The effectiveness of massage therapy for improving sequelae in post-stroke survivors. A systematic review and meta-analysis
Autor/a
Cabanas-Valdés, Rosa María
Calvo-Sanz, Jordi
Serra Llobet, Pol
Alcoba-Kait, Joana
González Rueda, Vanessa
Rodríguez-Rubio, Pere Ramón
Fecha de publicación
2021ISSN
1660-4601
Resumen
Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors. Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Two reviewers independently screened references, selected relevant studies, extracted data and assessed the risk of bias using the PEDro scale. The primary outcome was upper and lower limb motor function and spasticity. Results: A total of 3196 studies were identified and 18 RCT were finally included (1989 individuals). A meta-analysis of RCTs in the comparison of Chinese massage (Tuina) plus conventional physiotherapy versus conventional physiotherapy was performed. The mean difference (MD) in the subacute stage on upper limb motor-function using the Fugl Meyer Assessment was 2.75; (95% confidence interval (CI) from 0.97 to 4.53, p = 0.002, I2 = 36%). The MD on upper limb spasticity using modified Ashworth scale was −0.15; (95% CI from −0.24 to −0.06, p < 0.02, I2 = 0%).The MD on lower limb spasticity was −0.59; (95% CI from −0.78 to −0.40, p < 0.001, I2 = 0%) in the endpoint. Conclusions: Therapeutic massage, especially Tuina, in addition to conventional therapy is effective for improving motor function and for reducing spasticity in stroke survivors.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
Inglés
Materias (CDU)
61 - Medicina
616.7 - Patología de los órganos de la locomoción. Sistema locomotor y esquelético
Palabras clave
Fisioteràpia
Espasticitat
Malalties cerebrovasculars
Fisioterapia
Espasticidad
Enfermedades cerebrovasculares
Physiotherapy
Spasticity
Cerebrovascular disorders
Páginas
18
Publicado por
MDPI
Colección
18;9
Publicado en
International Journal of Environmental Research and Public Health
Citación
Cabanas-Valdés, Rosa; Calvo-Sanz, Jordi; Serra-Llobet, Pol [et al.]. The effectiveness of massage therapy for improving sequelae in post-stroke survivors. A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 2021, 18(9), 4424. Disponible en: <https://www.mdpi.com/1660-4601/18/9/4424>. Fecha de acceso: 27 abr. 2021. DOI: 10.3390/ijerph18094424
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