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Author Topic: Cancer Pain Relief After Healing Touch and Massage  (Read 371 times)

YanTing

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Cancer Pain Relief After Healing Touch and Massage
« on: January 12, 2019, 04:18:52 PM »

The Journal of Alternative and Complementary Medicine Vol. 24, No. 9-10 p. 968-973 (2018)

Cancer Pain Relief After Healing Touch and Massage
Danielle Gentile, PhD (1), Danielle Boselli, MS (2), Gail O’Neill, MS (1), Susan Yaguda, MSN, RN (1), Chasse Bailey-Dorton, MD, MSPH (1) and Tara A. Eaton, PhD (3)

1 Department of Supportive Oncology, Levine Cancer Institute, Atrium Health (Formerly Carolinas Healthcare System), Charlotte, North Carolina.
2 Cancer Biostatistics Levine Cancer Institute, Atrium Health, Charlotte, North Carolina.
3 Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina.

Abstract

Objectives: To establish and compare the effectiveness of Healing Touch (HT) and Oncology Massage (OM) therapies on cancer patients' pain.
Design: pretest/post-test, observational, retrospective study.
Settings/Location: Outpatient oncology setting at an academic hybrid, multisite, community-based cancer institute.
Subjects: n=572 cancer outpatients.
Interventions: Patients reported pain before and after receiving a single session of either HT or OM from a certified practitioner.
Outcome measures: Pain scores from 0=no pain to 10=worst possible pain.
Results: Two hundred ninety-one patients (50.9%) receiving HT and 281 (49.1%) receiving OM reported pretherapy and post-therapy pain. Pretherapy mean pain was higher in HT patients (M=5.1, ±2.2) than OM (M=4.4, ±2.2), p<0.001; post-therapy mean pain remained higher in HT patients (M=2.6, ±2.1) than OM (M=2.0, ±1.8), p<0.001. Both HT (p<0.01) and OM (p<0.01) significantly reduced pain. Unadjusted rates of clinically significant pain improvement (defined as =2-point reduction in pain score) were 0.68 HT and 0.71 OM. Adjusted for pretherapy pain, OM was associated with increased odds of pain improvement (odds ratio [OR] 1.49 95% confidence interval (1.02–2.19); p=0.041). For patients with severe pretherapy pain, OM was not more effective in yielding clinically significant pain reduction (p=0.236) when adjusting for pretherapy pain score.
Conclusions: Both HT and OM provided immediate pain relief. Future research should explore the duration of pain relief, patient attitudes about HT compared with OM, and how this may differ among patients with varied pretherapy pain levels.

Free full text:
https://www.liebertpub.com/doi/full/10.1089/acm.2018.0192

Excerpts:

"The growing field of integrative oncology (IO) provides pain management solutions that meet these guidelines. With better symptom control, patient suffering is reduced and ability to endure conventional cancer treatments (i.e., surgery, radiation, chemotherapy) is improved.6 IO uses safe, evidence-based complementary medicine alongside conventional cancer treatment. It seeks to improve the mind, body, and spirit through providing nonpharmacologic, noninvasive, and nonsurgical symptom control options.7 Integrative therapies include Healing Touch (HT), massage, acupuncture, mindfulness, Reiki, and others to ease physical and emotional cancer symptoms.8 Integrative therapies HT and Oncology Massage (OM) are promising in managing certain types of pain for some cancer patients or as an adjuvant to other pain management modalities, including opioids."

"Based on ancient Eastern healing practices, HT is a biofield therapy in the field of energy medicine9 that helps to restore and balance energy that has been disrupted due to stress, illness, injury, grief, or medical treatments such as chemotherapy and radiation. HT practitioners use light, gentle touch and/or make sweeping hand motions with their hands near the patient's body to restore and balance energy interrupted by emotional and physical stressors.10 It has demonstrated ability to improve health-related quality of life and reduce respiratory rate, heart rate, blood pressure, pain, mood disturbances, and fatigue.9 In a randomized controlled trial on women with cancer, HT resulted in better health-related quality of life, physical functioning, and vitality with reduced pain.11 Multiple studies suggest that HT effectively manages pain in cancer patients,12,13 but further studies are needed.9"

"Oncology Massage (OM) is also a useful tool for managing physical and emotional stressors associated with cancer and its treatments. OM therapists apply gentle pressure and kneading of patients' muscles and joints."

"Few studies compare HT with OM for pain improvement. Post-White et al. found that pain was significantly reduced by both HT and OM, although HT was not directly compared with massage.17 A study of patient outcomes after Reiki (an energy therapy related to HT), massage, and yoga found no significant differences across the modalities in reducing pain.18"

"Patients were either advised by a healthcare provider to receive therapy or self-referred...Patients were able to self-select the therapy modality they preferred."

"HT techniques were customized to patient needs. Before administering HT, the practitioner and patient set an intention for the patient's highest good. Then, the practitioner centered, grounded, and connected with the patient's human energy field. Light touch or near-body touch techniques included the following: (1) Magnetic Clearing to clear energetic congestion from the human energy field; (2) Ultrasound to release congestion in the energy field; (3) Mind Clearing to decrease stress and promote relaxation; and (4) The Chakra Connection to connect, open, and balance the energy centers (chakras)."

"OM utilized light Swedish techniques, including effleurage (gliding, rhythmic strokes), petrissage (gentle kneading), and gentle 'energy' holds to meet individual therapeutic needs."

"These findings bolster previous research suggesting that both17 HT9,11 and massage12,13,25,26 effectively reduce pain in cancer patients."

"These findings represent noteworthy contributions to the field of IO and study of pain management with integrative therapies by demonstrating that both HT and OM provided immediate pain relief after a single therapy session in a large, diverse routine clinical care patient population."

"The authors gratefully acknowledge the 24 Foundation, which provided funds to provide Healing Touch and Oncology Massage services."

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Comments:
The authors were able to get funding from a group that is not specifically oriented toward alternative therapies: "24 Foundation is a registered 501(c)(3) non-profit charity located in Charlotte, North Carolina with a mission to inspire and engage communities to make an immediate impact on the lives of people affected by cancer. "
https://www.24foundation.org/about/

Edzard Ernst discussed this study in his Oct. 18 blog post:
https://edzardernst.com/2018/10/healing-touch-and-massage-both-increase-cancer-pain/

He noted that "As there was no adequate control group, these outcomes cannot be attributed to the interventions administered...In fact, the data are consistent with the hypothesis that HT and OM both aggravated the pain (the results might have been better without HT and OM)."

He also wrote: "This paper made me laugh out loud; no, not because of the ‘certified’ practitioners (in the UK, we use this term to indicate that someone is not quite sane), but because of the admission that the authors aimed at establishing the effectiveness of their therapies. Most researchers of alternative medicine have exactly this motivation, but few make the mistake to write it into the abstract of their papers."
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