxiety Inventory (STAI). RESULTS: The research team assigned the 60 patients to the groups over 53 weeks. Sixty-seven percent of the participants were racial or ethnic minorities. A majority were female and unemployed, with annual household incomes <$30 000 and publicly funded health insurance coverage. Of the 40 patients allocated to massage therapy, the majority (n = 33) received both the pre- and postoperative interventions. Massage therapy participants had a statistically significant, greater reduction in anxiety after the first intervention compared with individuals receiving structured attention (-10.27 vs -5.21, P = .0037). CONCLUSIONS: Recruitment of low-income, minority patients into an RCT of massage therapy for perioperative pain and anxiety is feasible. Both massage therapy and structured attention proved beneficial for alleviating preoperative anxiety in cancer patients undergoing port placement
Keywords Adolescent
Power No, power not achieved
Power1 No, not achieved
Provider Type Massage therapist
Intervention Description: Number Assigned (Dropout Rate) Massage: 40 (18%); Structured Attention: 20 (30%).
# Assigned (Dropout Rate)_ 40 (18%); 20 (30%).
double check # assign
Intervention Description: Dosages Massage: 2 x 20 mins, 2x, ND + ND; Structured Attention: 2 x 20 mins, 2x, ND + ND.
Intervention Description: Dosages1 2 x 20 mins, 2x, ND + ND; 2 x 20 mins, 2x, ND + ND.
*Meta-Analysis No
Relevant Results _ Numerical Rating Scale (pain): p = 0.0037 (between groups) post-op, prior to second intervention; p < 0.0001 (between groups) 1d post-op; State-Trait Anxiety Inventory (anxiety): p < 0.0001 (between groups) at all time points.
Conclusions Massage effective for: Pain, Mood.
Adverse Events Authors do not report or mention anything about Aes
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=23341418
15 3198 Taylor, 2003 A. G. Taylor, D. I. Galper, P. Taylor, L. W. Rice, W. Andersen, W. Irvin, X. Q. Wang and F. E. Harrell, Jr. Effects of adjunctive Swedish massage and vibration therapy on short-term postoperative outcomes: a randomized, controlled trial 2003 J Altern Complement Med vol 9 vol 9 1 pages 77-89 Surgery pages 77-89 J Altern Complement Med, vol 9: 1, pages 77-89 Surgery: Postoperative pain following an abdominal laparotomy 147bc female patients with postsurgical pain (mean age = ND) Numerical Rating Scale (sensory pain) Numerical Rating Scale (affective pain) Numerical Rating Scale (anxiety) State-Trait Anxiety Inventory (anxiety) Positive and Negative Affect Scales (mood) Numerical Rating Scale (distress) Systolic Blood Pressure (psychophysiologic stress) Radioimmunoassay Coat- A-Count procedure (cortisol) Pain: Numerical Rating Scale; Mood: Numerical Rating Scale, State-Trait Anxiety Inventory, Positive and Negative Affect Scales; Stress: Numerical Rating Scale; Physiological: Systolic Blood Pressure, Cortisol. 147 2-Acceptable OBJECTIVE: To examine the effects of adjunctive postoperative massage and vibration therapy on short-term postsurgical pain negative affect and physiologic stress reactivity. DESIGN: Prospective randomized controlled trial. The treatment groups were: (1) usual postoperative care (UC); (2) UC plus massage therapy; or (3) UC plus vibration therapy. SETTING: The University of Virginia Hospital Surgical Units Gynecology-Oncology Clinic and General Clinical Research Center. SUBJECTS: One hundred and five (N = 105) women who underwent an abdominal laparotomy for removal of suspected cancerous lesions. INTERVENTIONS: All patients received UC with analgesic medication. Additionally the massage group received standardized 45-minute sessions of gentle Swedish massage on the 3 consecutive evenings after surgery and the vibration group received 20-minute sessions of inaudible vibration therapy (physiotones) on the 3 consecutive evenings after surgery as well as additional sessions as desired. OUTCOME MEASURES: Sensory pain affective pain anxiety distress analgesic use systolic blood pressure 24-hour urine free cortisol number of postoperative complications and days of hospitalization. RESULTS: On the day of surgery massage was more effective than UC for affective (p = 0.0244) and sensory pain (p = 0.0428) and better than vibration for affective pain (p = 0.0015). On postoperative day 2 massage was more effective than UC for distress (p = 0.0085) and better than vibration for