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The Journal of Maternal-fetal &... Mar 2020Different techniques have been analyzed to reduce the risk of perineal trauma during labor. To evaluate whether perineal massage techniques during vaginal delivery... (Meta-Analysis)
Meta-Analysis
Different techniques have been analyzed to reduce the risk of perineal trauma during labor. To evaluate whether perineal massage techniques during vaginal delivery decreases the risk of perineal trauma. Electronic databases (Medline, Prospero, Scopus, ClinicalTrials.gov, Embase, ScienceDirect, the Cochrane Library, SciELO) were searched from their inception until February 2018. No restrictions for language or geographic location were applied. We included all randomized controlled trials (RCTs) comparing the use of perineal massage during labor (i.e. intervention group) with a control group (i.e. no perineal massage) in women with singleton gestation and cephalic presentation at ≥36 weeks. Perineal massage was defined as massage of the posterior perineum by the clinician's fingers (with or without lubricant). Trials on perineal massage during antenatal care, before the onset of labor, or only in the early part of the first stage, were not included. All analyses were done using an intention-to-treat approach. The primary outcome was severe perineal trauma, defined as third and fourth degree perineal lacerations. Meta-analysis was performed using the random-effects model of DerSimonian and Laird to produce summary treatment effects in terms of either a relative risk (RR) with 95% confidence interval (CI). Nine trials including 3374 women were analyzed. All studies included women with singleton pregnancy in cephalic presentation at ≥36 weeks undergoing spontaneous vaginal delivery. Perineal massage was usually done by a midwife in the second stage, during or between and during pushing time, with the index and middle fingers, using a water-soluble lubricant. Women randomized to receive perineal massage during labor had a significantly lower incidence of severe perineal trauma, compared to those who did not (RR 0.49, 95% CI 0.25-0.94). All the secondary outcomes were not significant, except for the incidence of intact perineum, which was significantly higher in the perineal massage group (RR 1.40, 95% 1.01-1.93), and for the incidence of episiotomy, which was significantly lower in the perineal massage group (RR 0.56, 95% CI 0.38-0.82). Perineal massage during labor is associated with significant lower risk of severe perineal trauma, such as third and fourth degree lacerations. Perineal massage was usually done by a midwife in the second stage, during or between and during pushing time, with the index and middle fingers, using a water-soluble lubricant.
Topics: Delivery, Obstetric; Female; Humans; Lacerations; Massage; Models, Statistical; Obstetric Labor Complications; Perineum; Pregnancy; Treatment Outcome
PubMed: 30107756
DOI: 10.1080/14767058.2018.1512574 -
Complementary Therapies in Medicine Nov 2020abdominal massage with regular and rhythmic movements has been used to treat some symptoms of diseases.
INTRODUCTION
abdominal massage with regular and rhythmic movements has been used to treat some symptoms of diseases.
OBJECTIVES
to review data collected from randomized controlled trials regarding the effect of abdominal massage (AM) on gastrointestinal functions (GFs).
METHODS
we conducted a systematic review of articles accessible through PubMed, Scopus, Science Direct, Google Scholar, and Web of Science. All eligible English RCT- published articles related to the effect of AM on GFs were included in the study from the time of their acceptance until June 2019.
RESULTS
ten studies with 464 patients met the inclusion criteria. Three studies reported that AM alleviated constipation symptoms in patients with multiple sclerosis, cancer, and elderly adults. In three studies, AM increased bowel movements in people with constipation and patients undergoing skeletal traction. The results of three studies conducted on intensive care patients showed that AM improved GFs, and decreased abdominal circumference and distension. Two studies showed the effectiveness of AM in reducing the gastric residual volume. However, one study indicated no significant difference between the intervention and control groups. The results of two studies showed that AM did not affect laxative intake, nausea or vomiting, frequency of defecation, and food intake. Furthermore, AM did not decrease ventilator-associated pneumonia in patients undergoing mechanical ventilation. The studies reported no adverse effects of AM.
CONCLUSIONS
there was promising evidence for the effect of AM on GFs. However, further studies are needed to measure the unknown dimensions of AM in patients.
