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Related Experiment Videos

Massage for mechanical neck disorders.

B G Haraldsson1, A R Gross, C D Myers

  • 1North Surrey Massage Therapy Clinic, 201-10366 136A Street, Surrey, BC, Canada V3T 5R3. bodhigharaldsson@yahoo.ca

The Cochrane Database of Systematic Reviews
|July 21, 2006
PubMed
Summary
This summary is machine-generated.

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The effectiveness of massage for mechanical neck disorders (MND) remains uncertain due to low-quality studies and inconsistent results. Further research is needed to establish optimal massage protocols and its role in multimodal treatments.

Area of Science:

  • Evidence-based practice
  • Complementary and alternative medicine
  • Musculoskeletal disorders

Background:

  • Mechanical neck disorders (MND) are prevalent, causing disability and significant healthcare costs.
  • Massage is a frequently utilized therapy for managing neck pain.

Purpose of the Study:

  • To evaluate the efficacy of massage in alleviating pain and improving function for adults with neck pain.
  • To assess patient satisfaction and the economic impact of massage therapy.
  • To document any adverse effects associated with massage treatment.

Main Methods:

  • A systematic review of randomized or quasi-randomized trials was conducted.
  • Searches included multiple databases (Cochrane CENTRAL, MEDLINE, EMBASE, MANTIS, CINAHL, ICL) up to September 2004.

Related Experiment Videos

  • Data extraction and quality assessment were performed independently by two reviewers; a random-effects model was used for analysis.

    • Main Results:

    • Nineteen trials met the inclusion criteria, but most (12/19) were of low methodological quality.
    • Heterogeneity between studies precluded statistical pooling; a levels-of-evidence approach was adopted.
    • Results for massage as a standalone treatment were inconsistent, and its contribution in multimodal interventions remains unclear due to study design limitations.

    Conclusions:

    • Current evidence is insufficient to recommend massage for neck pain.
    • Further high-quality pilot studies are required to define optimal massage parameters (frequency, duration, technique).
    • Future trials should employ rigorous designs, including factorial designs for multimodal interventions, and adhere to improved reporting standards (e.g., CONSORT) for massage characteristics and outcomes.