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Massage Therapy Studies for Fibromyalgia Reviewed

  [ 31 votes ]   [ 1 Comment ] • March 21, 2014

Note: You may read the full text of this article free HERE.

Massage Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

By Yan-hui Li, et al.


Background: Although some studies evaluated the effectiveness of massage therapy for fibromyalgia (FM), the role of massage therapy in the management of FM remained controversial.

Objective: The purpose of this systematic review is to evaluate the evidence of massage therapy for patients with FM.

Methods: Electronic databases (up to June 2013) were searched to identify relevant studies. The main outcome measures were pain, anxiety, depression, and sleep disturbance. Two reviewers independently abstracted data and appraised risk of bias. The risk of bias of eligible studies was assessed based on Cochrane tools. Standardised mean difference (SMD) and 95% confidence intervals (CI) were calculated by more conservative random-effects model. And heterogeneity was assessed based on the I2 statistic.

Results: Nine randomized controlled trials involving 404 patients met the inclusion criteria. The meta-analyses showed that massage therapy with duration ?5 weeks significantly improved
  • pain (SMD, 0.62; 95% CI 0.05 to 1.20; p = 0.03),

  • anxiety (SMD, 0.44; 95% CI 0.09 to 0.78; p = 0.01),

  • and depression (SMD, 0.49; 95% CI 0.15 to 0.84; p = 0.005) in patients with FM,

  • but not on sleep disturbance (SMD, 0.19; 95% CI ?0.38 to 0.75; p = 0.52).

Conclusion: Massage therapy with duration ?5 weeks had beneficial immediate effects on improving pain, anxiety, and depression in patients with FM. Massage therapy should be one of the viable complementary and alternative treatments for FM. However, given fewer eligible studies in subgroup meta-analyses and no evidence on follow-up effects, large-scale randomized controlled trials with long follow-up are warrant to confirm the current findings.

Source: PloS One, February 20, 2014. By Yan-hui Li, Feng-yun Wang, Chun-qing Feng, Xia-feng Yang and Yi-hua Sun. Department of Rehabilitation, Liaocheng People's Hospital, Liaocheng, Shandong, China.

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Article Comments Post a Comment

Massage Therapy has been a blessing
Posted by: PattyMay
Mar 27, 2014
I have CFS/FM. It's been 28 years and still counting. I have had bi-weekly massages for over two years and can't say enough good things about this therapy. The massages help not only muscle tension and spasms, but mental tension as well. It has helped keep me going stronger and better. Thank goodness insurance companies finally started covering some of the cost or I couldn't afford the treatment.
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