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Manual Therapy Qualitative study

A qualitative study-Patient experience of tactile massage after stroke.

This qualitative study looked at how stroke patients experienced tactile massage, a gentle skin massage, when it was added to their standard rehabilitation shortly after a first-ever stroke. It was nested within a randomized study comparing tactile massage sessions three times a week (up to nine sessions) alongside individualized rehabilitation versus rehabilitation alone, but the qualitative part focused specifically on interviews with eight patients who received the massage. Interviews lasted 6 to 25 minutes and were analysed using manifest content analysis, a method that stays close to what participants actually said rather than interpreting deeper meaning. Participants described emotional worries, especially at night, that disrupted their sleep, and they described the massage sessions as relaxing, easing anxiety both during the session and for some time afterward.

They also described the physical touch as creating a sense of closeness. Findings were organized into two themes, human touch and the future. With only eight participants and a manifest, descriptive analytic approach, these findings reflect the experiences of this small group rather than a broader or measurable treatment effect.

This study asked people who had recently had their first stroke what it felt like to receive tactile massage, a gentle form of skin massage, alongside their usual rehabilitation. Researchers interviewed eight patients for between 6 and 25 minutes each and looked closely at the words they used to describe their experience. Participants talked about feeling emotionally worried, particularly during the night, which affected their sleep.

They described the massage sessions as something that helped them relax and eased their worry and anxiety, both while it was happening and sometimes for a while after. Several also spoke about the sense of closeness that came from being touched by another person.

Two broad themes emerged from the interviews: human touch and thinking about the future. Because only eight people were interviewed and the analysis stayed close to what participants directly said, these findings describe how this small group experienced massage rather than proving that massage changes recovery or outcomes after stroke.

This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.

This qualitative sub-study drew on semi-structured interviews with eight patients enrolled in a randomized trial comparing tactile massage plus standard individualized rehabilitation against standard rehabilitation alone after first-ever stroke. Massage sessions were 20 minutes, offered up to three times weekly for a maximum of nine sessions.

Interviews ranged from 6 to 25 minutes and were analysed using manifest content analysis, a descriptive approach that summarizes surface-level content rather than latent interpretation, following the COREQ reporting checklist. Two themes were identified: human touch and the future. Participants described nighttime emotional distress affecting sleep, and reported that massage produced momentary and sometimes longer-lasting relaxation and reduced anxiety, along with a subjective sense of interpersonal closeness through physical contact. The sample size is very small, interviews were brief, and the manifest analytic approach limits interpretive depth, so these findings should be read as exploratory insight into acceptability and subjective experience rather than evidence of therapeutic effect.

No quantitative outcomes, adverse events, or comparisons with the non-massage group were reported in this qualitative component, and generalizability beyond this specific patient group and setting cannot be assumed.

1

Eight patients with first-ever stroke were interviewed about their experience of receiving tactile massage alongside standard rehabilitation.

2

Participants described nighttime emotional worry affecting sleep, and reported that massage brought momentary and sometimes longer relaxation, reduced anxiety, and a sense of closeness through touch.

3

The very small sample and descriptive, manifest-level analysis mean these findings reflect individual experiences rather than measurable treatment effects.

Source

Nursing open

Seiger Cronfalk B, Åkesson E, Nygren J et al. · 2020

doi: 10.1002/nop2.515

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A note on accuracy

Summaries are AI-generated from each paper's abstract and are for learning, not clinical decision-making. They may miss nuance or occasionally misstate details from the source, so always read the original paper before applying findings in practice. Nothing on this site is medical advice.