Cancer pain is the most frequent complaint of patients with cancer. Conventional treatment does not always relieve cancer pain satisfactorily. For this reason, many patients with cancer have turned to complementary therapies to assist them with their physical, emotional, and spiritual well-being. Massage therapy is increasingly used for symptom relief in patients with cancer. This study sought to investigate by meta-analysis the effects of massage therapy for cancer patients experiencing pain. Nine electronic databases were systematically searched for studies published through August 2013 in English, Chinese, and Korean. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) and Cochrane risk-of-bias scales. Twelve studies, including 559 participants, were used in the meta-analysis. In 9 high-quality studies based on the PEDro scale (standardized mean difference, -1.24; 95% confidence interval, -1.72 to -0.75), a decrease in cancer pain after massage was observed. Massage therapy significantly reduced cancer pain compared with no massage treatment or conventional care (standardized mean difference, -1.25; 95% confidence interval, -1.63 to -0.87). Our results indicate that massage is effective for the relief of cancer pain, particularly for surgery-related pain. Among the various types of massage, foot reflexology appeared to be more effective than body or aroma massage. The meta-analysis suggested a beneficial effect of massage for relief of cancer pain. Further well-designed, large studies with longer follow-up periods are needed to be able to draw stronger conclusions with regards to the effectiveness.
Stratified Care for Low Back Pain
In this short online course review and learn to apply the stratified care for low back pain and Patient Prognosis Subgrouping using the STarT Back approach.