Vindigni Dein, Polus Barbara, van Rotterdam Joan, da Costa Cliff, Edgecombe Gay, Walsh Max, Howard Michael, Bromwell Tuesday, Biasbas Alma, Cohen Marc, Patterson Charlotte
RMIT University, Melbourne, Victoria, Australia.
J Manipulative Physiol Ther. 2011 Jul-Aug;34(6):381-7. doi: 10.1016/j.jmpt.2011.06.003.
The purpose of this study is to describe the musculoskeletal conditions and associated pain and limitation and the effects of massage treatment in a Filipino squatter community.
The study was conducted at the Hands On Philippines Education (HOPE) clinic in Bagong Barrio, Caloocan, Philippines. Baseline data were collected before the first treatment, and follow-up data were collected immediately after the second treatment. Treatment was delivered by massage students who were trained in massage by a chiropractic program faculty member through the Project HOPE charitable community-based initiative. A prospective pretest-posttest observational research design was used. The sample consisted of 290 subjects aged 16 years and older visiting the Project HOPE clinic. One hundred ninety-two subjects completed the follow-up surveys. The outcome measures were sites of pain, self-reported levels of pain, and limitation to activities of daily living at baseline and after the second massage therapy treatment.
Three self-reported anatomical locations were identified by each subject. The most frequently reported painful sites over the last 7 days among the 166 respondents were the upper back (36.7%), lower back (18.7%), and shoulders (16.3%). The pre-post treatment analyses of pain and disability was restricted to 66 participants who provided completed outcome measures. After 2 massage therapy treatments, all pain and limitation scores decreased. A comparison of mean self-reported levels of pain and disability at baseline and immediately after the second consultation showed statistically significant decreases of pain (t65 = 16.97, P < .001) and disability (t65 = 12.4, P < .001).
This study suggests that participants who visited the Filipino squatter community clinic experience a high prevalence of musculoskeletal conditions located primarily within the axial skeleton, and that, in the short term, massage therapy delivered on-site by trained therapists was helpful in reducing self-reported levels of pain and limitation to activities of daily living.
本研究旨在描述菲律宾一个棚户区社区的肌肉骨骼状况、相关疼痛及功能受限情况，以及按摩治疗的效果。
本研究在菲律宾卡洛奥坎市巴贡巴里奥的“亲身体验菲律宾教育”（HOPE）诊所进行。在首次治疗前收集基线数据，在第二次治疗后立即收集随访数据。治疗由按摩专业学生提供，这些学生通过“希望工程”慈善社区倡议项目，由一名脊椎按摩疗法项目教员进行按摩培训。采用前瞻性前测-后测观察性研究设计。样本包括290名年龄在16岁及以上、前往“希望工程”诊所就诊的受试者。192名受试者完成了随访调查。结局指标为基线时和第二次按摩治疗后的疼痛部位、自我报告的疼痛程度以及日常生活活动受限情况。
每位受试者均报告了三个自我认定的解剖部位。在166名受访者中，过去7天报告最多的疼痛部位是上背部（36.7%）、下背部（18.7%）和肩部（16.3%）。疼痛和残疾的治疗前后分析仅限于66名提供了完整结局指标的参与者。经过两次按摩治疗后，所有疼痛和功能受限评分均下降。对基线时和第二次咨询后立即进行的自我报告的疼痛和残疾平均水平进行比较，结果显示疼痛（t65 = 16.97，P < .001）和残疾（t65 = 12.4，P < .001）有统计学意义的下降。
本研究表明，前往菲律宾棚户区社区诊所就诊的参与者中，肌肉骨骼疾病主要集中在中轴骨骼，且患病率较高；此外，短期内由经过培训的治疗师在现场进行按摩治疗有助于降低自我报告的疼痛程度和日常生活活动受限情况。
