Effect of therapeutic massage on pain in patients with dementia and advanced dementia: A pilot study

Yamini Kapoor, Rob Marc Orr

Research output: Contribution to conferenceAbstractResearchpeer-review

Abstract

Question: Is routinely administered therapeutic massage effective in
relieving pain in aged care residents with dementia/advanced dementia.
Design: A randomized controlled pilot study.
Participants: Aged care residents (n=10; age=82±7.05 years, length of
stay=36±23 months), recruited from a residential aged care facility with a
diagnosis of dementia/advanced dementia.
Intervention: The intervention group received 10 minutes of therapeutic
massage four times per week for four weeks. Techniques used were
effleurage, kneading and trigger point therapy on an area of chronic pain
with a non-fragrant hypoallergenic cream as the medium. The control
group received no massage. Both groups continued with current pain
management plans.
Outcome Measures: The PAINAD (Pain Assessment in Advanced
Dementia) observational scale administered pre and post intervention.
Results: Following the intervention, no significant changes in mean
PAINAD scores were found within groups (Control = 5.2 + 3.49, Intervention
= 5.0 + 3.49: p=0.456). However, results suggest that the intervention
group had a greater magnitude of change (1.200 + 1.78) compared to the
control group (0.800 + 2.16), which shows that massage may have had a
greater effect in relieving pain than current treatment protocols.
Conclusion: Therapeutic massage may provide a useful adjunct to the
current pain management in patients with Dementia/Advanced Dementia.
Key Practice Points:
• Massage is known to be a useful in treating stress and agitation
associated with dementia/ advanced dementia.
• Massage can be an adjunct to chronic pain management in these patients.
• Massage was not found to have any side effects in treating chronic pain in
patients with dementia/advanced dementia.
Original languageEnglish
Pages116
Publication statusPublished - Oct 2015
EventThe Australian Physiotherapy Association Conference 2015: Connect - Gold Coast, Australia
Duration: 3 Oct 20156 Oct 2015
Conference number: 2015
http://www.physiotherapy.asn.au/Conference2015

Conference

ConferenceThe Australian Physiotherapy Association Conference 2015
Abbreviated titleAPA
CountryAustralia
CityGold Coast
Period3/10/156/10/15
Internet address

Fingerprint

Massage
Therapeutic Uses
Dementia
Pain
Pain Management
Chronic Pain
Trigger Points
Pain Measurement
Clinical Protocols
Inpatients
Therapeutics
Outcome Assessment (Health Care)
Control Groups

Cite this

Kapoor, Y., & Orr, R. M. (2015). Effect of therapeutic massage on pain in patients with dementia and advanced dementia: A pilot study. 116. Abstract from The Australian Physiotherapy Association Conference 2015, Gold Coast, Australia.
Kapoor, Yamini ; Orr, Rob Marc. / Effect of therapeutic massage on pain in patients with dementia and advanced dementia : A pilot study. Abstract from The Australian Physiotherapy Association Conference 2015, Gold Coast, Australia.
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Kapoor, Y & Orr, RM 2015, 'Effect of therapeutic massage on pain in patients with dementia and advanced dementia: A pilot study' The Australian Physiotherapy Association Conference 2015, Gold Coast, Australia, 3/10/15 - 6/10/15, pp. 116.

Effect of therapeutic massage on pain in patients with dementia and advanced dementia : A pilot study. / Kapoor, Yamini; Orr, Rob Marc.

2015. 116 Abstract from The Australian Physiotherapy Association Conference 2015, Gold Coast, Australia.

Research output: Contribution to conferenceAbstractResearchpeer-review

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T1 - Effect of therapeutic massage on pain in patients with dementia and advanced dementia

T2 - A pilot study

AU - Kapoor, Yamini

AU - Orr, Rob Marc

PY - 2015/10

Y1 - 2015/10

N2 - Question: Is routinely administered therapeutic massage effective inrelieving pain in aged care residents with dementia/advanced dementia.Design: A randomized controlled pilot study.Participants: Aged care residents (n=10; age=82±7.05 years, length ofstay=36±23 months), recruited from a residential aged care facility with adiagnosis of dementia/advanced dementia.Intervention: The intervention group received 10 minutes of therapeuticmassage four times per week for four weeks. Techniques used wereeffleurage, kneading and trigger point therapy on an area of chronic painwith a non-fragrant hypoallergenic cream as the medium. The controlgroup received no massage. Both groups continued with current painmanagement plans.Outcome Measures: The PAINAD (Pain Assessment in AdvancedDementia) observational scale administered pre and post intervention.Results: Following the intervention, no significant changes in meanPAINAD scores were found within groups (Control = 5.2 + 3.49, Intervention= 5.0 + 3.49: p=0.456). However, results suggest that the interventiongroup had a greater magnitude of change (1.200 + 1.78) compared to thecontrol group (0.800 + 2.16), which shows that massage may have had agreater effect in relieving pain than current treatment protocols.Conclusion: Therapeutic massage may provide a useful adjunct to thecurrent pain management in patients with Dementia/Advanced Dementia.Key Practice Points:• Massage is known to be a useful in treating stress and agitationassociated with dementia/ advanced dementia.• Massage can be an adjunct to chronic pain management in these patients.• Massage was not found to have any side effects in treating chronic pain inpatients with dementia/advanced dementia.

AB - Question: Is routinely administered therapeutic massage effective inrelieving pain in aged care residents with dementia/advanced dementia.Design: A randomized controlled pilot study.Participants: Aged care residents (n=10; age=82±7.05 years, length ofstay=36±23 months), recruited from a residential aged care facility with adiagnosis of dementia/advanced dementia.Intervention: The intervention group received 10 minutes of therapeuticmassage four times per week for four weeks. Techniques used wereeffleurage, kneading and trigger point therapy on an area of chronic painwith a non-fragrant hypoallergenic cream as the medium. The controlgroup received no massage. Both groups continued with current painmanagement plans.Outcome Measures: The PAINAD (Pain Assessment in AdvancedDementia) observational scale administered pre and post intervention.Results: Following the intervention, no significant changes in meanPAINAD scores were found within groups (Control = 5.2 + 3.49, Intervention= 5.0 + 3.49: p=0.456). However, results suggest that the interventiongroup had a greater magnitude of change (1.200 + 1.78) compared to thecontrol group (0.800 + 2.16), which shows that massage may have had agreater effect in relieving pain than current treatment protocols.Conclusion: Therapeutic massage may provide a useful adjunct to thecurrent pain management in patients with Dementia/Advanced Dementia.Key Practice Points:• Massage is known to be a useful in treating stress and agitationassociated with dementia/ advanced dementia.• Massage can be an adjunct to chronic pain management in these patients.• Massage was not found to have any side effects in treating chronic pain inpatients with dementia/advanced dementia.

M3 - Abstract

SP - 116

ER -

Kapoor Y, Orr RM. Effect of therapeutic massage on pain in patients with dementia and advanced dementia: A pilot study. 2015. Abstract from The Australian Physiotherapy Association Conference 2015, Gold Coast, Australia.