Salarvand Shahin, Heidari Mohammad Eghbal, Farahi Kazem, Teymuri Erfan, Almasian Mohammad, Bitaraf Saeid
Hepatitis Research Center, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.
Student Scientific Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Mult Scler J Exp Transl Clin. 2021 Jun 14;7(2):20552173211022779. doi: 10.1177/20552173211022779. eCollection 2021 Apr-Jun.
Fatigue and pain are prevalent symptoms of multiple sclerosis (MS) and frequent complaint in MS patients, which reduce their quality of life. This study aimed to assess the effect of massage therapy on pain and fatigue in MS Patients.
The original and Persian databases were searched included PubMed, web of science, embase, ovid, scopus, and the Cochrane Library, SID, and Iranedex from inception to November 2020. Studies that reported the effect of massage on fatigue and pain were included. Two investigators extracted all relevant data, independently. For deriving analysis, mean difference (MD) and standardized mean difference (SMD) were used.
Ten studies were eligible acoording criteria. The effect of massage on fatigue showed significant improvement (-1.62; 95% CL -2.40, -0.83; p < .00001), also results of the systematic review showed a significant reduction in pain severity.
Massage as a complementary and non-pharmacological therapy might have been associated with alleviating fatigue and pain in M.S. patients. Based on the current study, massage intervention for MS patients could have possible clinical value for palliating pain and fatigue and improving quality of life; however, this matter needs further and more significant trial studies.
疲劳和疼痛是多发性硬化症（MS）的常见症状，也是MS患者的常见主诉，会降低他们的生活质量。本研究旨在评估按摩疗法对MS患者疼痛和疲劳的影响。
检索了从起始到2020年11月的原始数据库和波斯语数据库，包括PubMed、科学网、Embase、Ovid、Scopus和Cochrane图书馆、SID和Iranedex。纳入报告按摩对疲劳和疼痛影响的研究。两名研究者独立提取所有相关数据。为进行分析，使用了平均差（MD）和标准化平均差（SMD）。
根据标准，有10项研究符合条件。按摩对疲劳的影响显示出显著改善（-1.62；95%CI -2.40，-0.83；p＜0.00001），系统评价结果也显示疼痛严重程度显著降低。
按摩作为一种补充性非药物疗法，可能与缓解MS患者的疲劳和疼痛有关。基于目前的研究，对MS患者进行按摩干预可能对缓解疼痛和疲劳以及改善生活质量具有临床价值；然而，此事需要进一步开展更具显著性的试验研究。