Topics: Abdomen; Constipation; Gastrointestinal Diseases; Humans; Massage; Quality of Life; Surveys and Questionnaires
PubMed: 33183670
DOI: 10.1016/j.ctim.2020.102553 -
Medicine Apr 2023The study aimed to compare the effects of connective tissue massage (CTM) and classical massage (CM) in patients with chronic mechanical low back pain on pain and... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
The study aimed to compare the effects of connective tissue massage (CTM) and classical massage (CM) in patients with chronic mechanical low back pain on pain and autonomic responses and to determine the most effective manual therapy method.
METHODS
Seventy individuals with chronic mechanical low back pain were randomly divided into CTM (n = 35) and CM (n = 35) groups. The participants were given a 4-week treatment protocol consisting of a hot pack, exercise, and CTM or CM for 20 sessions. A visual analog scale was used to measure pain intensity. Heart rate, blood pressure, and skin temperature were measured for the evaluation of autonomic responses. In addition, disability (Oswestry disability index), quality of life (short form 36), and sleep quality (Pittsburgh sleep quality index) were evaluated. Participants were assessed before and after the 4-week treatment period as well as at the end of the 6-week follow-up period. In addition, visual analog index measurements were repeated at the end of each treatment week.
RESULTS
Pain intensity was decreased in both groups (P < .05). However, CM was more effective than CTM at the end of the 2nd week (P < .05). In autonomic responses results, there were increases in peripheral skin temperatures in both groups (P < .05). Disability, quality of life, and sleep quality improved in both groups (P < .05). There were no differences between the groups relating to autonomic responses, disability, quality of life, and sleep quality (P > .05).
CONCLUSION
The results of this study showed that massages were similar effect. The fact that CM is a frequently used technique in pain management and is as effective as CTM in autonomic responses will make it more preferred in the clinic.
Topics: Humans; Chronic Pain; Connective Tissue; Low Back Pain; Massage; Pain Measurement; Quality of Life; Treatment Outcome
PubMed: 37058058
DOI: 10.1097/MD.0000000000033516 -
Skin Research and Technology : Official... May 2022Facial massage is empirically known to be associated with morphological changes, such as improvements in facial sagging. However, quantified objective evaluations of...
BACKGROUND
Facial massage is empirically known to be associated with morphological changes, such as improvements in facial sagging. However, quantified objective evaluations of massage-induced changes have not been performed to date. This preliminary pilot study aimed to verify the effectiveness of facial massages by using breakthrough computed tomographic technology.
MATERIALS AND METHODS
Five healthy adult volunteers (three women and two men; age, 29-37 years) were enrolled, and computed tomography (CT) examinations using a 320 detectors-spiral CT system known as 320-multidetector-row CT (MDCT) were performed before and after facial massages. Each participant performed a self-massage twice daily for 2 weeks. Massage-induced changes in the cheeks and the superficial musculoaponeurotic system (SMAS) were analyzed by two radiologists on a workstation with a high-accuracy imaging analysis system.
RESULTS
After facial massage, the malar top became thinner by -0.8% ± 0.45% and shifted cranially and horizontally over a distance of 3.9 ± 1.94 mm. The SMAS-height, defined as the highest vertical distance of the SMAS, increased by 2.6% ± 2.6%. The change rate in cheek thickness and SMAS-height showed a significant correlation (r = -0.63; P < 0.05). These changes were attributed to the lifting and tightening effects of facial massage.
CONCLUSION
We conducted a detailed analysis of the effects of facial massages by using the breakthrough CT technology. Our results provide useful information for beauty treatments and could contribute to the collection of objective scientific evidence for facial massages.
Topics: Adult; Face; Female; Humans; Male; Massage; Pilot Projects; Superficial Musculoaponeurotic System; Tomography, X-Ray Computed
PubMed: 35416349
DOI: 10.1111/srt.13152 -
Journal of Physiotherapy Jul 2015Is massage therapy effective for people with musculoskeletal disorders compared to any other treatment or no treatment? (Review)
Review
QUESTION
Is massage therapy effective for people with musculoskeletal disorders compared to any other treatment or no treatment?
DESIGN
Systematic review of randomised clinical trials.
PARTICIPANTS
People with musculoskeletal disorders.
INTERVENTIONS
Massage therapy (manual manipulation of the soft tissues) as a stand-alone intervention.
OUTCOME
The primary outcomes were pain and function.
