Review Article

Massage Therapy for Fatigue Management in Breast Cancer Survivors: A Systematic Review and Descriptive Analysis of Randomized Controlled Trials

Table 2

Characteristics of the included studies.

StudyCountryStudy designCancer stageSample size and ageInterventionControlOutcomes

S1: [33]IranDouble-blind RCTStage IRandomized: 60
Completed: 57
Intervention G: 27/30, age (yr) = 47.85 ± 8.39
Control G: 30/30, age (yr) = 50.86 ± 6.5
Reflexology therapyRoutine treatment and careFatigue: Fatigue Severity Scale (FSS)
S2: [29]ChinaRCTStages I–IVRandomized: 98
Completed: 98
Intervention G: 49/98, age (yr) = 50.76 ± 10.25
Control G: 49/98, age (yr) = 50.31 ± 10.79
Chinese massage therapyRoutine treatment and careFatigue: Chronic Fatigue Syndrome (CFS)
S3: [25]USASingle-blind RCT, three groupsStages 0–IIIRandomized: 66
Completed: 56
Group A: 20/22, age (yr) = 54.5 ± 12.4
Group B: 19/22, age (yr) = 55.6 ± 9.0
Group C: 17/22, age (yr) = 51.8 ± 9.6
Group A
Swedish massage therapy
Group B: light touch (LT)
Group C: wait list control (WLC)
Fatigue: Multidimensional Fatigue Inventory (MFI) + PROMIS Fatigue Short Form 7a (PROMIS)
QoL: Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)
Safety: adverse events
S4: [27]TurkeyRCTStages I–IIIRandomized: 60
Completed: 60
Intervention G: 30/30, age (yr) = 50.93 ± 11.27
Control G: 30/30, age (yr) = 51.06 ± 10.97
Reflexology therapyRoutine treatment and careFatigue: Brief Fatigue Inventory (BFI)
S5: [32]USARCTStages III and IVRandomized: 256 (patient-caregiver dyads)
Completed: 207
Intervention G: 92/128, age (yr) = 58 (mean age)
Control G: 99/128, age (yr) = 55 (mean age)
Reflexology therapyRoutine treatment and careFatigue: MD Anderson Symptom Inventory
QoL: Quality of Life Index (QLI)
S6: [22]SpainSingle-blind, placebo-controlled crossover designStage I–IIIaRandomized: 20 (crossover design)
Completed: 20
Intervention G: 20/20, age (yr) = 49.1 ± 7.8
Control G: 20/20, age (yr) = 49.1 ± 7.8
Myofascial massageRoutine treatment and careFatigue: Profile of Mood States (POMS) Questionnaire (fatigue subscale)
S7: [31]USALongitudinal, randomized clinical trialStages III and IV, or stages I and II with recurrence or metastasisRandomized: 286
Completed: 243
Group A: 83/95, age (yr) = 55.3 ± 9.4
Group B: 83/95, age (yr) = 54.8 ± 11.2
Group C: 77/96, age (yr) = 57.3 ± 11.8
Group A: reflexology therapyGroup B: lay foot manipulation (LFM) – light touch
Group C: routine treatment and care
Fatigue: Brief Fatigue Inventory (BFI)
QoL: Functional Assessment of Cancer Therapy – Breast (FACT-B)
Safety: adverse events
S8: [26]USARCTAny stageRandomized: 45
Completed: 43
Group A: 15/15
Group B: 13/13
Group C: 15/15 age (yr) = 25.8
Group A: modified Swedish massage therapyGroup B: polarity therapy
Group C: routine treatment and care
Fatigue: Brief Fatigue Inventory (BFI)
Daily fatigue diaries (a 0–10 scale)
QoL: Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)
S9 [23]GermanyRCTAny stageRandomized: 34
Completed: 29
Intervention G: 16/17, age (yr) = 59.5 ± 12.1
Control G: 13/17, age (yr) = 59.9 ± 11.5
Swedish massage therapyRoutine treatment and careFatigue: Berlin Mood Questionnaire (BSF; fatigue subscale)
S10: [24]GermanyRCTWithout distant metastasesRandomized: 115
Completed: 72
Intervention G: 44/58, age (yr) = 57.6 ± 10.8
Control G: 28/57, age (yr) = 61.4 ± 10.9
Swedish massage therapyRoutine treatment and careFatigue:
Berlin Mood Questionnaire (BSF; fatigue subscale)
Giessen Inventory of Complaints (GBB; fatigue subscale)

Note. QoL = quality of life.