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R
E S E A R C H
Massage Reduces
Cancer Symptoms
Massage therapy significantly improved cancer patients’ symptoms,
such as pain, anxiety, nausea, fatigue and depression, according
to a recent study.
“Massage Therapy for Symptom
Control: Outcome Study at a Major Cancer Center” was conducted
by staff of Memorial Sloan-Kettering Cancer Center (MSKCC) in New
York City.
Three types of massage are available
to patients at MSKCC: Swedish, light-touch and foot massage. Each
massage lasts 20 minutes for inpatients and one hour for outpatients.
Patients may request the massage themselves, or be referred by a
health professional or family member.
As a “routine part of clinical
management,” patients rate pain, fatigue, anxiety, nausea
and depression before and 5-15 minutes after each massage. For this
study, the symptom with the highest score was deemed the presenting
symptom.
The study’s authors analyzed
before-and-after data from the initial massage session of 1,290
cancer patients at MSKCC during a three-year period.
Swedish and foot massage were the most
common interventions, with some patients receiving a combination
of both. Anxiety was the most common presenting symptom of the cancer
patients, followed by pain and fatigue.
Data analysis revealed a 54-percent mean
reduction of the presenting symptom following massage therapy. Specifically,
anxiety was the symptom eased the most by massage therapy (60-percent
reduction), and fatigue was the symptom eased the least (43 percent).
Outpatients showed a 10-percent greater improvement in symptoms when
compared to inpatients, perhaps due to the longer massage sessions
the outpatients received.
“[I]t is clear that massage therapy
achieves major reductions in cancer patients’ pain, fatigue,
nausea, anxiety and depression,” state the study’s authors.
Additional follow-up, beyond immediate
post-session scores, involved 74 outpatients and 237 inpatients.
Both inpatients and outpatients were assessed two-to-five hours
after the massage. Outpatients were again assessed 24 hours and
48 hours after the massage.
Results of this extended follow-up
showed that inpatients’ symptoms scores were about a half-point
higher within hours of the massage. “This suggests that inpatient
severity scores returned to baseline within a day or so,”
state the study’s authors.
For outpatients, there was no regression
toward baseline symptom scores throughout the follow-up period.
“Massage therapy appears to be
an uncommonly non-invasive and inexpensive means of symptom control
for patients with serious chronic illness,” state the study’s
authors. “It is non-invasive, inexpensive, comforting, free
of side effects and greatly appreciated by recipients.
- Source: Memorial
Sloan-Kettering Cancer Center’s Integrative Medicine Service
and Biostatistics Service, New York City. Authors: Barrie R. Cassileth,
Ph.D.; and Andrew J. Vickers, Ph.D. Originally published in Journal
of Pain and Symptom Management, September 2004, Vol. 28, No. 3,
pp. 244-249.
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