Faculty of Health, Southern Cross University, Lismore, NSW, Australia.
Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.
BMC Complement Med Ther. 2023 Mar 30;23(1):95. doi: 10.1186/s12906-023-03898-w.
BACKGROUND: Massage therapy is a popular intervention for those suffering osteoarthritis, however, there is a paucity of evidence to support its effectiveness in osteoarthritis. A simple measure that could potentially assess the benefits of massage treatment is walking speed which is a predictor of mobility and survival length, particularly in ageing populations. The primary aim of the study was to assess the feasibility of using a phone app to measure walking ability in people with osteoarthritis. METHODS: This feasibility study used a prospective, observational design to collect data from massage practitioners and their clients over a 5-week period. Feasibility outcomes included practitioner and client recruitment and protocol compliance. The app MapMyWalk was used to record average speed for each walk. Pre-study surveys and post-study focus groups were conducted. Clients received massage therapy in a massage clinic and were instructed to walk in their own local community for 10 min every other day. Focus group data were analysed thematically. Qualitative data from clients' pain and mobility diaries were reported descriptively. Average walking speeds were graphed for each participant in relation to massage treatments. RESULTS: Fifty-three practitioners expressed interest in the study, 13 completed the training, with 11 successfully recruiting 26 clients, 22 of whom completed the study. 90% of practitioners collected all required data. A strong motivation for participating practitioners was to contribute to evidence for massage therapy. Client compliance with using the app was high, but low for completing pain and mobility diaries. Average speed remained unchanged for 15 (68%) clients and decreased for seven (32%). Maximum speed increased for 11 (50%) clients, decreased for nine (41%) and remained unchanged for two (9%). However, data retrieved from the app were unreliable for walking speed. CONCLUSIONS: This study demonstrated that it is feasible to recruit massage practitioners and their clients for a study involving mobile/wearable technology to measure changes in walking speed following massage therapy. The results support the development of a larger randomised clinical trial using purpose-built mobile/wearable technology to measure the medium and long-term effects of massage therapy on people with osteoarthritis.
背景:按摩疗法是一种治疗骨关节炎患者的流行干预手段,然而,支持其在骨关节炎中的有效性的证据很少。一个可以评估按摩治疗效果的简单方法是步行速度,它是移动性和生存时间的预测指标,特别是在老龄化人群中。该研究的主要目的是评估使用手机应用程序来测量骨关节炎患者步行能力的可行性。
方法:这项可行性研究采用前瞻性、观察性设计,在 5 周的时间内从按摩治疗师及其客户那里收集数据。可行性结果包括治疗师和客户的招募以及方案遵守情况。使用 MapMyWalk 应用程序记录每次步行的平均速度。在研究前进行了调查,并在研究后进行了焦点小组讨论。客户在按摩诊所接受按摩治疗,并被指示在自己的当地社区每隔一天步行 10 分钟。对焦点小组数据进行了主题分析。从客户的疼痛和移动性日记中报告了定性数据的描述性结果。根据按摩治疗,为每位参与者绘制了平均步行速度图表。
结果:53 名治疗师对该研究表示了兴趣,其中 13 名完成了培训,11 名成功招募了 26 名客户,其中 22 名完成了研究。90%的治疗师收集了所有必需的数据。参与治疗师的强烈动机是为按摩疗法的证据做出贡献。客户使用应用程序的依从性很高,但完成疼痛和移动性日记的依从性很低。15 名(68%)客户的平均速度保持不变,7 名(32%)客户的平均速度下降。11 名(50%)客户的最大速度增加,9 名(41%)客户的最大速度下降,2 名(9%)客户的最大速度保持不变。然而,从应用程序中检索到的步行速度数据不可靠。
结论:这项研究表明,招募按摩治疗师及其客户参与一项涉及移动/可穿戴技术的研究,以测量按摩治疗后步行速度的变化是可行的。研究结果支持开发一项更大的随机临床试验,使用专门设计的移动/可穿戴技术来测量按摩疗法对骨关节炎患者的中长期效果。
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