Lawler Sheleigh P, Cameron Linda D
Department of Psychology, The University of Auckland.
Ann Behav Med. 2006 Aug;32(1):50-9. doi: 10.1207/s15324796abm3201_6.
Migraine is a distressing disorder that is often triggered by stress and poor sleep. Only one randomized controlled trial (RCT) has assessed the effects of massage therapy on migraine experiences, which yielded some promising findings.
An RCT was designed to replicate and extend the earlier findings using a larger sample, additional stress-related indicators, and assessments past the final session to identify longer-term effects of massage therapy on stress and migraine experiences.
Migraine sufferers (N = 47) who were randomly assigned to massage or control conditions completed daily assessments of migraine experiences and sleep patterns for 13 weeks. Massage participants attended weekly massage sessions during Weeks 5 to 10. State anxiety, heart rates, and salivary cortisol were assessed before and after the sessions. Perceived stress and coping efficacy were assessed at Weeks 4, 10, and 13.
Compared to control participants, massage participants exhibited greater improvements in migraine frequency and sleep quality during the intervention weeks and the 3 follow-up weeks. Trends for beneficial effects of massage therapy on perceived stress and coping efficacy were observed. During sessions, massage induced decreases in state anxiety, heart rate, and cortisol.
The findings provide preliminary support for the utility of massage therapy as a nonpharmacologic treatment for individuals suffering from migraines.
偏头痛是一种令人痛苦的疾病，常由压力和睡眠不足引发。仅有一项随机对照试验（RCT）评估了按摩疗法对偏头痛体验的影响，该试验得出了一些有前景的结果。
设计一项随机对照试验，以更大的样本量、更多与压力相关的指标以及在最后一次治疗后进行评估，来复制并扩展早期研究结果，从而确定按摩疗法对压力和偏头痛体验的长期影响。
将偏头痛患者（N = 47）随机分配至按摩组或对照组，他们连续13周每天对偏头痛体验和睡眠模式进行评估。按摩组参与者在第5至10周每周接受一次按摩治疗。在每次治疗前后评估状态焦虑、心率和唾液皮质醇水平。在第4、10和13周评估感知压力和应对效能。
与对照组参与者相比，按摩组参与者在干预期和3周随访期内偏头痛发作频率和睡眠质量有更大改善。观察到按摩疗法对感知压力和应对效能有有益影响的趋势。在治疗过程中，按摩使状态焦虑、心率和皮质醇水平降低。
这些发现为按摩疗法作为偏头痛患者的非药物治疗方法的效用提供了初步支持。
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