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六周的瑞典式按摩能否减轻多发性硬化症患者的情绪障碍并提高生活质量?一项随机对照临床试验。

Can a six-week Swedish massage reduce mood disorders and enhance the quality of life in individuals with Multiple Sclerosis? A randomized control clinical trial.

机构信息

School of Sport Sciences, Shahrood University of Technology. Shahrood, Semnan, Iran.

School of Sport Sciences, Shahrood University of Technology. Shahrood, Semnan, Iran.

出版信息

Explore (NY). 2024 Sep-Oct;20(5):103032. doi: 10.1016/j.explore.2024.103032. Epub 2024 Jul 14.

Abstract

INTRODUCTION

There is a limited amount of research specifically focusing on the effects of Swedish massage on mood disorders and the quality of life (QOL) among individuals with MS, emphasizing the need for further investigation. Therefore, this study aimed to assess the effects of a 6-week Swedish massage on the quality of life, stress, anxiety, depression, pain, fatigue, spasticity, and sleep quality in MS patients.

METHODS

This randomized controlled trial involved 70 MS patients who were divided into two groups. The massage group underwent two 50-minute sessions of whole-body Swedish massage per week for six weeks, while the usual treatment group maintained their regular medical care routine. Outcomes were Short Form-36 (SF-36) and the Depression, Anxiety, and Stress Scale (DASS), Visual Analog Scale (VAS), Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI-P), and Modified Ashworth Scale (MAS). These measurements were taken before and after the massage intervention.

RESULTS

The massage group demonstrated significant improvements in QOL and its components compared to the usual treatment group (Hedge's g = 0.53 for QOL, ranging from 0.31 to 0.58 for QOL components; p < 0.001). Participants in the massage group also reported significantly lower levels of stress (Hedge's g = 0. 80), anxiety (Hedge's g = 0.47), and depression (Hedge's g = 0.70) than those in the usual treatment group (p < 0.001). Additionally, the massage group had lower levels of pain, fatigue, and spasticity, and better sleep quality compared to the usual treatment group (p < 0.05).

CONCLUSION

Swedish massage can be considered a valuable complementary and alternative treatment alongside conventional medicine for individuals with MS.

摘要

简介

目前,针对瑞典按摩对多发性硬化症(MS)患者情绪障碍和生活质量(QOL)的影响,以及对其的研究相对较少,因此,本研究旨在评估 6 周瑞典按摩对 MS 患者生活质量、压力、焦虑、抑郁、疼痛、疲劳、痉挛和睡眠质量的影响。

方法

这是一项随机对照试验,共纳入 70 名 MS 患者,将其分为按摩组和常规治疗组。按摩组每周接受 2 次全身瑞典按摩,每次 50 分钟,共 6 周;常规治疗组则维持其常规医疗护理。在按摩干预前后,分别使用健康调查简表 36 项(SF-36)、抑郁焦虑压力量表(DASS)、视觉模拟量表(VAS)、疲劳严重程度量表(FSS)、匹兹堡睡眠质量指数(PSQI-P)和改良 Ashworth 量表(MAS)进行评估。

结果

与常规治疗组相比,按摩组的 QOL 及其各维度均显著改善(QOL 的 Hedge's g = 0.53,范围为 0.31-0.58;QOL 各维度的 Hedge's g = 0.31-0.58;p < 0.001)。按摩组的压力(Hedge's g = 0.80)、焦虑(Hedge's g = 0.47)和抑郁(Hedge's g = 0.70)评分均显著低于常规治疗组(p < 0.001)。与常规治疗组相比,按摩组的疼痛、疲劳、痉挛程度更低,睡眠质量更好(p < 0.05)。

结论

瑞典按摩可作为一种补充和替代传统医学的治疗方法,用于 MS 患者。

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