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【medical-news】按摩可减轻膝关节炎症状(sina采用
December 12, 2006 — Massage therapy is effective in reducing pain in patients with knee osteoarthritis (OA), according to the results of a randomized controlled trial reported in the December 11 issue of the Archives of Internal Medicine.
"Massage therapy is an attractive treatment option for osteoarthritis (OA), but its efficacy is uncertain," write Adam I. Perlman, MD, MPH, of the University of Medicine and Dentistry of New Jersey in Newark, and colleagues. "Massage therapy may diminish symptoms and improve the course of OA by increasing local circulation to the affected joint, improving the tone of supportive musculature, enhancing joint flexibility, and relieving pain.... However, to our knowledge, to date, no study has specifically evaluated the effectiveness of massage therapy for OA."
In this wait-list controlled trial, 68 adults with radiographically confirmed OA of the knee were randomized either to massage treatment (twice-weekly sessions of standard Swedish massage in weeks 1 - 4 and once-weekly sessions in weeks 5 - 8) or to the control group (delayed intervention). The main endpoints were changes in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and functional scores and the visual analog scale (VAS) of pain assessment.
The massage therapy group had significant improvements in mean WOMAC global scores (-17.44 ± 23.61 mm; P < .001), pain (-18.36 ± 23.28; P < .001), stiffness (-16.63 ± 28.82 mm; P < .001), and physical function domains (-17.27 ± 24.36 mm; P < .001) and in the VAS of pain assessment (-19.38 ± 28.16 mm; P < .001), range of motion in degrees (3.57 ± 13.61; P = .03), and time to walk 50 ft in seconds (-1.77 ± 2.73; P < .01). Controlling for demographic factors using multivariable models did not affect this pattern of findings.
"This pilot study suggests that massage therapy is efficacious in the treatment of OA of the knee, with beneficial effects persisting for weeks following treatment cessation," the authors write. "Massage therapy seems to be well tolerated by people with painful OA of the knee. Massage also seems to decrease pain and improve function in participants who were allowed to maintain their usual treatment."
Study limitations include intent-to-treat analysis and carrying forward baseline values that may have underestimated the magnitude of treatment effect; losses to follow-up; wait-list control design resulting in increased contact with study personnel for the massage group during the 8-week intervention; inability to compare the efficacy of different frequency, duration, or type of massage therapy; homogeneous study sample limiting generalizability; and study duration for only 16 weeks.
"Given the limitations and potential adverse effects of pharmacologic and nonpharmacologic treatments for OA, massage therapy seems to be a viable option as an adjunct to more conventional treatment modalities," the authors conclude. "Further study of massage to determine optimal treatment protocols, absolute efficacy, cost-effectiveness, and generalization to other patient groups is clearly warranted."
The Centers for Disease Control and Prevention and Prevention Research Center supported this study. The authors have disclosed no relevant financial relationships.
http://www.medscape.com/viewarticle/549193 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Massage Therapy May Help Reduce Pain of Knee Osteoarthritis
按摩可缓解膝关节炎的疼痛
December 12, 2006 — Massage therapy is effective in reducing pain in patients with knee osteoarthritis (OA), according to the results of a randomized controlled trial reported in the December 11 issue of the Archives of Internal Medicine.
2006.12.12－一项发表在12月11日《Archives of Internal Medicine》（《美国内科杂志》）上的随机对照试验称，按摩可有效缓解膝关节炎（osteoarthritis，OA）的疼痛。
"Massage therapy is an attractive treatment option for osteoarthritis (OA), but its efficacy is uncertain," write Adam I. Perlman, MD, MPH, of the University of Medicine and Dentistry of New Jersey in Newark, and colleagues. "Massage therapy may diminish symptoms and improve the course of OA by increasing local circulation to the affected joint, improving the tone of supportive musculature, enhancing joint flexibility, and relieving pain.... However, to our knowledge, to date, no study has specifically evaluated the effectiveness of massage therapy for OA."
位于美国新泽西州Newark郡的新泽西医学及牙科大学(University of Medicine and Dentistry of New Jersey)的Adam I. Perlman, MD, MPH（master of public health，公共卫生学硕士）及其同事写道：“按摩是一项很有吸引力的关节炎治疗方法，但其疗效仍是不确切的。按摩可能具有如下作用：缓解症状、通过增加受累关节的局部血液循环来促进关节炎康复进程、增强关节支持肌肉的肌力、增强关节灵活性、缓解疼痛等等。然而，具我们所知，迄今为止尚无明确的评估按摩对OA疗效的研究。”
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作者:admin@医学,生命科学 2011-03-04 17:11
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