Effectiveness of Soft Tissue Massage for Nonspecific Shoulder Pain: Randomized Controlled Trial
van den Dolder PA1, Ferreira PH2, Refshauge KM3
PHYS THER November 2015 95:1467-1477
BACKGROUND:
Soft tissue massage and exercise are commonly used to treat episodes of shoulder pain.
軟部組織マッサージとエクササイズは肩の痛みの治療に一般によく使われる
OBJECTIVE:
The study objective was to compare the effects of soft tissue massage and exercise with those of exercise alone on pain, disability, and range of motion in people with nonspecific shoulder pain.
この研究の目的は、軟部組織マッサージとエクササイズの組み合わせとエクササイズのみの効果を比較することである。非特異的肩痛者の痛み、障害、関節可動域を評価した。
DESIGN:
This was a randomized controlled trial.
SETTING:
The study was conducted in public hospital physical therapy clinics in Sydney, New South Wales, Australia.
オーストラリア、ニューサウスウェールズ州シドニーにある公立病院の理学療法クリニックにて行われた。
PARTICIPANTS:
The study participants were 80 people with an average age of 62.6 years (SD=12.2) who were referred to physical therapists for treatment of nonspecific shoulder pain.
非特異的肩痛の治療のために理学療法士に照会された平均年齢62.6歳(SD=12.2)の患者80人
INTERVENTION:
Participants were randomly assigned to either a group that received soft tissue massage around the shoulder and exercises (n=40) or a group that received exercise only (n=40) for 4 weeks.
ランダムにそれぞれのグループに40人ずつ振り分けられた。期間は4週間である。
MEASUREMENTS:
The primary outcome was improvement in pain, as measured on a 100-mm visual analog scale, 1 week after the cessation of treatment. Secondary outcomes were disability and active flexion, abduction, and hand-behind-back range of motion. Measurements were obtained at baseline, 1 week after the cessation of treatment, and 12 weeks after the cessation of treatment.
第一のアウトカムは100-mm visual analog scaleを用いて痛みの改善について、治療休止1週間後に測られた。第二のアウトカムは運動障害、自動屈曲と外転、hand-behind-back range of motionであった。計測はベースラインで得られ、治療休止1週間後、治療休止12週間後に測定された。
RESULTS:
The between-group difference in pain scores from the baseline to 12 weeks after the cessation of treatment demonstrated a small significant difference in favor of the group receiving exercise only (mean difference=14.7 mm). There were no significant differences between groups in any other variable.
治療休止12週間後のベースラインからの痛みスコアの両グループの差はわずかな有意差を示した。エクササイズのみの群が14.7ｍｍの差で良好であった。どの変数も両グループ間に有意差を認めなかった。
LIMITATIONS:
It was not possible to mask therapists or participants to group allocation. Diagnostic tests were not used on participants to determine specific shoulder pathology.
グループの割り当てをセラピスト、対象者にマスク（隠す）することは不可能だった。特異的に肩の病変を決定する診断的テストは対象者に行われなかった。
CONCLUSIONS:
The addition of soft tissue massage to an exercise program for the shoulder conferred no additional benefit for improving pain, disability, or range of motion in people with nonspecific shoulder pain.
エクササイズに軟部組織マッサージを加えることは、非特異的肩痛患者の痛みの改善、機能障害、関節可動域に対して、付加的な利益をもたらさなかった。