Evidence map›Paper›PMID 24615306›Full record

Trial reportAnnals of family medicine

Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain.

Karen J Sherman, Andrea J Cook, Robert D Wellman, Rene J Hawkes, Janet R Kahn, Richard A Deyo, Daniel C Cherkin

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
21.9field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Massage for neck pain.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016
    Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Integrating Massage Therapy Into the Health Care of Female Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Massage Therapy for Psychiatric Disorders.Focus (American Psychiatric Publishing) · 2018
    Article
  18. Clinical Evidence of Chinese Massage Therapy (Evidence-based complementary and alternative medicine : eCAM · 2017
    Review
  19. Epigenetic Mechanisms of Integrative Medicine.Evidence-based complementary and alternative medicine : eCAM · 2017
    Review
  20. 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

7 authors at 3 institutions in 1 country.

Karen J ShermanGroup Health Research Institute, Seattle, Washington.
Andrea J Cook
Robert D Wellman
Rene J Hawkes
Janet R Kahn
Richard A Deyo
Daniel C Cherkin
Kaiser Permanente Washington Health Research Institute · USOregon Health & Science University · USUniversity of Vermont · US

Funding

Dosing Study of Massage for Neck PainR01AT004411 · NCCIH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SHERMAN, KAREN J · 2009 to 2012
$2.5M
NCCIH NIH HHS R01 AT004411
6 · The paper itself

Abstract

purposeThis trial was designed to evaluate the optimal dose of massage for individuals with chronic neck pain.

methodsWe recruited 228 individuals with chronic nonspecific neck pain from an integrated health care system and the general population, and randomized them to 5 groups receiving various doses of massage (a 4-week course consisting of 30-minute visits 2 or 3 times weekly or 60-minute visits 1, 2, or 3 times weekly) or to a single control group (a 4-week period on a wait list). We assessed neck-related dysfunction with the Neck Disability Index (range, 0-50 points) and pain intensity with a numerical rating scale (range, 0-10 points) at baseline and 5 weeks. We used log-linear regression to assess the likelihood of clinically meaningful improvement in neck-related dysfunction (≥5 points on Neck Disability Index) or pain intensity (≥30% improvement) by treatment group.

resultsAfter adjustment for baseline age, outcome measures, and imbalanced covariates, 30-minute treatments were not significantly better than the wait list control condition in terms of achieving a clinically meaningful improvement in neck dysfunction or pain, regardless of the frequency of treatments. In contrast, 60-minute treatments 2 and 3 times weekly significantly increased the likelihood of such improvement compared with the control condition in terms of both neck dysfunction (relative risk = 3.41 and 4.98, P = .04 and .005, respectively) and pain intensity (relative risk = 2.30 and 2.73; P = .007 and .001, respectively).

conclusionsAfter 4 weeks of treatment, we found multiple 60-minute massages per week more effective than fewer or shorter sessions for individuals with chronic neck pain. Clinicians recommending massage and researchers studying this therapy should ensure that patients receive a likely effective dose of treatment.

Indexed as

MassageAdultChronic PainClinical ProtocolsDisability EvaluationFemaleHumansMaleMiddle AgedNeck PainPain MeasurementTreatment Outcomechronic neck painclinical trialcomplementary and alternative medicinedisabilityholistic medicinemassagepain management

Identifiers

PMID24615306
PMCPMC3948757
OpenAlexW2109966679

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.