Lucie Brosseau1, George A Wells2, Peter Tugwell3, Lynn Casimiro4, Michael Novikov5, Laurianne Loew5, Danijel Sredic6, Sarah Clément6, Amélie Gravelle6, Kevin Hua6, Daniel Kresic6, Ana Lakic6, Gabrielle Ménard5, Pascale Côté5, Ghislain Leblanc5, Mathieu Sonier5, Alexandre Cloutier5, Jessica McEwan7, Stéphane Poitras5, Andrea Furlan8, Anita Gross9, Trish Dryden10, Ron Muckenheim11, Raynald Côté12, Véronique Paré12, Alexandre Rouhani13, Guillaume Léonard14, Hillel M Finestone15, Lucie Laferrière16, Simon Dagenais17, Gino De Angelis5, Courtney Cohoon5. 1. School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Montfort Hospital Research Institute, Ottawa, Ontario, Canada. Electronic address: Lucie.Brosseau@uottawa.ca. 2. Clinical Epidemiology Unit, Ottawa Hospital Research Institute, Ottawa Hospital, Civic Campus, Ottawa, Ontario, Canada; Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada. 3. Clinical Epidemiology Unit, Ottawa Hospital Research Institute, Ottawa Hospital, Civic Campus, Ottawa, Ontario, Canada; Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada; Centre for Global Health, Institute of Population Health, Ottawa, Ontario, Canada. 4. School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Montfort Hospital Research Institute, Ottawa, Ontario, Canada. 5. School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada. 6. School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada. 7. University of Ottawa Health Sciences Library, Ottawa, Ontario, Canada. 8. Institute for Work and Health, Toronto, Ontario, Canada. 9. School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada. 10. Research and Corporate Planning Centennial College, Toronto, Ontario, Canada. 11. Everest College, St-Laurent, Ottawa, Ontario, Canada. 12. Academy of Massage and Orthotherapy, Gatineau, Quebec, Canada. 13. Centre de Massothérapie et Soins Corporels l'Orchidée, Gatineau, Québec, Canada. 14. Sherbrooke University, Physiotherapy, Sherbrooke, Québec, Canada. 15. SCO Health Services, Elisabeth Bruyère Health Centre, Ottawa, Ontario, Canada. 16. Directorate Force Health Protection, Canadian Forces Health Services Group Headquarters, National Defense, Ottawa, Ontario, Canada. 17. Palladian Health, West Seneca, New York, USA.
Abstract
OBJECTIVE: To update evidence-based clinical practice guideline (EBCPG) on the use of massage compared to a control or other treatments for adults (>18 years) suffering from sub-acute and chronic neck pain. METHODS: A literature search was performed from January 1, 1948 to December 31, 2010 for relevant articles. The Ottawa Panel created inclusion criteria focusing on high methodological quality and grading methods. Recommendations were assigned a grade (A, B, C, C+, D, D+, D-) based on strength of evidence. RESULTS: A total of 45 recommendations from ten articles were developed including 8 positive recommendations (6 grade A and 2 grade C+) and 23 neutral recommendations (12 grade C and 11 grade D). DISCUSSION: Therapeutic massage can decrease pain, tenderness, and improve range of motion for sub-acute and chronic neck pain. CONCLUSION: The Ottawa Panel was able to demonstrate that the massage interventions are effective for relieving immediate post-treatment neck pain symptoms, but data is insufficient for long-term effects.
OBJECTIVE: To update evidence-based clinical practice guideline (EBCPG) on the use of massage compared to a control or other treatments for adults (>18 years) suffering from sub-acute and chronic neck pain. METHODS: A literature search was performed from January 1, 1948 to December 31, 2010 for relevant articles. The Ottawa Panel created inclusion criteria focusing on high methodological quality and grading methods. Recommendations were assigned a grade (A, B, C, C+, D, D+, D-) based on strength of evidence. RESULTS: A total of 45 recommendations from ten articles were developed including 8 positive recommendations (6 grade A and 2 grade C+) and 23 neutral recommendations (12 grade C and 11 grade D). DISCUSSION: Therapeutic massage can decrease pain, tenderness, and improve range of motion for sub-acute and chronic neck pain. CONCLUSION: The Ottawa Panel was able to demonstrate that the massage interventions are effective for relieving immediate post-treatment neck pain symptoms, but data is insufficient for long-term effects.
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