RESULTS
The 26 eligible randomised trials involved 2565 participants. The mean sample size was 95 participants (range 16 to 579) per study; 10 studies were considered to be at low risk of bias. Overall, low-to-moderate-level evidence indicated that massage reduces pain in the short term compared to no treatment in people with shoulder pain and osteoarthritis of the knee, but not in those with low back pain or neck pain. Furthermore, low-to-moderate-level evidence indicated that massage improves function in the short term compared to no treatment in people with low back pain, knee arthritis or shoulder pain. Low-to-very-low-level evidence from single studies indicated no clear benefits of massage over acupuncture, joint mobilisation, manipulation or relaxation therapy in people with fibromyalgia, low back pain and general musculoskeletal pain.
CONCLUSIONS
Massage therapy, as a stand-alone treatment, reduces pain and improves function compared to no treatment in some musculoskeletal conditions. When massage is compared to another active treatment, no clear benefit was evident.
Topics: Humans; Massage; Musculoskeletal Diseases; Treatment Outcome
PubMed: 26093806
DOI: 10.1016/j.jphys.2015.05.018 -
Developmental Neurorehabilitation Oct 2019: We investigated the effects of massage on young children with developmental delay but no clear diagnosis (e.g., cerebral palsy, genetic diseases, or autism). :... (Randomized Controlled Trial)
Randomized Controlled Trial
: We investigated the effects of massage on young children with developmental delay but no clear diagnosis (e.g., cerebral palsy, genetic diseases, or autism). : Thirty-six children with DD, at 1-3 years of age, were randomly assigned to the massage ( = 18) or control group ( = 18) after being stratified by age and motor developmental quotient. The two groups continued to receive routine rehabilitation intervention, whereas the massage group additionally received 20 min of massage twice a week for 12 weeks. The Comprehensive Development Inventory for Infants and Toddlers - Diagnostic Test, the Infant/Toddler Sensory Profile - Chinese version, anthropometric measures, and a sleep questionnaire were administrated before and after the massage intervention. : The results of analysis of covariance revealed that the massage group exhibited a greater improvement in the total motor score ( = 0.023), gross motor score (= 0.047), and sensory sensitivity behavior (= 0.042). : These findings suggest that massage can effectively enhance motor and sensory processing in children with DD.
Topics: Child, Preschool; Developmental Disabilities; Female; Humans; Infant; Male; Massage; Movement; Psychomotor Performance; Sensation
PubMed: 30376388
DOI: 10.1080/17518423.2018.1537317 -
Journal of Back and Musculoskeletal... 2020Up to now there is not enough evidence that supports the use of electrotherapy in the treatment of Bell's palsy.
BACKGROUND
Up to now there is not enough evidence that supports the use of electrotherapy in the treatment of Bell's palsy.
OBJECTIVE
Through a systematic review, we aimed to verify whether the use of electrotherapy is effective for treating Bell's palsy or peripheral paralysis.
METHODS
Publications were searched in PubMed, EBSCO and Web of Science. The present systematic review included studies that analyzed the electrotherapy as a therapeutic method for treating individuals with Bell's palsy, in order to recover the function of facial muscles.
RESULTS
Seven studies involving a total of 131 cases and 113 controls were included in this systematic review. In the studies analyzed, patients received electrotherapy combined with other treatments such as hot-wet facial napkins, massages and muscle reeducation. Although the effect of electrotherapy alone was not evaluated, the use of electrotherapy combined with other treatments produced a significant improvement in the individuals evaluated.
CONCLUSIONS
Due to the diverse methodologies used and the small number of individuals included in the studies, we could not fully prove the efficacy of electrotherapy for treating Bell's Palsy. Future studies with larger samples and homogenous populations should be performed to obtain conclusive results.
