Improving Clinical Outcomes and Quality of Life with Massage Therapy in Youth and Young Adults with Cystic Fibrosis: a Pilot Study
Background: Cystic Fibrosis (CF) is an autosomal recessive disorder of exocrine glands characterized by abnormal production of thick mucus, primar-ily in bronchi of the lungs. Individuals experience recurrent respiratory infections, increased work of breathing, cough and musculoskeletal changes with pain. Previous research found that massage therapy (MT) decreased pain, muscle tightness, and anxiety in individuals with CF, but did not use valid/reliable measurements of quality of life (QOL).
Purpose: To evaluate the effects of MT on QOL and clinical outcomes in individuals 8 to 21 years old with CF.
Setting: A 622-bed nonprofit pediatric hospital in Ohio in the United States.
Participants: Convenience sample of 24 patients with CF; 12 randomly assigned to treatment and control groups, respectively.
Research Design and Intervention: Prospective two-group controlled pre/post pilot study using deep tissue myofascial trigger point massage over 10 to 12 weeks.
Measurements: Pediatric Quality of Life Inven-tory (Peds QL 4.0); Cystic Fibrosis Questionnaire-Revised (CFQ-R); numeric rating scales (NRS) for pain, muscle tightness, ease of breathing, relax-ation; pulmonary function (PFT); single breath count; thoracic excursion (TE).
Results: All participants were Caucasian; mean age 15.7 (SD = 3.5) years; 16 (66.6%) female. No significant differences were found in terms of age, gender, baseline pain between MT and control groups. At the final visit, compared to the control group, the children in MT group showed statistically significantly reduced muscle tight-ness (p = .048) with a large effect size (?²=0.163) and marginally statistically significantly higher levels of relaxation (p = .052), less pain (p = .076), and improved upper TE (p = .078) and lower TE (p = .056) scores with large and moderate effect sizes (?² = 0.156, ?² = 0.095, ?² = 0.083, and ?² = 0.073). No statistically significant differences in children’s and caregivers’ QOL scores between the two groups were found.
Conclusions: Massage therapy was found to significantly reduce muscle tightness, marginally significantly help pain, relaxation, and thoracic excursion in participants with CF
Downloads the last 12 months
Articles published in this journal are licensed under the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (see http://creativecommons.org/ and http://creativecommons.org/licenses/by-nc-nd/3.0/). Accordingly, the following conditions apply: (a) Copyright for articles published in this journal is retained by authors, with first publication rights granted to the journal. (b) By virtue of their appearance in this open-access journal, articles are free to use, with proper attribution, in educational and other non-commercial settings. (c) Derivative works are not allowed in that a user may not alter, transform, or add additional content to an article published in this journal.