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Título
Effects of Physical Therapy on Pain and Mood in Patients with Terminal Cancer: A Pilot Randomized Clinical Trial
Autor(es)
Materia
Physical Therapy
Terminal cancer
Clinical Trial
Clasificación UNESCO
3213.11 Fisioterapia
Fecha de publicación
2012
Editor
The Journal of Alternative and Complementary Medicine
Citación
López Sendín, N.; Alburquerque Sendín, F. (2012) Effects of Physical Therapy on Pain and Mood in Patients with Terminal Cancer: A Pilot Randomized Clinical Trial, The Journal of Alternative and Complementary Medicine, 18(5) p. 480-486. doi: 10.1089/acm.2011.0277
Resumen
[EN] Objectives: The objective of this study was to determine the effects of physical therapy, including massage and
exercise, on pain and mood in patients with advanced terminal cancer.
Design: The design was a randomized controlled pilot study.
Subjects: Twenty-four (24) patients with terminal cancer were randomly assigned to one of two treatment
groups.
Interventions: Group A received a physiotherapy intervention consisting of several massage techniques, mobilizations, and local and global exercises. Group B received a simple hand contact/touch to areas of pain
(cervical area, shoulder, interscapular area, heels, and gastrocnemius), which was maintained for the same
period of time as the intervention group. All patients received six sessions of 30–35 minutes in duration over a 2-
week period.
Outcomes: Outcomes were collected at baseline, at 1 week, and at a 2-week follow-up (after treatment completion) by an assessor blinded to the treatment allocation of the participants. Outcomes included the Brief Pain
Inventory (BPI, 0–10 scale), Memorial Pain Assessment Card (0–10 scale), and Memorial Symptom Assessment
Scale (MSAS Physical, Psychological, 0–4 scale). Baseline between-group differences were assessed with an
independent t-test. A two-way repeated-measures analysis of variance was used to examine the effects of the
intervention.
Results: There were no significant between-group baseline differences ( p > 0.2). A significant group · time
interaction with greater improvements in group A was found for BPI worst pain (F = 3.5, p = 0.036), BPI pain
right now (F = 3.94, p = 0.027), and BPI index (F = 13.2, p < 0.001), for MSAS Psychological (F = 8.480, p = 0.001).
Conclusions: The combination of massage and exercises can reduce pain and improve mood in patients with
terminal cancer. A sustained effect on pain and psychologic distress existed; however, parameters such as
physical distress and the least pain were no greater in the intervention group as compared to the sham
URI
ISSN
1075-5535
DOI
https://doi.org/10.1089/acm.2011.0277
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