Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine at UCLA, USA.
Evid Based Complement Alternat Med. 2007 Jun;4(2):165-79. doi: 10.1093/ecam/nel109. Epub 2007 Feb 5.
Previous reviews of massage therapy for chronic, non-malignant pain have focused on discrete pain conditions. This article aims to provide a broad overview of the literature on the effectiveness of massage for a variety of chronic, non-malignant pain complaints to identify gaps in the research and to inform future clinical trials. Computerized databases were searched for relevant studies including prior reviews and primary trials of massage therapy for chronic, non-malignant pain. Existing research provides fairly robust support for the analgesic effects of massage for non-specific low back pain, but only moderate support for such effects on shoulder pain and headache pain. There is only modest, preliminary support for massage in the treatment of fibromyalgia, mixed chronic pain conditions, neck pain and carpal tunnel syndrome. Thus, research to date provides varying levels of evidence for the benefits of massage therapy for different chronic pain conditions. Future studies should employ rigorous study designs and include follow-up assessments for additional quantification of the longer-term effects of massage on chronic pain.
先前对按摩疗法治疗慢性非恶性疼痛的综述主要集中在特定的疼痛病症上。本文旨在对按摩治疗各种慢性非恶性疼痛的文献进行广泛综述，以发现研究中的空白，并为未来的临床试验提供信息。计算机数据库中检索了有关按摩治疗慢性非恶性疼痛的综述和原始试验的相关研究。现有的研究为按摩对非特异性腰痛的镇痛效果提供了相当有力的支持，但对肩部疼痛和头痛疼痛的效果仅提供了中等程度的支持。在纤维肌痛、混合性慢性疼痛疾病、颈部疼痛和腕管综合征的治疗中，按摩仅得到适度的初步支持。因此，迄今为止的研究为按摩疗法对不同慢性疼痛病症的益处提供了不同程度的证据。未来的研究应采用严格的研究设计，并包括随访评估，以进一步量化按摩对慢性疼痛的长期影响。
