Next Article in Journal
Gait Speed as a Predictor for Diabetes Incidence in People with or at Risk of Knee Osteoarthritis: A Longitudinal Analysis from the Osteoarthritis Initiative
Previous Article in Journal
We Want More Than Life-Sustaining Treatment during End-of-Life Care: Focus-Group Interviews
Review

The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

1
Physiotherapy Department, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
2
Physiotherapy Department, School of Health Sciences, Tecno Campus, Mataró-Pompeu Fabra University (TCM-UPF), 08302 Barcelona, Spain
3
Hospital Asepeyo Sant Cugat del Vallès, 08174 Barcelona, Spain
4
CENAC, 08028 Barcelona, Spain
5
Fundació Institut Universitari per a la Recerca a l’Atenció Primaria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Hiroyuki Noda
Int. J. Environ. Res. Public Health 2021, 18(9), 4424; https://doi.org/10.3390/ijerph18094424
Received: 16 February 2021 / Revised: 17 April 2021 / Accepted: 19 April 2021 / Published: 21 April 2021
(This article belongs to the Section Disabilities)
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. View Full-Text
Keywords: massage therapy; stroke; motor function; spasticity; Tuina; soft manipulation massage therapy; stroke; motor function; spasticity; Tuina; soft manipulation
Show Figures

Figure 1

MDPI and ACS Style

Cabanas-Valdés, R.; Calvo-Sanz, J.; Serra-Llobet, P.; Alcoba-Kait, J.; González-Rueda, V.; Rodríguez-Rubio, P.R. The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 4424. https://doi.org/10.3390/ijerph18094424

AMA Style

Cabanas-Valdés R, Calvo-Sanz J, Serra-Llobet P, Alcoba-Kait J, González-Rueda V, Rodríguez-Rubio PR. 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. https://doi.org/10.3390/ijerph18094424

Chicago/Turabian Style

Cabanas-Valdés, Rosa, Jordi Calvo-Sanz, Pol Serra-Llobet, Joana Alcoba-Kait, Vanessa González-Rueda, and Pere R. Rodríguez-Rubio 2021. "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 18, no. 9: 4424. https://doi.org/10.3390/ijerph18094424

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop