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oai:gredos.usal.es:10366/1450152025-04-30T19:32:24Zcom_10366_3983com_10366_3947com_10366_3946com_10366_3823col_10366_3984

Cleland, Joshua A. Fernández-de-las-Peñas, César López Sendín, Nuria Alburquerque Sendín, Francisco 2021-01-28T11:01:59Z 2021-01-28T11:01:59Z 2012 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 1075-5535 http://hdl.handle.net/10366/145015 https://doi.org/10.1089/acm.2011.0277 1557-7708 [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 eng The Journal of Alternative and Complementary Medicine Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Physical Therapy Terminal cancer Clinical Trial Physical Therapy Modalities 3213.11 Fisioterapia modalidades de fisioterapia Effects of Physical Therapy on Pain and Mood in Patients with Terminal Cancer: A Pilot Randomized Clinical Trial info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion https://doi.org/10.1089/acm.2011.0277 The Journal of Alternative and Complementary Medicine 18 5 480 486