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按摩疗法对多发性硬化症患者生活质量和腿部功能的影响。

The effects of massage therapy on multiple sclerosis patients' quality of life and leg function.

机构信息

College of Medicine, University of Saskatchewan, HSc 3226 E Wing, Clinic Place, Saskatoon, SK, Canada S7N 5E5.

出版信息

Evid Based Complement Alternat Med. 2014;2014:640916. doi: 10.1155/2014/640916. Epub 2014 May 8.

Abstract

Background. Massage therapy is a noninvasive treatment that many individuals with multiple sclerosis (MS) use to supplement their conventional treatment. Objective. We hypothesize that massage therapy will improve the leg function and overall quality of life (QoL) of MS patients. Design. A two-period (rest, massage) crossover design was used. Twenty-four individuals with MS ranging from 3.0 to 7.0 on the Expanded Disability Status Scale (EDSS) received Swedish massage treatments for four weeks. Exercise capacity and leg function as well as QoL were assessed using the Six-Minute Walk Test (6MWT) and the Hamburg Quality of Life in Multiple Sclerosis (HAQUAMS) instrument, respectively. Assessments were measured before and after a massage period and a rest period where no massages were employed. Results. The results displayed no significant changes in 6MWT distances or HAQUAMS scores. However, the participants perceived improvement in overall health as expressed in written comments. Conclusions. Massage is a safe, noninvasive treatment that may assist MS patients in managing the stress of their symptoms. Future studies with larger sample size and cortisol measures are warranted.

摘要

背景

按摩疗法是一种非侵入性的治疗方法,许多多发性硬化症(MS)患者使用它来补充常规治疗。目的:我们假设按摩疗法将改善 MS 患者的腿部功能和整体生活质量(QoL)。设计:采用两期(休息、按摩)交叉设计。24 名 EDSS 评分在 3.0 到 7.0 之间的 MS 患者接受了为期四周的瑞典式按摩治疗。使用六分钟步行测试(6MWT)和汉堡多发性硬化生活质量量表(HAQUAMS)分别评估运动能力和腿部功能以及生活质量。在按摩期和不进行按摩的休息期前后进行评估。结果:6MWT 距离或 HAQUAMS 评分没有显示出显著变化。然而,参与者在书面评论中表达了对整体健康状况改善的看法。结论:按摩是一种安全、非侵入性的治疗方法,可帮助 MS 患者应对症状带来的压力。需要进行具有更大样本量和皮质醇测量的未来研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8d9/4034721/739f5e5f782d/ECAM2014-640916.001.jpg

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