Review Article

Massage Therapy for Neck and Shoulder Pain: A Systematic Review and Meta-Analysis

Table 1

Randomized controlled trials evaluating the effect of massage therapy for neck and shoulder pain.

First authors, year, countryPain location, pain durationSample size, mean age (year),Duration weeksFollow-up weeksMain outcome assessmentsExperimental group intervention*Control group intervention*Main conclusion
(mean improvements on pain)

Irnich 2001, Germany [8] Neck pain
42% > 5 years
177
52
312Pain VAS (0–100)
Cervical mobility
Massage therapy (MT)
(30 min/5 sessions)
(1) Acupuncture (AC)
(2) Sham laser AC
(30 min/5 sessions)
MT (12.70) < AC (25.30);
MT (12.70) < Sham laser AC (19.20)

Dyson-Hudson 2001, US [9]Shoulder pain
5.8 years
18
45
55Pain WUSPI
ROM
MT
(45 min/10 sessions)
AC
(20–30 min/10 sessions)
MT (28.80) > AC (26.70)

Cen 2003, US [10]Neck pain
NR
31
49
66Pain NPQ (0–100)
ROM
Chinese traditional massage
(CTM) (30 min/18 sessions)
(1) Exercise (EX)
(20 min/day)
(2) Standard care (SC)
CTM (19.22) > EX (7.78)
CTM (19.22) > SC (−4.13)

van den Dolder 2003, Australia
[11]
Shoulder pain
28 weeks
29
64
2Pain VAS (0–100)
ROM
Soft tissue massage (STM) (15–20 min/6 sessions)Waiting list (WL)STM (26.60) > WL (0.10)

Mok 2004, Hong Kong [12]Shoulder pain
NR
102
73
13 daysPain VAS (0–100)
STAI
Slow-stroke back massage
(SBM) (10 min/7 sessions)
SCSBM (14.60) > SC (7.61)

Fryer 2005, Australia [13]Neck pain
NR
37
23
1 dayPPTManual pressure release
(MPR) (1 session)
Sham myofascial release
(SMR) (1session)
MPR (2.05) > SMR (−0.08)

Meseguer 2006, Spain [14]Neck pain
NR
54
40
1 dayPain VAS (0–10)Classical strain/counterstrain technique (CST)
Modified strain/counterstrain technique (MST) (1 session)
SCCST = MST (2.60)
CST (2.60) > SC (0.03)

Blikstad 2008, UK [15]Neck pain
4–12 weeks
45
24
1 dayPain VAS (0–10)
ROM
Myofascial band therapy
(MBT) (1session)
(1) Activator trigger point therapy (ATPT)
(2) Sham ultrasound (SU)
(1 session)
MBT < ATPT
MBT = SU

Zuo 2008, China [16]Neck pain
10.4 years
60
42
2Pain VAS (0–10)
NDI
CTM
(30 min/6 sessions)
Traction (TR)
(20 min/14 sessions)
CTM (5.47) > TR (4.87)

Sherman 2009, US [17]Neck pain
7.6 years
64
47
1016NDI
CNFDS
MT
(10 sessions)
SCMT > SC (NDI)

Buttagat 2011, Thailand [18]Shoulder pain
39 months
20
25
32Pain VAS (0–10)
STAI
Traditional Thai massage (TTM) (30 min/9 sessions)Physical therapy (PT)
(30 min/9 sessions)
TTM (4.50) > PT (1.60)

Zhang 2011, China [19]Neck pain
1–3 years
120
23
10 days24Pain VAS (0–10)
ASCS (0–29)
CTM
(20 min/10 sessions)
TR
(15 min/10 sessions)
CTM (5.56) > TR (3.85)

VAS: visual analog scale; WUSPI: wheelchair user’s shoulder pain index; ROM: range of motion; NR: no reported; NPQ: Northwick park neck pain questionnaire; STAI: state-trait anxiety inventory; PPT: pressure pain threshold; NDI: neck disability index; CNFDS: Copenhagen neck functional disability scale; ASCS: Assessment scale for cervical spondylosis.
Intervention/dose: number of intervention time/number of sessions.