The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial

Abstract Purpose Chemotherapy-induced nausea and vomiting (CINV) is a common adverse events in cancer patients and can negatively affect their quality of life (QoL). This study aimed to evaluate the clinical efficacy of an electric massage chair (EMC) for the treatment of CINV. Methods A randomized...

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Main Authors: Ju Won Kim, Ah Reum Lim, Ji Yoon Lee, June Young Lee, Soohyeon Lee, Yoon Ji Choi, Yeol Hong Kim, Kyong Hwa Park
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-024-04464-8
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author Ju Won Kim
Ah Reum Lim
Ji Yoon Lee
June Young Lee
Soohyeon Lee
Yoon Ji Choi
Yeol Hong Kim
Kyong Hwa Park
author_facet Ju Won Kim
Ah Reum Lim
Ji Yoon Lee
June Young Lee
Soohyeon Lee
Yoon Ji Choi
Yeol Hong Kim
Kyong Hwa Park
author_sort Ju Won Kim
collection DOAJ
description Abstract Purpose Chemotherapy-induced nausea and vomiting (CINV) is a common adverse events in cancer patients and can negatively affect their quality of life (QoL). This study aimed to evaluate the clinical efficacy of an electric massage chair (EMC) for the treatment of CINV. Methods A randomized phase II cross-over trial was conducted on solid cancer patients who received moderate (MEC) to high emetogenic chemotherapy (HEC). The participants were randomly assigned to receive their first chemotherapy either on a standard bed (Group A) or in an EMC (Group B) during the infusion. The patients were then crossed over to the next cycle. CINV and QoL questionnaires were collected from the participants. Results A total of 59 patients completed the trial protocol and were included in the analysis, with 29 and 30 patients in Groups A and B, respectively. The mean INVR (Index of Nausea, Vomiting, and Retching) score in the 2nd day of the first cycle was higher in Group B (3.63 ± 5.35) than Group A (2.76 ± 4.78), but the difference was not statistically significant (p = 0.5367). The complete response rate showed little difference between the groups. Among the high-emetic risk subgroups, patients who received HEC (p = 0.04595), younger patients (p = 0.0108), and non-colorectal cancer patients (p = 0.0495) presented significantly lower CINV scores when EMC was applied. Conclusion Overall, there was no significant difference in INVR scores between standard care and EMC. Applying EMC at the first chemotherapy infusion may help preserve QoL and reduce CINV in high-risk patients. Trial registration KCT0008200, 17/02/2023, Retrospectively registered.
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spelling doaj.art-a9c6d46a0975427a8a39d0f2ca612f122024-04-21T11:08:21ZengBMCBMC Complementary Medicine and Therapies2662-76712024-04-012411910.1186/s12906-024-04464-8The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trialJu Won Kim0Ah Reum Lim1Ji Yoon Lee2June Young Lee3Soohyeon Lee4Yoon Ji Choi5Yeol Hong Kim6Kyong Hwa Park7Division of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalDivision of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalKorea University Anam HospitalKorea University Anam HospitalDivision of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalDivision of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalDivision of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalDivision of Oncology/Hematology, Department of Internal Medicine, Korea University Anam HospitalAbstract Purpose Chemotherapy-induced nausea and vomiting (CINV) is a common adverse events in cancer patients and can negatively affect their quality of life (QoL). This study aimed to evaluate the clinical efficacy of an electric massage chair (EMC) for the treatment of CINV. Methods A randomized phase II cross-over trial was conducted on solid cancer patients who received moderate (MEC) to high emetogenic chemotherapy (HEC). The participants were randomly assigned to receive their first chemotherapy either on a standard bed (Group A) or in an EMC (Group B) during the infusion. The patients were then crossed over to the next cycle. CINV and QoL questionnaires were collected from the participants. Results A total of 59 patients completed the trial protocol and were included in the analysis, with 29 and 30 patients in Groups A and B, respectively. The mean INVR (Index of Nausea, Vomiting, and Retching) score in the 2nd day of the first cycle was higher in Group B (3.63 ± 5.35) than Group A (2.76 ± 4.78), but the difference was not statistically significant (p = 0.5367). The complete response rate showed little difference between the groups. Among the high-emetic risk subgroups, patients who received HEC (p = 0.04595), younger patients (p = 0.0108), and non-colorectal cancer patients (p = 0.0495) presented significantly lower CINV scores when EMC was applied. Conclusion Overall, there was no significant difference in INVR scores between standard care and EMC. Applying EMC at the first chemotherapy infusion may help preserve QoL and reduce CINV in high-risk patients. Trial registration KCT0008200, 17/02/2023, Retrospectively registered.https://doi.org/10.1186/s12906-024-04464-8CINVMassageMassage chairPalliative careIntegrative medicineComplementary medicine
spellingShingle Ju Won Kim
Ah Reum Lim
Ji Yoon Lee
June Young Lee
Soohyeon Lee
Yoon Ji Choi
Yeol Hong Kim
Kyong Hwa Park
The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
BMC Complementary Medicine and Therapies
CINV
Massage
Massage chair
Palliative care
Integrative medicine
Complementary medicine
title The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
title_full The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
title_fullStr The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
title_full_unstemmed The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
title_short The clinical effect of an electric massage chair on chemotherapy-induced nausea and vomiting in cancer patients: randomized phase II cross-over trial
title_sort clinical effect of an electric massage chair on chemotherapy induced nausea and vomiting in cancer patients randomized phase ii cross over trial
topic CINV
Massage
Massage chair
Palliative care
Integrative medicine
Complementary medicine
url https://doi.org/10.1186/s12906-024-04464-8
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