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治疗性颅面按摩对生活质量、心理健康和更年期症状及身体形象的有益影响:一项随机对照临床试验。

The beneficial effects of therapeutic craniofacial massage on quality of life, mental health and menopausal symptoms and body image: A randomized controlled clinical trial.

机构信息

Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag Street, 5, 46010 Valencia, Spain.

Ivey Business School at Western University, Canada.

出版信息

Complement Ther Med. 2020 Jun;51:102415. doi: 10.1016/j.ctim.2020.102415. Epub 2020 Apr 25.

Abstract

OBJECTIVE

The objective of this study was to determine the effect of massage in the craniofacial area in menopausal women after the treatment and one month after its completion, and to measure its influence on quality of life in relation to symptoms of menopause, mental health, and body image perception.

DESIGN

50 participants with menopause, aged 45-65 years, participated in a single-blind randomized controlled trial. Participants were randomly assigned to two groups: craniofacial massage group (CMG), who received massage treatment (n = 25), and control group (CG), without treatment (n = 25). Prior to randomization, all participants provided demographic and clinical information. Quality of life, mental health and body image perception were evaluated at three time points: at the beginning of the study, at the end, and one month after finishing the treatment.

RESULTS

A repeated-measures multivariate analysis of variance (RM-MANOVA) was used to determine if mean scores in the criteria differed significantly between time points within subjects. The results obtained indicate that the cranial massage techniques had a large, positive between-subjects effect on our three criteria (Wilks Λ = .83, F() = 3.04, p. <.05; Partial η = .17; ƒ = .45) as well as a large, positive between-within subjects effect (Wilks Λ = .64, F() = 3.91, p. <.01; Partial η = .36; ƒ = .76). In short, our treatment improved participants' mental health, partially ameliorated the decrease in scores on the Menopause Rating Scale and stopped the decrease in Body Image perception's scores.

CONCLUSIONS

The craniofacial massage protocol, applied to the craniofacial sphere, constitutes a complementary and valid therapy-based therapeutic option for clinicians in the treatment of different symptoms that occur in the climacteric period.

摘要

目的

本研究旨在确定面部按摩对更年期女性治疗后和治疗结束后一个月的影响,并测量其对与更年期症状、心理健康和身体意象感知相关的生活质量的影响。

设计

50 名年龄在 45-65 岁之间的更年期女性参加了一项单盲随机对照试验。参与者被随机分配到两组:面部按摩组(CMG),接受按摩治疗(n=25),和对照组(CG),不接受治疗(n=25)。在随机分组之前,所有参与者提供了人口统计学和临床信息。在三个时间点评估生活质量、心理健康和身体意象感知:研究开始时、结束时和治疗结束后一个月。

结果

使用重复测量多元方差分析(RM-MANOVA)来确定在主体内的标准中,平均值是否在时间点之间有显著差异。结果表明,颅骨按摩技术对我们的三个标准有很大的、积极的组间影响(Wilks Λ=.83,F()=3.04,p<.05;部分 η=.17;ƒ=.45),以及很大的、积极的组内影响(Wilks Λ=.64,F()=3.91,p<.01;部分 η=.36;ƒ=.76)。简而言之,我们的治疗改善了参与者的心理健康,部分缓解了更年期评定量表评分的下降,并阻止了身体意象感知评分的下降。

结论

面部按摩方案应用于头面部区域,为临床医生治疗更年期出现的不同症状提供了一种补充和有效的基于治疗的选择。

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