EFFECT OF SOFT TISSUE MASSAGE ON CHRONIC SPASTICITY IN PATIENTS AFTER STROKE, A RANDOMIZED CONTROLLED TRIAL
DOI:
https://doi.org/10.61919/jhrr.v2i2.23Keywords:
stroke, spasticity, massage therapy, randomized controlled trial, Modified Ashworth Scale, Tardieu ScaleAbstract
Background: Stroke is a leading cause of disability worldwide, and spasticity is a common complication that can significantly impact the quality of life of stroke patients. Soft tissue massage has been suggested as a potential treatment for chronic spasticity, but its efficacy has not been well established in randomized controlled trials.
Objective: The objective of this study was to investigate the effects of soft tissue massage on chronic spasticity in stroke patients.
Methods: A randomised controlled study was carried out at a teaching hospital connected with a university in Pakistan. Purposive sampling was used to enrol participants, who were then randomly assigned to either a massage or a normal care control group. During six weeks, the massage group had one 60-minute massage each week, whereas the control group just received regular care. Spasticity was assessed before and after the intervention using the Modified Ashworth Scale and the Tardieu Scale.
Results: The study included a total of 25 participants in each of two groups. As measured by both the Modified Ashworth Scale (p 0.001) and the Tardieu Scale (p 0.001), the massage group displayed a significant improvement in spasticity in comparison with the control group, while in terms of demographic or medical baseline measures, the both groups were not significantly different, p value > 0.05.
Conclusion: The study included a total of 25 participants in each of two groups. As assessed by both the Modified Ashworth Scale (p 0.001) and the Tardieu Scale (p 0.001), the massage group displayed a significant improvement in spasticity in comparison with the control group, while in terms of demographic or medical baseline measures, the both groups were not significantly different, p value > 0.05.
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References
Béjot Y. Forty Years of Descriptive Epidemiology of Stroke. Neuroepidemiology. 2022;56(3):157-62.
Khan MI, Khan JI, Ahmed SI, Ali S. The epidemiology of stroke in a developing country (Pakistan). Pakistan Journal of Neurological Sciences (PJNS). 2019;13(3):30-44.
Kim J, Thayabaranathan T, Donnan GA, Howard G, Howard VJ, Rothwell PM, et al. Global stroke statistics 2019. International Journal of Stroke. 2020;15(8):819-38.
Whitehead S, Baalbergen E. Post-stroke rehabilitation. South African Medical Journal. 2019;109(2):81-3.
Zeng H, Chen J, Guo Y, Tan S. Prevalence and risk factors for spasticity after stroke: a systematic review and meta-analysis. Frontiers in neurology. 2021;11:616097.
Kim M-J, Kim T-H. Effect of neuro dynamic technique and instrument assisted soft tissue mobilization on lower extremity muscle tone, stiffness, static balance in stroke patients. The Journal of Korean Physical Therapy. 2020;32(6):359-64.
Saini V, Guada L, Yavagal DR. Global epidemiology of stroke and access to acute ischemic stroke interventions. Neurology. 2021;97(20 Supplement 2):S6-S16.
Martens G, Foidart-Dessalle M, Laureys S, Thibaut A. How does spasticity affect patients with disorders of consciousness? Coma and disorders of consciousness. 2018:119-35.
Purroy F, Montala N. Epidemiology of stroke in the last decade: a systematic review. Revista de neurologia. 2021;73(9):321-36.
Koren Y, Kalichman L. Deep tissue massage: What are we talking about? Journal of Bodywork and Movement Therapies. 2018;22(2):247-51.
Lomovtsev I, Tsvetkova E, Gusakova E. Impact of Repetitive Peripheral Magnetic Stimulation on Post-Stroke Patients with Upper Limb Spasticity-A Randomized Controlled Trial. Int J Res Phys Med Rehabil. 2023;1(1):1-7.
Koutroulou I, Tsivgoulis G, Tsalikakis D, Karacostas D, Grigoriadis N, Karapanayiotides T. Epidemiology of patent foramen ovale in general population and in stroke patients: a narrative review. Frontiers in Neurology. 2020;11:281.
Sunnerhagen K, Opheim A, Murphy MA. Onset, time course and prediction of spasticity after stroke or traumatic brain injury. Annals of physical and rehabilitation medicine. 2019;62(6):431-4.
Homola А, Prokopovych YV, Antonova-Rafi Y. PHYSICAL THERAPY FOR PATIENTS AFTER STROKE. Art of Medicine. 2021:18-26.
Lin-xiang W, Wen-jie C, Ying F, Yang-yang Z, Chun-xiu W. Effect of acupuncture and massage combined with rehabilitation training on elderly patients with spastic hemiplegia after stroke. Chinese Journal of General Practice. 2022;20(10):1760-2.
Sankaran R, Kamath R, Nambiar V, Kumar A. A prospective study on the effects of Ayurvedic massage in post-stroke patients. Journal of Ayurveda and Integrative medicine. 2019;10(2):126-30.
Cabanas-Valdés R, Calvo-Sanz J, Serra-Llobet P, Alcoba-Kait J, González-Rueda V, Rodríguez-Rubio PR. The effectiveness of massage therapy for improving sequelae in post-stroke survivors. A systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2021;18(9):4424.
Alimohammad HS, Ghasemi Z, Shahriar S, Morteza S, Arsalan K. Effect of hand and foot surface stroke massage on anxiety and vital signs in patients with acute coronary syndrome: A randomized clinical trial. Complementary therapies in clinical practice. 2018;31:126-31.
Parikh RJ, Sutaria JM, Ahsan M, Nuhmani S, Alghadir AH, Khan M. Effects of myofascial release with tennis ball on spasticity and motor functions of upper limb in patients with chronic stroke: A randomized controlled trial. Medicine. 2022;101(31).
Triccas LT, Kennedy N, Smith T, Pomeroy V. Predictors of upper limb spasticity after stroke? A systematic review and meta-analysis. Physiotherapy. 2019;105(2):163-73.
BİNGÖL H, YILMAZ Ö. Effects of functional massage on spasticity and motor functions in children with cerebral palsy: a randomized controlled study. Journal of Exercise Therapy and Rehabilitation. 2018;5(3):135-42.
Plantin J, Pennati GV, Roca P, Baron J-C, Laurencikas E, Weber K, et al. Quantitative assessment of hand spasticity after stroke: imaging correlates and impact on motor recovery. Frontiers in neurology. 2019;10:836.
Frost-Hunt A. Effects of massage therapy on multiple sclerosis: A case report. International Journal of Therapeutic Massage & Bodywork. 2020;13(4):35.
Mei F, Dong W, Min Y, Xiao-hui W. Clinical study on Effects of Acupuncture and tui na (Chinese Nedical Massage) Combined with Rehabilitation Therapy on Neuromotor Function Rehabilitation in Stroke Patients with Limb Dysfunction and Its Influence to Quality of Life. International Journal of Clinical Acupuncture. 2021;30(1).
Vinothkumar P. A study to assess the effectiveness of back massage on reduction of pain and anxiety among patients with stroke at selected hospital, Madurai: Matha College of Nursing, Manamadurai; 2018.
Yunhui X, Hao G, Qing Z, Dejie L, Ying G, Junxing X, et al. Efficacy of meridian massage for motor function after a stroke: a systematic review and Meta-analysis. Journal of Traditional Chinese Medicine. 2022;42(3):321.
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