sensory pain (p = 0.0085). Vibration was also more effective than UC for sensory pain (p = 0.0090) and distress (p = .0090). However after controlling for multiple comparisons and multiple outcomes no significant differences were found. CONCLUSIONS: Gentle Swedish massage applied postoperatively may have minor effects on short-term sensory pain affective pain and distress among women undergoing an abdominal laparotomy for removal of suspected malignant tissues. Abdomen/pathology/surgery No, power not achieved No, not achieved Massage therapist Swedish Massage Therapy + Usual Care: 50 (14%); Vibration Therapy + Usual Care: 43 (9%); Usual Care: 54 (22%). 50 (14%); 43 (9%); 54 (22%). Swedish Massage Therapy + Usual Care: 3 x 45 mins, 3x, ND + ND; Vibration Therapy + Usual Care: 3 x 20 mins, 3x, 3d + ND; Usual Care: ND x ND, ND, 3d + ND. 3 x 45 mins, 3x, ND + ND; 3 x 20 mins, 3x, 3d + ND; ND x ND, ND, 3d + ND. No Uncorrected Results: Numerical Rating Scale (sensory pain): p = 0.04 (between groups) (Massage Therapy / Usual Care) on surgery day; p = 0.0085 (between groups) (Massage Therapy / vibration), p = 0.009 (between groups) (vibration / Usual Care) at post-op 2d; Numerical Rating Scale (affective pain): p = 0.02 (between groups) (Massage Therapy / Usual Care), p = 0.002 (between groups) (Massage Therapy / vibration) on surgery day; Numerical Rating Scale (anxiety): p = Not Significant (between groups) (all groups) over time; State-Trait Anxiety Inventory (anxiety): p = Not Significant (between groups) (all groups) over time; Positive and Negative Affect Scales (mood): p = Not Described; Numerical Rating Scale (distress): p = 0.0085 (between groups) (Massage Therapy / Usual Care), p = 0.009 (between groups) (vibration / Usual Care) at post-op 2d; Systolic Blood Pressure (psychophysiologic stress): p = Not Significant (between groups) (all groups) over time; Radioimmunoassay Coat- A-Count procedure (cortisol): p = Not Significant (between groups) (all groups) over time. Corrected Results (Missing Data/Intention To Treat analysis Analyses): Numerical Rating Scale (sensory pain): p = Not Significant (between groups) (all groups) at post-op 2d; Numerical Rating Scale (affective pain): p = Not Significant (between groups) (all groups) at post-op 2d; Numerical Rating Scale (anxiety): p = Not Significant (between groups) (all groups) at post-op 2d; State-Trait Anxiety Inventory (anxiety): p = Not Significant (between groups) (all groups) at post-op 2d; Positive and Negative Affect Scales (mood): p = Not Described; Numerical Rating Scale (distress): p = Not Significant (between groups) (all groups) at post-op 2d; Systolic Blood Pressure (psychophysiologic stress): p = Not Significant (within groups) (Massage Therapy / vibration) at post-op 2d; Radioimmunoassay Coat- A-Count procedure (cortisol): p = Not Significant (within groups) (Massage Therapy / vibration) at post-op 2d. No relevant significant results.  Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=Effects+of+adjunctive+Swedish+massage+and+vibration+therapy+on+short-term+postoperative+outcomes%3A+a+randomized%2C+controlled+trial
F1 15
Refid 3198
Quick Author Taylor, 2003
Author A. G. Taylor, D. I. Galper, P. Taylor, L. W. Rice, W. Andersen, W. Irvin, X. Q. Wang and F. E. Harrell, Jr.
Title Effects of adjunctive Swedish massage and vibration therapy on short-term postoperative outcomes: a randomized, controlled trial
Publication Date 2003
Periodical J Altern Complement Med
F8 vol
Volume 9
F10 vol 9
Issue 1
F12 pages
Page Start-End 77-89
Group Surgery
F15 pages 77-89
Publication Data J Altern Complement Med, vol 9: 1, pages 77-89
Condition Surgery: Postoperative pain following an abdominal laparotomy
Condition (to hide) 147bc female patients with postsurgical pain (mean age = ND)
Outcome Measures
cleaned up results Numerical Rating Scale (sensory pain) Numerical Rating Scale (affective pain) Numerical Rating Scale (anxiety) State-Trait Anxiety Inventory (anxiety) Positive and Negative Affect Scales (mood) Numerical Rating Scale (distress) Systolic Blood Pressure (psychophysiologic stress) Radioimmunoassay Coat- A-Count procedure (cortisol)
Outcome Measures_ Pain: Numerical Rating Scale; Mood: Numerical Rating Scale, State-Trait Anxiety Inventory, Positive and Negative Affect Scales; Stress: Numerical Rating Scale; Physiological: Systolic Blood Pressure, Cortisol.
