massage therapy journal

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Building Blocks

Using research to demonstrate the effects of thearpeutic massage in practice.

by Jolie Haun, LMT, PHD

Massage Thearapy has a wide range of uses, from pure relaxation to helping people recover from injury. As a massage therapist, you may have watched the tension and anxiety ease from a client's shoulders, or perhaps you had a hand in getting an athlete back to peak condition.

Some of you, too, might work with populations where the benefits of massage therapy are more difficult to quantify or are a part of a larger treatment program, making pinpointing the benefit of therapeutic massage difficult. For the most part, cancer patients fall into this category. Anecdotal evidence continues to detail the relief massage therapy offers, but these accounts go only so far to persuade people of the merits of massage therapy.

And this is where research can help. By quantifying the benefits offered by massage therapy, scientific studies help build a foundation upon which massage therapists, and the people they help, can stand.

THE CURRENT LANDSCAPE

The American Cancer Society estimated 10,400 new cases of pediatric cancer were diagnosed in 2007.[1] These children, especially those receiving chemotherapy and radiation, often experience adverse symptoms, including nausea, pain, anxiety, depression, weight loss and hair loss. Invasive treatments can leave patients feeling physically, mentally and emotionally drained.

Palliative care options such as massage therapy, however, are gaining in popularity. A 2003 study reported 33 percent of parents in a primary care setting use complementary and alternative medicine therapies (CAM), with massage therapy being the most commonly used.[2] Massage therapy is believed to improve circulation and immune function, help eliminate waste, dissolve soft adhesions, reduce swelling, and relieve the pain and stress associated with many illnesses.[3,4] The potential for increased immune function and decreased pain make massage therapy a potentially key palliative option for children with cancer.

There is little data, however, focusing on the effects massage therapy has on pediatric oncology and hematology patients. Tiffany Field, PhD, director of the Touch Research Institute at the University of Miami School of Medicine, has conducted research investigating massage therapy to treat premature and HIV-exposed newborns, as well as children with asthma, cystic fibrosis, diabetes and rheumatoid arthritis (RA).[3,9,10,11,12,13]

In these studies, children with RA had significantly lower stress hormone levels following massage therapy.[9] Participants with asthma reported decreased levels of anxiety after one day of treatment.10 Decreased anxiety and depression, and improved sleep patterns have been seen in children and adolescents with psychiatric problems.[3] Both behavioral and physiological functions in children appear to be enhanced by massage therapy, including growth, development, sleep, attentiveness and immune function, along with reduced pain, stress and anxiety.[3,9,10,12,13]

Despite some promising results, however, massage therapy is criticized for the lack of conclusive evidence using rigorous scientifically conducted studies.14 Clinical trials evaluating massage therapy suffer from small sample sizes and several confounding variables, particularly in pediatric populations.[3,14, 15] Conclusive data concerning the effects of massage therapy with pediatric cancer patients would help enhance the quality of care given to children with cancer.

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