Natural Standard Monograph, Copyright © 2014 (www.naturalstandard.com). Commercial distribution prohibited. This monograph is intended for informational purposes only, and should not be interpreted as specific medical advice. You should consult with a qualified health care professional before making decisions about therapies and/or health conditions.
The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious and should be evaluated by a qualified health care professional.
Uses based on scientific evidence
These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare professional.
Well-being in cancer patients
Various forms of massage are often used in patients with cancer with the aim to improve well-being and reduce anxiety. Additional scientific evidence is needed to draw a firm conclusion in this area.
Massage may help reduce aggressive behavior in adolescents, but there is currently not enough evidence on which to base a strong recommendation. More studies are needed to evaluate this use of massage.
Massage shows promise as an adjunct to traditional medical detoxification for alcohol. Further research is needed to confirm these results.
Several human trials have assessed the effects of massage in patients with anxiety, including those with cancer or chronic illnesses, hospitalized for psychiatric disorders, pre-operative anxiety- anxious about themselves or for their children having surgery, dementia, multiple sclerosis, before/during medical procedures, depressed adolescent mothers, women with premenstrual syndrome, patients with fibromyalgia, and in elderly institutionalized patients. Additional research is necessary in order to form a scientifically based recommendation.Preliminary research suggests that aromatherapy used with massage may help to calm people with dementia who are agitated. However, it is not clear if this approach is any better than aromatherapy used alone.
Arthritis (rheumatoid, osteoarthritis)
Massage may benefit children with rheumatoid arthritis, but there is currently not enough scientific data on which to base a strong recommendation for this use of massage.
Promising initial evidence suggests that massage therapy may be beneficial to the lung function of children with asthma. Additional research is necessary before a firm conclusion can be drawn.
Massage administered by the parent may help children with atopic dermatitis. More studies are needed before recommendations for or against massage can be made in this condition.
Attention deficit hyperactivity disorder (ADHD)
Preliminary research suggests massage therapy may improve mood and behavior in children with ADHD. Additional evidence is needed before a recommendation can be made.
Massage may help improve sleep patterns, induce relaxation, and improve behavior patterns in autism. However, there is currently not enough data on which to base concrete recommendations in this condition.
Several human trials report temporary improvements in low back pain with various massage methods. A recent study showed slightly more efficacy for traditional therapy; however, the additional benefits of massage may add to its value for holistic nursing practice. Additional research is necessary in order to form a scientifically based recommendation.
Bone marrow transplantation
Limited evidence suggests possible modest benefits for psychological well-being from massage in bone marrow transplantation. More studies are needed.
Burn and wound care
There is some evidence from one small study suggesting massage may reduce stress in burn patients.
Cerebral palsy (spastic diplegia in adolescents)
Early evidence suggests a possible benefit of calf massage for children with spastic diplegia, a form of cerebral palsy. However, more study is needed.
Chemotherapy induced nausea and vomiting
Massage has been used to treat nausea, anxiety, and depression in patients with breast cancer undergoing chemotherapy. Massage may help nausea, but effects on anxiety and depression in these patients is unclear.
Based on preliminary evidence, massage alone, or in combination with mindfulness-based stress reduction, may benefit patients with chronic pain. More research is needed to confirm these results.
A small number of human trials report that abdominal massage may be helpful in patients with constipation. Overall, these studies are not well designed or reported. Better quality research is necessary before a definitive conclusion can be reached.
Critical illness (intensive care unit patients)
Limited evidence suggests that simple massage techniques in the critical care unit may help reduce indices of stress and improve mood. More studies are needed.
Early evidence suggests that parent-administered massage may benefit mood and air flow in children with cystic fibrosis.
Massage with or without essential oils has been used in patients with dementia in chronic care facilities to assess effects on behavior. There is compelling early evidence that aromatherapy with essential oils may reduce agitation in patients with dementia, although the effects of massage itself are not clear.
There is insufficient evidence to determine if massage is beneficial in patients with major depressive disorder, situational mood disorders, critical illness, pregnancy, or postnatal depression (including infant massage).
There is early evidence suggesting that parental massage of children with diabetes may benefit blood sugar levels and symptom levels. There is also some evidence suggesting that self-massage of injection sites may increase insulin absorption.
Massage may play a role in enhancing the sensitivity and diagnostic ability of lymphatic mapping in breast cancer patients.
Sunflower therapy, which includes applied kinesiology, physical manipulation, massage, homeopathy, herbal remedies, and neuro-linguistic programming, has been studied for childhood dyslexia. Although initial research appears promising, additional studies are needed to make a firm recommendation.
Several studies of weak design have suggested that massage may benefit post-exercise muscle soreness. However, the data are insufficient to form definitive conclusions.
A small number of studies report that massage may improve pain, depression, and quality of life in fibromyalgia patients. Additional research is necessary in order to form a scientifically based recommendation.
Hand grip strength
There is insufficient evidence to determine if massage is beneficial in for improving hand grip strength. Early study results conflict.
High blood pressure
Based on early study, massage may decrease blood pressure in hypertensive patients. More high-quality studies are needed.
Evidence is limited and mixed as to whether massage may be of benefit to immune functioning or health services utilization in people with HIV.
Hypoxia (lack of oxygen)
Limited study suggests a potential benefit for massage to help children recover from impairment of the central nervous system due to lack of oxygen. More study is needed.
