CLINICAL RESEARCH POSTER PRESENTATION ABSTRACTS
Please note: All posters will be displayed in Salons 10-12.

FRIDAY, 5:45-6:30 PM


Cambron JA, Dexheimer JM, Coe P, Swenson R.

Side effects of massage therapy: a pilot study.

National University of Health Sciences jcambron@nuhs.edu

Massage therapy is a very popular form of treatment with reported relaxation and pain reduction benefits. However, in a recent article, several case reports identified serious side effects from massage. These negative side effects are considered rare and are frequently due to "exotic" types of massage or massage delivered by laymen (Ernst, 2003). The purpose of this pilot study is to determine the incidence of negative side effects as well as the incidence of unexpected positive side effects due to massage care. Consecutive new and returning massage therapy clients were asked if they were willing to participate in this study. Of the 142 clients asked, 100 agreed to participate. Two days after the massage, a research assistant contacted the client to administer a telephone screen inquiring about negative and positive side effects of the massage session. Ninety-one subjects completed all survey questions.

The majority of subjects were female (71.4%) and Caucasian (90.1%). Approximately one-half (50.6%) were married. Most were returning clients (71.4%) and described their reason for seeking massage as relaxation (52.8%), overall muscle tension or joint pain (28.6%), back pain (24.2%) and/or neck and shoulder pain (19.8%). No questions were asked regarding improvement in primary complaint or client satisfaction. Of the 91 subjects surveyed, 9 (10%) stated that they experienced one or more additional discomforts or unpleasant reactions to the massage. The most common complaint was increased discomfort or soreness (10%) starting <12 hours after the massage and lasting 24 hours or less. Other infrequent complaints were tiredness or fatigue (1.1%), headache (1.1%), and bruising (1.1%). No major side effects occurred during this study. In terms of unexpected positive side effects, 21 (23.1%) of the 91 subjects experienced one or more positive changes unrelated to their primary complaint. The most common positive side effects were non-musculoskeletal, including improvement in mood and emotional well-being (9.9%), digestive function (5.5%), respiration (3.3%), and circulation (3.3%). Most positive benefits lasted >48 hours. This pilot study is the first to define the incidence of side effects due to massage therapy treatment. Overall, 10% of the massage clients experienced some minor discomfort after the massage session, however 23% experienced unexpected, non-musculoskeletal positive side effects. These data are important for risk-benefit analyses of massage care. Larger studies are needed to verify these data and to assess effects of different massage types and durations.

 

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