Total Participants 147
Quality Assignment (SIGN 50) 2-Acceptable
Abstract OBJECTIVE: To examine the effects of adjunctive postoperative massage and vibration therapy on short-term postsurgical pain negative affect and physiologic stress reactivity. DESIGN: Prospective randomized controlled trial. The treatment groups were: (1) usual postoperative care (UC); (2) UC plus massage therapy; or (3) UC plus vibration therapy. SETTING: The University of Virginia Hospital Surgical Units Gynecology-Oncology Clinic and General Clinical Research Center. SUBJECTS: One hundred and five (N = 105) women who underwent an abdominal laparotomy for removal of suspected cancerous lesions. INTERVENTIONS: All patients received UC with analgesic medication. Additionally the massage group received standardized 45-minute sessions of gentle Swedish massage on the 3 consecutive evenings after surgery and the vibration group received 20-minute sessions of inaudible vibration therapy (physiotones) on the 3 consecutive evenings after surgery as well as additional sessions as desired. OUTCOME MEASURES: Sensory pain affective pain anxiety distress analgesic use systolic blood pressure 24-hour urine free cortisol number of postoperative complications and days of hospitalization. RESULTS: On the day of surgery massage was more effective than UC for affective (p = 0.0244) and sensory pain (p = 0.0428) and better than vibration for affective pain (p = 0.0015). On postoperative day 2 massage was more effective than UC for distress (p = 0.0085) and better than vibration for sensory pain (p = 0.0085). Vibration was also more effective than UC for sensory pain (p = 0.0090) and distress (p = .0090). However after controlling for multiple comparisons and multiple outcomes no significant differences were found. CONCLUSIONS: Gentle Swedish massage applied postoperatively may have minor effects on short-term sensory pain affective pain and distress among women undergoing an abdominal laparotomy for removal of suspected malignant tissues.
Keywords Abdomen/pathology/surgery
Power No, power not achieved
Power1 No, not achieved
Provider Type Massage therapist
Intervention Description: Number Assigned (Dropout Rate) Swedish Massage Therapy + Usual Care: 50 (14%); Vibration Therapy + Usual Care: 43 (9%); Usual Care: 54 (22%).
# Assigned (Dropout Rate)_ 50 (14%); 43 (9%); 54 (22%).
double check # assign
Intervention Description: Dosages Swedish Massage Therapy + Usual Care: 3 x 45 mins, 3x, ND + ND; Vibration Therapy + Usual Care: 3 x 20 mins, 3x, 3d + ND; Usual Care: ND x ND, ND, 3d + ND.
Intervention Description: Dosages1 3 x 45 mins, 3x, ND + ND; 3 x 20 mins, 3x, 3d + ND; ND x ND, ND, 3d + ND.
*Meta-Analysis No
Relevant Results _ Uncorrected Results: Numerical Rating Scale (sensory pain): p = 0.04 (between groups) (Massage Therapy / Usual Care) on surgery day; p = 0.0085 (between groups) (Massage Therapy / vibration), p = 0.009 (between groups) (vibration / Usual Care) at post-op 2d; Numerical Rating Scale (affective pain): p = 0.02 (between groups) (Massage Therapy / Usual Care), p = 0.002 (between groups) (Massage Therapy / vibration) on surgery day; Numerical Rating Scale (anxiety): p = Not Significant (between groups) (all groups) over time; State-Trait Anxiety Inventory (anxiety): p = Not Significant (between groups) (all groups) over time; Positive and Negative Affect Scales (mood): p = Not Described; Numerical Rating Scale (distress): p = 0.0085 (between groups) (Massage Therapy / Usual Care), p = 0.009 (between groups) (vibration / Usual Care) at post-op 2d; Systolic Blood Pressure (psychophysiologic stress): p = Not Significant (between groups) (all groups) over time; Radioimmunoassay Coat- A-Count procedure (cortisol): p = Not Significant (between groups) (all groups) over time. Corrected Results (Missing Data/Intention To Treat analysis Analyses): Numerical Rating Scale (sensory pain): p = Not Significant (between groups) (all groups) at post-op 2d; Numerical Rating Scale (affective pain): p = Not Significant (between groups) (all groups) at post-op 2d; Numerical Rating Scale (anxiety): p = Not Significant (between groups) (all groups) at post-op 2d; State-Trait Anxiety Inventory (anxiety): p = Not Significant (between groups) (all groups) at post-op 2d; Positive and Negative Affect Scales (mood): p = Not Described; Numerical Rating Scale (distress): p = Not Significant (between groups) (all groups) at post-op 2d; Systolic Blood Pressure (psychophysiologic stress): p = Not Significant (within groups) (Massage Therapy / vibration) at post-op 2d; Radioimmunoassay Coat- A-Count procedure (cortisol): p = Not Significant (within groups) (Massage Therapy / vibration) at post-op 2d.
