Evidence map›Paper›PMID 25780471›Full record

ArticleInternational journal of therapeutic massage & bodywork2015

Massage Impact on Pain in Opioid-dependent Patients in Substance Use Treatment.

Katharina L Wiest, Victoria J Asphaug, Kathryn E Carr, Emily A Gowen, Timothy T Hartnett

Open access · diamondAbstract read
In one paragraph

Article in International journal of therapeutic massage & bodywork, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Observational
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

5 authors at 2 institutions in 1 country.

Katharina L WiestResearch Division, CODA, Inc., Portland, OR, USA.
Victoria J AsphaugResearch Division, CODA, Inc., Portland, OR, USA.
Kathryn E CarrResearch Division, CODA, Inc., Portland, OR, USA.
Emily A Gowen4423 NE Tillamook St., Portland, OR, USA.
Timothy T HartnettResearch Division, CODA, Inc., Portland, OR, USA.
Oregon Medical Research Center · USTillamook Bay Community College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain is a common cause of health care utilization and high levels of pain are pronounced in individuals engaged in methadone maintenance treatment. Although massage has been demonstrated to alleviate chronic pain symptoms, its use as an adjunctive therapy to modify pain during opioid-replacement treatment is absent from the literature. PURPOSE: To consider the efficacy of Swedish massage in reducing pain in opioid-dependent patients with chronic pain receiving methadone treatment.

settingTrial was conducted at a nonprofit methadone treatment center serving low-income patients. RESEARCH

designA randomized clinical trial with randomized to either 1) massage plus treatment-as-usual (TAU) (n = 27) or 2) TAU (n = 24). Durability of treatment effect was evaluated at Week 12.

interventionEight weekly 50-minute Swedish massage sessions plus TAU or TAU alone.

main outcome measuresPain, anxiety, depression, physical functioning, decreased substance use, and improvement in treatment engagement.

resultsRandomized participants were comparable at Baseline for demographic, pain, physical, and emotional variables. Massage group reported improved pain scores; worst pain had a clinically significant 2-point improvement while the other pain scores did not. Overall improvements were not observed in treatment engagement or levels of anxiety, depression, or physical functioning. A subgroup of the participants, who felt they could be pain-free, consistently reported improvements in pain from Baseline to Week 8, and this was most pronounced and clinically significant in the massage group.

conclusionsThese preliminary findings do not support an overall clinically significant positive effect of Swedish massage on reduction in pain ratings or improvement in anxiety, depression, or treatment engagement in a substance-using, opioid-dependent population with chronic pain. Future nonpharmacologic pain research in marginalized substance-using populations may wish to consider some of the challenges and limitations faced in this project.

Indexed as

massagemethadoneopioid dependencepainself-efficacysubstance use

Identifiers

PMID25780471
PMCPMC4353208
OpenAlexW2126923536

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.