Evidence map›Paper›PMID 24330473›Full record

Trial reportBMC complementary and alternative medicine2013

Short- and long-term effects of tactile massage on salivary cortisol concentrations in Parkinson's disease: a randomised controlled pilot study.

Carl-Johan Törnhage, Örjan Skogar, Astrid Borg, Birgitta Larsson, Laila Robertsson, Lena Andersson, Lena Andersson, Paulina Backström, Per-Arne Fall, Gunnar Hallgren and 5 more

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

Trial report in BMC complementary and alternative medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01734876 (Short and Long-term Effects of Tactile Touch on Salivary Cortisol Concentrations in Parkinson's Disease.), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT01734876 nacompletednot on this map

Short and Long-term Effects of Tactile Touch on Salivary Cortisol Concentrations in Parkinson's Disease.

TypeinterventionalSponsorRegion Jönköping CountyRan2004 to 2009Enrolled45ConditionsPain, SleepArmsTactile Touch, Rest To Music
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Use of Salivary Diurnal Cortisol as an Outcome Measure in Randomised Controlled Trials: a Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Therapies for Parkinson's diseases: alternatives to current pharmacological interventions.Journal of neural transmission (Vienna, Austria : 1996) · 2016
    Review
  9. Massage Therapy Treatment and Outcomes for a Patient with Parkinson's Disease: a Case Report.International journal of therapeutic massage & bodywork · 2016
    Article
  10. Review
  11. Article
  12. Review
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

15 authors at 4 institutions in 1 country.

Carl-Johan TörnhageDepartment of Pediatrics, Skaraborg Hospital, SE-541 85 Skovde, Sweden. carl-johan_tornhage@hotmail.com.
Örjan Skogar
Astrid Borg
Birgitta Larsson
Laila Robertsson
Lena Andersson
Lena Andersson
Paulina Backström
Per-Arne Fall
Gunnar Hallgren
Birgitta Bringer
Miriam Carlsson
Ulla Birgitta Lennartsson
Håkan Sandbjörk
Johan Lökk
Ryhov Hospital Jönköping · SESkaraborg Hospital · SEKarolinska Institutet · SELinköping University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's disease (PD) is a chronic neurodegenerative disorder with limited knowledge about the normal function and effects of non-pharmacological therapies on the hypothalamic-pituitary-adrenal (HPA) axis. The aim of the study was to analyse the basal diurnal and total secretion of salivary cortisol in short- and long-term aspects of tactile massage (TM).

methods

designProspective, Controlled and Randomised Multicentre Trial. SETTING AND

interventionsForty-five women and men, aged 50-79 years, were recruited. Twenty-nine of them were blindly randomised to tactile massage (TM) and 16 of them to the control group, rest to music (RTM). Ten interventions were given during 8 weeks followed by a 26 weeks of follow up. Salivary cortisol was collected at 8 am, 1 pm, 8 pm, and 8 am the next day, on five occasions. With the first and eighth interventions, it was collected immediately before and after intervention.

main outcome measuresThe primary aim was to assess and compare cortisol concentrations before and immediately after intervention and also during the follow-up period. The secondary aim was to assess the impact of age, gender, body mass index (BMI), duration and severity of PD, effects of interventional time-point of the day, and levodopa doses on cortisol concentration.

resultsThe median cortisol concentrations for all participants were 16.0, 5.8, 2.8, and 14.0 nmol/L at baseline, later reproduced four times without significant differences. Cortisol concentrations decreased significantly after TM intervention but no change in diurnal salivary cortisol pattern was found. The findings of reduced salivary cortisol concentrations immediately after the interventions are in agreement with previous studies. However, there was no significant difference between the TM and control groups. There were no significant correlations between cortisol concentrations and age, gender, BMI, time-point for intervention, time interval between anti-parkinson pharmacy intake and sampling, levodopa doses, duration, or severity of PD.

conclusionsDiurnal salivary cortisol rhythm was normal. Salivary cortisol concentrations were significantly reduced after the TM intervention and after RTM, but there were no significant differences between the groups and no sustained long-term effect. No associations were seen between salivary cortisol concentration and clinical and/or pharmacological characteristics.

trial registrationClinicalTrial.gov, NCT01734876 and FoU Sweden 108881.

Indexed as

AgedAnalysis of VarianceArea Under CurveFemaleHumansHydrocortisoneMaleMassageMiddle AgedParkinson DiseasePilot ProjectsProspective StudiesSalivaStress, PsychologicalHydrocortisone

Identifiers

PMID24330473
PMCPMC3878723
OpenAlexW2134821391

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.