Conclusions No relevant significant results. 
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=Effects+of+adjunctive+Swedish+massage+and+vibration+therapy+on+short-term+postoperative+outcomes%3A+a+randomized%2C+controlled+trial
16 3478 Wentworth, 2009* L. J. Wentworth, L. J. Briese, F. K. Timimi, C. L. Sanvick, D. C. Bartel, S. M. Cutshall, R. T. Tilbury, R. Lennon and B. A. Bauer Massage therapy reduces tension, anxiety, and pain in patients awaiting invasive cardiovascular procedures 2009 Prog Cardiovascular Nurs vol 24 vol 24 4 pages 155-61 Surgery pages 155-61 Prog Cardiovascular Nurs, vol 24: 4, pages 155-61 Surgery: Pain associated with medical cardiovascular conditions 130ac (86M/44F) patients with pain associated with medical cardiovascular conditions (mean age = 63.65) Visual Analog Scale (pain) Visual Analog Scale (tension) Visual Analog Scale (anxiety) Visual Analog Scale (satisfaction) Pain: Visual Analog Scale; Mood: Visual Analog Scale; Quality of Life: Visual Analog Scale. 130 2-Acceptable Objectives: (1) To assess the efficacy of a 20 minute massage therapy session on pain anxiety and tension in patients before an invasive cardiovascular procedure. (2) To assess overall patient satisfaction with the massage therapy. (3) To evaluate the feasibility of integrating massage therapy into preprocedural practices. Experimental pretest-posttest design using random assignment. Medical cardiology progressive care units at a Midwestern Academic Medical Center. Patients (N=130) undergoing invasive cardiovascular procedures. The intervention group received 20 minutes of hands on massage at least 30 minutes before an invasive cardiovascular procedure. Control group patients received standard preprocedural care. Visual analogue scales were used to collect verbal numeric responses measuring pain anxiety and tension pre- and postprocedure. The differences between pre- and postprocedure scores were compared between the massage and standard therapy groups using the Mann-Whitney Wilcoxon''s test. Scores for pain anxiety and tension scores were identified along with an increase in satisfaction for patients who received a 20-minute massage before procedure compared with those receiving standard care. This pilot study showed that massage can be incorporated into medical cardiovascular units'' preprocedural practice and adds validity to prior massage studies. Adaptation, Psychological Yes, power achieved Yes, The study was powered sufficiently to detect a difference in the amount of change between the 2 groups comparing measures before and after therapy.(with a power of 0.80) Nurse Massage Therapy: 64 (0%); Standard Care + Self-directed relaxation (Active Control): 64 (0%); 64 (0%); 66 (0%). Massage Therapy: 1 x 20 mins, 1x, ND + ND; Standard Care + Self-directed relaxation (Active Control): 1 x 20 mins, 1x, ND + ND. 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, 1d + ND. Yes *Visual Analog Scale (pain): p < 0.001 (between groups) over time, Effect Size = -0.47, Active Control, pre / post; Visual Analog Scale (tension): p < 0.001 (between groups) over time; *Visual Analog Scale (anxiety): p < 0.0001 (between groups) over time, Effect Size = -0.88, Active Control, pre / post; Visual Analog Scale (satisfaction): p = 0.002 (between groups) over time. Massage effective for: Pain, Mood, Quality of Life. Authors do not report or mention anything about AEs http://www.ncbi.nlm.nih.gov/pubmed/?term=Massage+therapy+reduces+tension%2C+anxiety%2C+and+pain+in+patients+awaiting+invasive+cardiovascular+procedures
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Quick Author Wentworth, 2009*
Author L. J. Wentworth, L. J. Briese, F. K. Timimi, C. L. Sanvick, D. C. Bartel, S. M. Cutshall, R. T. Tilbury, R. Lennon and B. A. Bauer
Title Massage therapy reduces tension, anxiety, and pain in patients awaiting invasive cardiovascular procedures
Publication Date 2009
Periodical Prog Cardiovascular Nurs
F8 vol
Volume 24
F10 vol 24
Issue 4
F12 pages
Page Start-End 155-61
Group Surgery
F15 pages 155-61
Publication Data Prog Cardiovascular Nurs, vol 24: 4, pages 155-61
Condition Surgery: Pain associated with medical cardiovascular conditions
Condition (to hide) 130ac (86M/44F) patients with pain associated with medical cardiovascular conditions (mean age = 63.65)
Outcome Measures
cleaned up results Visual Analog Scale (pain) Visual Analog Scale (tension) Visual Analog Scale (anxiety) Visual Analog Scale (satisfaction)
Outcome Measures_ Pain: Visual Analog Scale; Mood: Visual Analog Scale; Quality of Life: Visual Analog Scale.
