Evidence map›Paper›PMID 23035641›Full record

Trial reportTrials2012

Development of a manualized protocol of massage therapy for clinical trials in osteoarthritis.

Ather Ali, Janet Kahn, Lisa Rosenberger, Adam I Perlman

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00970008 (Exploring Massage Benefits for Arthritis of the Knee), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT00970008 phase2completednot on this map

Exploring Massage Benefits for Arthritis of the Knee

TypeinterventionalSponsorUniversity of Medicine and Dentistry of New JerseyRan2009 to 2011Enrolled125ConditionsOsteoarthritis of the KneeArmsMassage 30 min 2x/wk x4 wks then 1x/wk x4 wks, Massage 60 min 2x/wk for 4 wks then 1x/wk for 4 wks, Massage 30 min sessions 1x/wk for 8 wks, Massage 60 min session 1x/wk for 8 wks
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Whole Systems Research Methods in Health Care: A Scoping Review.Journal of alternative and complementary medicine (New York, N.Y.) · 2019
    Article
  6. Article
  7. Perceptions of Massage Therapists Participating in a Randomized Controlled Trial.International journal of therapeutic massage & bodywork · 2015
    Article
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

4 authors at 4 institutions in 1 country.

Ather AliDepartment of Pediatrics, Yale University School of Medicine, 2 Church Street South, New Haven, CT 06519, USA. ather.ali@yale.edu
Janet Kahn
Lisa Rosenberger
Adam I Perlman
Duke University · USGriffin Hospital · USUniversity of Vermont · USYale University · US

Funding

MULTISITE RCT INVESTIGATING THE EFFICACY OF MASSAGE IN OSTEOARTHRITISR01AT004623 · NCCIH · UNIV OF MED/ DENT OF NJ-SCH/HLTH REL PRO · PI PERLMAN, ADAM I. · 2009 to 2015
$4.6M
MBSR for fibromyalgia: A dose-finding studyK23AT006703 · NCCIH · YALE UNIVERSITY · PI ALI, ATHER · 2012 to 2016
$671k
NCCIH NIH HHS K23 AT006703NCCIH NIH HHS K23AT006703NCCIH NIH HHS L30 AT004887NCCIH NIH HHS R01 AT004623NCCIH NIH HHS R01AT004623
6 · The paper itself

Abstract

backgroundClinical trial design of manual therapies may be especially challenging as techniques are often individualized and practitioner-dependent. This paper describes our methods in creating a standardized Swedish massage protocol tailored to subjects with osteoarthritis of the knee while respectful of the individualized nature of massage therapy, as well as implementation of this protocol in two randomized clinical trials.

methodsThe manualization process involved a collaborative process between methodologic and clinical experts, with the explicit goals of creating a reproducible semi-structured protocol for massage therapy, while allowing some latitude for therapists' clinical judgment and maintaining consistency with a prior pilot study.

resultsThe manualized protocol addressed identical specified body regions with distinct 30- and 60-min protocols, using standard Swedish strokes. Each protocol specifies the time allocated to each body region. The manualized 30- and 60-min protocols were implemented in a dual-site 24-week randomized dose-finding trial in patients with osteoarthritis of the knee, and is currently being implemented in a three-site 52-week efficacy trial of manualized Swedish massage therapy. In the dose-finding study, therapists adhered to the protocols and significant treatment effects were demonstrated.

conclusionsThe massage protocol was manualized, using standard techniques, and made flexible for individual practitioner and subject needs. The protocol has been applied in two randomized clinical trials. This manualized Swedish massage protocol has real-world utility and can be readily utilized both in the research and clinical settings.

trial registrationClinicaltrials.gov NCT00970008 (18 August 2009).

Indexed as

Clinical ProtocolsResearch DesignHumansKnee JointMassageNew JerseyOsteoarthritis, KneeTime FactorsTreatment Outcome

Identifiers

PMID23035641
PMCPMC3519579
OpenAlexW1979223921

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.