Tags

Type your tag names separated by a space and hit enter

Comparison of manual lymph drainage therapy and connective tissue massage in women with fibromyalgia: a randomized controlled trial.

Abstract

OBJECTIVE

This study analyzed and compared the effects of manual lymph drainage therapy (MLDT) and connective tissue massage (CTM) in women with primary fibromyalgia (PFM).

METHODS

The study design was a randomized controlled trial. Fifty women with PFM completed the study. The patients were divided randomly into 2 groups. Whereas 25 of them received MLDT, the other 25 underwent CTM. The treatment program was carried out 5 times a week for 3 weeks in each group. Pain was evaluated by a visual analogue scale and algometry. The Fibromyalgia Impact Questionnaire (FIQ) and Nottingham Health Profile were used to describe health status and health-related quality of life (HRQoL). Wilcoxon signed rank test and Mann-Whitney U test were used to analyze the data.

RESULTS

In both groups, significant improvements were found regarding pain intensity, pain pressure threshold, and HRQoL (P < .05). However, the scores of FIQ-7 (P = .006), FIQ-9 (P = .006), and FIQ-total (P = .010) were significantly lower in the MLDT group than they were in the CTM group at the end of treatment.

CONCLUSIONS

For this particular group of patients, both MLDT and CTM appear to yield improvements in terms of pain, health status, and HRQoL. The results indicate that these manual therapy techniques might be used in the treatment of PFM. However, MLDT was found to be more effective than CTM according to some subitems of FIQ (morning tiredness and anxiety) and FIQ total score. Manual lymph drainage therapy might be preferred; however, further long-term follow-up studies are needed.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    School of Physical Therapy and Rehabilitation, Ahi Evran University, Kirsehir, Turkey.

    , ,

    Source

    MeSH

    Adult
    Connective Tissue
    Drainage
    Female
    Fibromyalgia
    Humans
    Lymphatic Vessels
    Massage
    Middle Aged
    Pain Measurement
    Pain Threshold
    Patient Satisfaction
    Probability
    Quality of Life
    Reference Values
    Risk Assessment
    Severity of Illness Index
    Statistics, Nonparametric
    Treatment Outcome

    Pub Type(s)

    Comparative Study
    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    19243724

    Citation

    Ekici, Gamze, et al. "Comparison of Manual Lymph Drainage Therapy and Connective Tissue Massage in Women With Fibromyalgia: a Randomized Controlled Trial." Journal of Manipulative and Physiological Therapeutics, vol. 32, no. 2, 2009, pp. 127-33.
    Ekici G, Bakar Y, Akbayrak T, et al. Comparison of manual lymph drainage therapy and connective tissue massage in women with fibromyalgia: a randomized controlled trial. J Manipulative Physiol Ther. 2009;32(2):127-33.
    Ekici, G., Bakar, Y., Akbayrak, T., & Yuksel, I. (2009). Comparison of manual lymph drainage therapy and connective tissue massage in women with fibromyalgia: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 32(2), pp. 127-33. doi:10.1016/j.jmpt.2008.12.001.
    Ekici G, et al. Comparison of Manual Lymph Drainage Therapy and Connective Tissue Massage in Women With Fibromyalgia: a Randomized Controlled Trial. J Manipulative Physiol Ther. 2009;32(2):127-33. PubMed PMID: 19243724.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Comparison of manual lymph drainage therapy and connective tissue massage in women with fibromyalgia: a randomized controlled trial. AU - Ekici,Gamze, AU - Bakar,Yesim, AU - Akbayrak,Turkan, AU - Yuksel,Inci, PY - 2008/04/16/received PY - 2008/09/25/revised PY - 2008/10/25/accepted PY - 2009/2/27/entrez PY - 2009/2/27/pubmed PY - 2009/6/16/medline SP - 127 EP - 33 JF - Journal of manipulative and physiological therapeutics JO - J Manipulative Physiol Ther VL - 32 IS - 2 N2 - OBJECTIVE: This study analyzed and compared the effects of manual lymph drainage therapy (MLDT) and connective tissue massage (CTM) in women with primary fibromyalgia (PFM). METHODS: The study design was a randomized controlled trial. Fifty women with PFM completed the study. The patients were divided randomly into 2 groups. Whereas 25 of them received MLDT, the other 25 underwent CTM. The treatment program was carried out 5 times a week for 3 weeks in each group. Pain was evaluated by a visual analogue scale and algometry. The Fibromyalgia Impact Questionnaire (FIQ) and Nottingham Health Profile were used to describe health status and health-related quality of life (HRQoL). Wilcoxon signed rank test and Mann-Whitney U test were used to analyze the data. RESULTS: In both groups, significant improvements were found regarding pain intensity, pain pressure threshold, and HRQoL (P < .05). However, the scores of FIQ-7 (P = .006), FIQ-9 (P = .006), and FIQ-total (P = .010) were significantly lower in the MLDT group than they were in the CTM group at the end of treatment. CONCLUSIONS: For this particular group of patients, both MLDT and CTM appear to yield improvements in terms of pain, health status, and HRQoL. The results indicate that these manual therapy techniques might be used in the treatment of PFM. However, MLDT was found to be more effective than CTM according to some subitems of FIQ (morning tiredness and anxiety) and FIQ total score. Manual lymph drainage therapy might be preferred; however, further long-term follow-up studies are needed. SN - 1532-6586 UR - https://www.unboundmedicine.com/medline/citation/19243724/Comparison_of_manual_lymph_drainage_therapy_and_connective_tissue_massage_in_women_with_fibromyalgia:_a_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-4754(08)00352-7 DB - PRIME DP - Unbound Medicine ER -