Total Participants 130
Quality Assignment (SIGN 50) 2-Acceptable
Abstract Objectives: (1) To assess the efficacy of a 20 minute massage therapy session on pain anxiety and tension in patients before an invasive cardiovascular procedure. (2) To assess overall patient satisfaction with the massage therapy. (3) To evaluate the feasibility of integrating massage therapy into preprocedural practices. Experimental pretest-posttest design using random assignment. Medical cardiology progressive care units at a Midwestern Academic Medical Center. Patients (N=130) undergoing invasive cardiovascular procedures. The intervention group received 20 minutes of hands on massage at least 30 minutes before an invasive cardiovascular procedure. Control group patients received standard preprocedural care. Visual analogue scales were used to collect verbal numeric responses measuring pain anxiety and tension pre- and postprocedure. The differences between pre- and postprocedure scores were compared between the massage and standard therapy groups using the Mann-Whitney Wilcoxon''s test. Scores for pain anxiety and tension scores were identified along with an increase in satisfaction for patients who received a 20-minute massage before procedure compared with those receiving standard care. This pilot study showed that massage can be incorporated into medical cardiovascular units'' preprocedural practice and adds validity to prior massage studies.
Keywords Adaptation, Psychological
Power Yes, power achieved
Power1 Yes, The study was powered sufficiently to detect a difference in the amount of change between the 2 groups comparing measures before and after therapy.(with a power of 0.80)
Provider Type Nurse
Intervention Description: Number Assigned (Dropout Rate) Massage Therapy: 64 (0%); Standard Care + Self-directed relaxation (Active Control): 64 (0%);
# Assigned (Dropout Rate)_ 64 (0%); 66 (0%).
double check # assign
Intervention Description: Dosages Massage Therapy: 1 x 20 mins, 1x, ND + ND; Standard Care + Self-directed relaxation (Active Control): 1 x 20 mins, 1x, ND + ND.
Intervention Description: Dosages1 1 x 20 mins, 1x, ND + ND; 1 x 20 mins, 1x, 1d + ND.
*Meta-Analysis Yes
Relevant Results _ *Visual Analog Scale (pain): p < 0.001 (between groups) over time, Effect Size = -0.47, Active Control, pre / post; Visual Analog Scale (tension): p < 0.001 (between groups) over time; *Visual Analog Scale (anxiety): p < 0.0001 (between groups) over time, Effect Size = -0.88, Active Control, pre / post; Visual Analog Scale (satisfaction): p = 0.002 (between groups) over time.
Conclusions Massage effective for: Pain, Mood, Quality of Life.
Adverse Events Authors do not report or mention anything about AEs
PubMed Link http://www.ncbi.nlm.nih.gov/pubmed/?term=Massage+therapy+reduces+tension%2C+anxiety%2C+and+pain+in+patients+awaiting+invasive+cardiovascular+procedures
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Author
Title
Publication Date
Periodical
F8
Volume
F10
Issue
F12
Page Start-End
Group
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Publication Data
Condition
Condition (to hide)
Outcome Measures
cleaned up results
Outcome Measures_
Total Participants
Quality Assignment (SIGN 50)
Abstract
Keywords
Power
Power1
Provider Type
Intervention Description: Number Assigned (Dropout Rate)
# Assigned (Dropout Rate)_
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Intervention Description: Dosages
Intervention Description: Dosages1
*Meta-Analysis
Relevant Results _
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Adverse Events
PubMed Link
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