Veterans Health Administration, Greater Los Angeles Healthcare System, Los Angeles, California.
UCLA Fielding School of Public Health, University of California, Los Angeles.
JAMA Netw Open. 2024 Jul 1;7(7):e2422259. doi: 10.1001/jamanetworkopen.2024.22259.
Massage therapy is a popular treatment that has been advocated for dozens of painful adult health conditions and has a large evidence base.
To map systematic reviews, conclusions, and certainty or quality of evidence for outcomes of massage therapy for painful adult health conditions.
In this systematic review, a computerized search was conducted of PubMed, the Allied and Complementary Medicine Database, the Cumulated Index to Nursing and Allied Health Literature, the Cochrane Database of Systematic Reviews, and Web of Science from 2018 to 2023. Included studies were systematic reviews of massage therapy for pain in adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of sports massage therapy, osteopathy, dry cupping or dry needling, and internal massage therapy (eg, for pelvic floor pain) were ineligible, as were self-administered massage therapy techniques, such as foam rolling. Reviews were categorized as those with at least 1 conclusion rated as high-certainty evidence, at least 1 conclusion rated as moderate-certainty evidence, and all conclusions rated as low- or very low-certainty evidence; a full list of conclusions and certainty of evidence was collected.
A total of 129 systematic reviews of massage therapy for painful adult health conditions were found; of these, 41 reviews used a formal method to rate certainty or quality of evidence of their conclusions and 17 reviews were mapped, covering 13 health conditions. Across these reviews, no conclusions were rated as high certainty of evidence. There were 7 conclusions that were rated as moderate-certainty evidence; all remaining conclusions were rated as low- or very low-certainty evidence. All conclusions rated as moderate certainty were that massage therapy had a beneficial associations with pain.
This study found that despite a large number of randomized clinical trials, systematic reviews of massage therapy for painful adult health conditions rated a minority of conclusions as moderate-certainty evidence and that conclusions with moderate- or high-certainty evidence that massage therapy was superior to other active therapies were rare.
按摩疗法是一种流行的治疗方法，已被推荐用于数十种成人疼痛性健康状况，并具有大量的证据基础。
绘制按摩疗法治疗成人疼痛性健康状况的系统评价、结论以及结局的证据确定性或质量图谱。
在这项系统评价中，我们对 PubMed、辅助和补充医学数据库、护理与联合健康文献累积索引、Cochrane 系统评价数据库和 Web of Science 进行了计算机检索，检索时间范围为 2018 年至 2023 年。纳入的研究为针对成人健康状况疼痛的按摩疗法的系统评价，这些研究正式评估了结论的确定性、质量或证据强度。运动按摩疗法、整骨疗法、干拔罐或干针刺以及内部按摩疗法（例如，治疗盆底疼痛）的研究以及自我实施的按摩疗法技术（例如泡沫轴滚动）不符合条件。评价分为至少有 1 个结论被评为高确定性证据、至少有 1 个结论被评为中确定性证据以及所有结论被评为低或极低确定性证据的评价；还收集了所有结论和证据确定性的完整列表。
共发现 129 项针对成人疼痛性健康状况的按摩疗法系统评价；其中 41 项评价使用了一种正式方法来评估其结论的确定性或证据质量，17 项评价被映射，涵盖 13 种健康状况。在这些评价中，没有结论被评为高确定性证据。有 7 个结论被评为中确定性证据；其余所有结论均被评为低或极低确定性证据。所有被评为中度确定性的结论均表明按摩疗法与疼痛有有益的关联。
本研究发现，尽管有大量随机临床试验，但针对成人疼痛性健康状况的按摩疗法系统评价仅将少数结论评为中度确定性证据，且具有中度或高度确定性证据表明按摩疗法优于其他活性疗法的结论很少。
