Evidence map›Paper›PMID 22775448›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2012

A preliminary study of the effects of repeated massage on hypothalamic-pituitary-adrenal and immune function in healthy individuals: a study of mechanisms of action and dosage.

Mark H Rapaport, Pamela Schettler, Catherine Bresee

2 registry-linked trialsOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02440412 nacompletednot on this mapstarted 2014, after this paper: background citation

Effects of a Single Session of Massage Therapy in Salivary Cortisol Levels in Asymptomatic Persons With Administrative Tasks and / or Office Work.

TypeinterventionalSponsorUniversity of ChileRan2014 to 2015Enrolled15ConditionsAsymptomatic StateArmsMassage Therapy, Rest in supine
NCT05067777 phase2terminatednot on this mapstarted 2022, after this paper: background citation

Massage for Prostate Cancer-Related Fatigue (mPROSTATE)

TypeinterventionalSponsorUniversity of UtahRan2022 to 2025Enrolled28ConditionsProstate CarcinomaArmsSwedish Massage Therapy (SMT), Light Touch (LT) Control, Waitlist Control (WLC)
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Massage, reflexology and other manual methods for pain management in labour.The Cochrane database of systematic reviews · 2018
    Pooled it
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  19. Massage therapy in rheumatoid arthritis.Rheumatology international · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Mark H RapaportDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA. mrapapo@emory.edu
Pamela Schettler
Catherine Bresee
Emory University · USCedars-Sinai Medical Center · US

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI WANG, CHRISTINA C. · 1985 to 2011
$74.2M
A Model for the Mechanism of Action of MassageR21AT002751 · NCCIH · CEDARS-SINAI MEDICAL CENTER · PI RAPAPORT, MARK HYMAN · 2005 to 2007
$613k
NCCIH NIH HHS 5R21AT002751NCRR NIH HHS M01RR00425
6 · The paper itself

Abstract

objectivesThis study gathers preliminary data about the biologic effects of repeated Swedish massage therapy compared to a light-touch control condition.

designThe study design was a 5-week comparison of repeated Swedish massage and light touch on oxytocin (OT), arginine-vasopressin (AVP), adrenal corticotropin hormone (ACTH), cortisol (CORT), circulating phenotypic lymphocyte markers, and mitogen-stimulated cytokine function.

settingThe setting was an outpatient research unit in an academic medical center.

participantsThe study subjects were medically and psychiatrically healthy young adults.

interventionThe study comprised 45 minutes of Swedish massage or light touch, using highly specified and identical protocols, either weekly or twice weekly for 5 weeks. OUTCOME MEASURES: The outcome measures were mean differences between massage and light touch on OT, AVP, ACTH, CORT, lymphocyte markers, and cytokine levels.

resultsCompared to the touch control condition, weekly Swedish massage stimulated a sustained pattern of increased circulating phenotypic lymphocyte markers and decreased mitogen-stimulated cytokine production, similar to what was previously reported for a single massage session, while having minimal effect on hypothalamic-pituitary-adrenal function. Twice-weekly massage produced a different response pattern with increased OT levels, decreased AVP, and decreased CORT but little effect on circulating lymphocyte phenotypic markers and a slight increase in mitogen-stimulated interferon-γ, tumor necrosis factor-α, interleukin (IL)-1b and IL-2 levels, suggesting increased production of pro-inflammatory cytokines.

conclusionsThere are sustained cumulative biologic actions for the massage and touch interventions that persist for several days or a week, and these differ profoundly depending on the dosage (frequency) of sessions. Confirmatory studies in larger samples are needed.

Indexed as

Hypothalamo-Hypophyseal SystemPituitary-Adrenal SystemAdrenocorticotropic HormoneAdultArginine VasopressinCytokinesFemaleHormonesHumansHydrocortisoneInflammationInflammation MediatorsLymphocytesMaleMassageOxytocinAdrenocorticotropic HormoneArginine VasopressinCytokinesHormonesHydrocortisoneInflammation MediatorsOxytocin

Identifiers

PMID22775448
PMCPMC3419840
OpenAlexW2041448928

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.