A review of the efficacy of Topical Agents in the treatment of Atopic Dermatitis; a consideration of whether massage as an adjunct therapy is beneficial.
Item
- Title
- A review of the efficacy of Topical Agents in the treatment of Atopic Dermatitis; a consideration of whether massage as an adjunct therapy is beneficial.
- Author(s)
- Hutchison, M
- Abstract
- Background Dermatological conditions contribute as a large number of clinical presentations. Conventional treatments are typically limited to the use of topical agents; failing to consider the impact on the patient and their systemic health. However research has not yet established the effects conjunct therapies, such as massage in the treatment of Atopic Dermatitis. Objective This review was conducted in order to critically appraise research surrounding the efficacy of topical treatments for Atopic Dermatitis and to consider whether massage would be an effective addition to standard treatment. Design A structured literature review. Methods Electronic databases were searched for appropriate studies relevant to the research question, published between 2000-2018, in adherence to the inclusion/ exclusion criteria. Appropriate data was extracted and a table was synthesized in order to summarise each study. A methodological quality assessment tool, Downs and Black (1998), was conducted in order to assess and quantify the studies. Results Studies investigating standard dermatological care, including topical agents, were determined to have substantial methodological quality when assessed using the Downs and Black criteria (1998). Eight of the nine studies adhering to the inclusion criteria, were studies investigating topical agents as an intervention, in comparison to the single study investigating massage as an intervention. The British Medical Journal was a publicist of two of the reviewed studies, which has a significant Journal Impact Factor. The reviewed studies included a range of participants, ranging from infants to adults in order to increase heterogeneity of the review. Discussion Interpretation of the results highlighted methodological credibility within current research when considering topical agent treatment, however documented limitations within research which typically failed to report long-term effects of treatment. Further concerns were highlighted when considering both the amount of research and also the quality of current research when considering massage as a potential adjunct therapy to improve topical agent efficacy. Conclusion This review reflects the limited quality of current evidence when considering massage as an adjunct therapy to standard treatment, and highlights the unreliability of assessment tools within current research. Controlled, clinical trials are needed in order to provide further reliable evidence and develop evidence-based guidelines for massage and manual therapy.
- presented at
- European School of Osteopathy
- Date Accepted
- 2019
- Date Submitted
- 19.11.2019 18:31:09
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16501
- Inst-Identifier
- 1229
- Keywords
- Atopic Dermatitis, Efficacy, Manual Therapy, Topical Agents
- Recommended
- 0
- Item sets
- Thesis
Hutchison, M, “A review of the efficacy of Topical Agents in the treatment of Atopic Dermatitis; a consideration of whether massage as an adjunct therapy is beneficial.”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathic-research.com/s/orw/item/328