Iliotibial band friction syndrome
There is insufficient evidence to determine if massage is beneficial in patients with iliotibial band friction syndrome.
Preliminary evidence suggests massage therapy may preserve immune function. Further research is needed before a firm conclusion can be made.
Infant development / neonatal care
Massage has been used in pre-term infants by therapists or mothers with a goal to improve infant development and weight gain. It is not clear from existing studies if this is a beneficial therapy.
There is currently not enough scientific evidence available on whether massage is an effective therapy for migraine.
Initial research reports that massage may improve anxiety, depression, self-esteem, body image, and social functioning in patients with multiple sclerosis. Benefits on the disease process itself have not been well evaluated. Additional research is necessary before a firm conclusion can be drawn.
Preliminary research reports that massage may help relieve chronic pain. Soft tissue massage may also improve range of motion and function. Further well-designed study is needed to confirm these results.
Early evidence suggests that massage may reduce the number and intensity of painful trigger points. More studies are needed.
Massage limited to local areas of the body rather than full body massage may be beneficial in neck or shoulder pain. It remains unclear whether massage itself is effective, and if so, if it is more effective than acupuncture.
Early scientific evidence suggests that people with Parkinson's disease might have reduced symptoms after massage. More studies are needed.
Various massage approaches have been used after surgery with the aim to improve recovery and decrease pain. Further study is needed in this area before a recommendation can be made.
Pregnancy and labor
Various massage approaches have been used during pregnancy and labor and are more commonly used in Europe than in the United States. Reduction of pain or anxiety is a common goal. It is not clear how birth outcomes are affected or if this is a safe intervention. Women who are pregnant should consult with their obstetrician before beginning massage therapy.
Initial research of the effects of massage on mood in women with premenstrual dysphoric disorder (PMDD) is inconclusive. A recent study investigating abdominal meridian massage (Kyongrak) found positive effects for menstrual cramps and dysmenorrhea. Further study is needed before a recommendation can be made.
Preparation for surgery
A small number of studies have attempted to evaluate the contribution of massage in preparation for invasive surgical procedures. However, results are mixed.
Quality of life (nursing home residents)
Hand massage did not appear to alter comfort levels or satisfaction with care in nursing home residents in one study. Larger, well-designed studies are needed before a recommendation can be made.
Early research suggests that massage as a means of general rehabilitation for the bedridden elderly or elderly living in long-term care facilities has not been demonstrated to have significant benefits. More studies are needed before a firm recommendation can be made.
Massage may be generally beneficial in rheumatic pain conditions. However, evidence is insufficient to make a strong recommendation.
Scar healing (hypertrophic, pediatric)
It is unclear whether massage can reduce the severity of hypertrophic scarring in children. More studies are needed before this use of massage can be evaluated.
Spinal cord injury
Early evidence suggests that massage may benefit patients with spinal cord injury. In these patients, abdominal massage may also have positive effects on bowel dysfunction. However, evidence is insufficient on which to base recommendations.
A 15-minute weekly massage has been studied for the reduction of physical and psychological stress in nurses. Massage was not beneficial for physical stress, but was found beneficial in reducing psychological stress levels. Further study is warranted.
*Key to grades:
A: Strong scientific evidence for this use;B: Good scientific evidence for this use; C: Unclear scientific evidence for this use;D: Fair scientific evidence against this use (it may not work);F: Strong scientific evidence against this use (it likely does not work).
For full grading rationale, click here.
Uses based on tradition or theory
The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified health care professional
Alertness, Alzheimer's disease, athletic performance, balance and posture, body fat reducer (cellulite), breathing enhancement, bronchitis, bulimia, cancer, chronic fatigue syndrome, circulation improvement, colitis, coronary heart disease, Crohn's disease, diabetic neuropathy, diarrhea, digestion enhancement, diverticulitis, endorphin release stimulation, epilepsy, fatigue, gastritis, gastrointestinal disorders (colon motility), headache (tension-type), heart rate reduction, hormonal imbalances, increasing parasympathetic nervous system activity, inflammation, inflammatory bowel disease, insomnia, intensive care unit stress, irritable bowel syndrome, joint disorders, leukemia, levator ani syndrome (coccygodynia), lumbar disc herniation, lymph flow enhancement, malnutrition (emaciation in children), mastectomy adjunct, maternal-infant bonding, menorrhagia, menstrual cramps, muscle and joint disorders (muscle damage), muscle relaxation, muscle spasm, muscle wasting/weakness, nausea, pain, perineal trauma, peripheral neuropathy, plantar fasciitis, postpartum hemorrhage (bleeding), pressure ulcers, prostatitis/chronic pelvic pain syndrome, pruritus (itching), repetitive strain injury, restless leg syndrome, seizure disorder, self esteem, self-image improvement, sexual problems, sinusitis, skin care, sleep disorders, smoking cessation, sports injuries, sprains, strains, stroke, temporomandibular joint disorder (TMJ), tendonitis, ulcerative colitis, vision (myopia), weight loss.
Many complementary techniques are practiced by healthcare professionals with formal training, in accordance with the standards of national organizations. However, this is not universally the case, and adverse effects are possible. Due to limited research, in some cases only limited safety information is available.
Natural Standard developed the above evidence-based information based on a systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.
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