Topics: Bell Palsy; Electric Stimulation Therapy; Humans; Massage; Physical Therapy Modalities
PubMed: 32144972
DOI: 10.3233/BMR-171031 -
Journal of Sports Science & Medicine Mar 2019Both foam rolling and joint distraction training with elastic bands are very popular interventions designed to improve muscular function, motor performance, and joint... (Randomized Controlled Trial)
Randomized Controlled Trial
Both foam rolling and joint distraction training with elastic bands are very popular interventions designed to improve muscular function, motor performance, and joint range of motion, as well as to reduce feeling of fatigue and delayed onset of muscle soreness. The heterogeneity of methods used among studies however prevents from drawing firm conclusions about the optimal content of pre/post interventions. The present study aims at answering the following questions: Do foam rolling and joint distraction with elastic band training improve joint range of motion in national rugby players? Do short and long rolling durations have similar effects on range of motion? In a first experiment, we compared ankle, knee, and hip flexibility scores in 30 national rugby players after a 7-week foam rolling training program involving either a short (20s) or long (40s) rolling duration. Data revealed that foam rolling substantially improved all range of motion scores, regardless the rolling duration (performance gains ranged from 9 to 18° in the foam rolling groups, i.e. 8 to 20% increase, but remained under 2° in the control group). In a second experiment, we investigated the effect of a 5-week joint distraction with elastic band training program on hamstring and adductor range of motion in 23 national rugby players. Data showed that elastic band training significantly improved sit-and-reach (29.16% increase, p = 0.01) as well as side split (2.31% increase, p < 0.001) stretching performances. Taken together, present findings confirm that both foam rolling and joint distraction exercises with elastic bands are likely to enhance joint range of motion and specific mobility patterns during sport performance, and further serve prophylaxis. Such effects therefore constitute a promising avenue for clinical, home therapy, and personal flexibility training.
Topics: Adolescent; Ankle; Football; Hip; Humans; Knee; Lower Extremity; Male; Massage; Range of Motion, Articular; Resistance Training; Sports Equipment; Young Adult
PubMed: 30787664
DOI: No ID Found -
Jornal de Pediatria 2022The present study aimed to evaluate the effects of hydrotherapy and tactile-kinesthetic stimulation on the birth weight of preterm infants admitted in the Neonatal... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
The present study aimed to evaluate the effects of hydrotherapy and tactile-kinesthetic stimulation on the birth weight of preterm infants admitted in the Neonatal Intensive Care Unit.
METHOD
It was a randomized controlled trial, without blinding, in which 44 preterm infants of both sexes with gestational age between 32 and 34 weeks were included into two groups: hydrotherapy group (n = = 22) and tactile-kinesthetic stimulation group (n = 22). Weight gain was the parameter assessed daily.
RESULTS
In the tactile-kinesthetic stimulation group there was a variation in weight gain, but without significant difference (p = 0,43). However, in the hydrotherapy group, it was observed that increased weight gain started from the 2nd day (p < 0,001).
CONCLUSIONS
Hydrotherapy group presented significantly increased weight after the interventions, indicating that this technique can interfere with weight gain in preterm infants.
Topics: Female; Humans; Hydrotherapy; Infant; Infant, Newborn; Infant, Premature; Intensive Care Units, Neonatal; Male; Massage; Weight Gain
PubMed: 34181888
DOI: 10.1016/j.jped.2021.04.011 -
Journal of Sports Science & Medicine Dec 2020Handheld percussive massage treatment has gained popularity in recent years, for both therapeutic use and in sports practice. It is used with the goals of increasing...
Handheld percussive massage treatment has gained popularity in recent years, for both therapeutic use and in sports practice. It is used with the goals of increasing flexibility and performance, but also to accelerate recovery. However, until now, there has been no scientific evidence, which proves such effects. Therefore, the purpose of this study was to investigate the effects of a 5-min percussion treatment of the calf muscles on range of motion (ROM) and maximum voluntary contraction (MVC) torque of the plantar flexor muscles. Sixteen healthy male volunteers (mean ± SD; 27.2 ± 4.2 years, 1.79 ± 0.05 m, 79.4 ± 9.1 kg) were tested on two separate days with either a 5-min massage treatment of the calf muscles with a Hypervolt device or the control condition (sitting only). Before and after the treatments, dorsiflexion ROM and MVC torque of the plantar flexor muscles were measured with a dynamometer. Maximum dorsiflexion ROM increased with a large magnitude following the massage treatment by 5.4° (+18.4%; p = 0.002, = 1.36), while there was no change in the control group. Moreover, MVC torque did not change following both the massage treatment and the control treatment. Similar to a conventional massage by a therapist, ROM can be increased by a handheld percussive massage treatment without having an effect on muscle strength.
Topics: Adult; Humans; Male; Massage; Muscle Contraction; Muscle Strength; Muscle Strength Dynamometer; Muscle, Skeletal; Percussion; Range of Motion, Articular; Torque; Young Adult
PubMed: 33239942
DOI: No ID Found