GPG Malay Massage

Good Practice Guideline for
Malay Massage in Post Stroke
and Chronic Pain Management
August 2010

First edition 2010.
Copyright 2010, Ministry of Health Malaysia
All rights reserved. No part of this book may be reproduced,
stored, or transmitted in any form or by any means, electronic
or otherwise, including photocopying, recording, internet
or any storage and retrieval system without prior written
permission from the publisher.
Published by:
Traditional and Complementary Medicine Division
Ministry of Health Malaysia
ISBN 978-983-44754-7-5
Cover design by : Suhana Bt. Johar
Traditional and Complementary Medicine Division
Ministry of Health Malaysia

ACKNOWLEDGEMENTS
1. INTRODUCTION
2. GENERAL CONSIDERATIONS
2.1. Record Keeping
2.2. Ethical Issues
2.3. Cleanliness and Sterility
3. SECTION I – PRACTICE GUIDELINE IN ASSESSMENT AND DIAGNOSIS OF
PRESENTING COMPLAIN/PATIENT’S PROBLEM (EVALUATIVE PHASE)
4. SECTION II – PRACTICE GUIDELINE FOR TREATMENT PLAN (TREATMENT
PLANNING PHASE)
5. SECTION III – PRACTICE GUIDELINE FOR PATIENT CARE AND
MONITORING (TREATMENT PHASE)
6. SECTION IV – PRACTICE GUIDELINE IN DISCHARGE ASSESSMENT
(DISCHARGE PHASE)
7. CONCLUSION
8. APPENDICES
Appendix 1: Evaluative Phase
Appendix 2: Treatment Planning Phase
Appendix 3: Treatment Phase
Appendix 4: Discharge Phase
Appendix 5: Sterilization and Disinfection Methods
Appendix 6a: Clerking Form For Stroke for Use in Integrated Hospitals
Appendix 6b: Clerking Form For Chronic Pain for Use in Integrated Hospitals
Appendix 7: Case Study Example
9. REFERENCES
1
2
2
3
3
3
4
6
7
7
8
9
10
11
12
13
15
18
21
25
Contents

Acknowledgements
Special thanks to every individual and organizations who have in one way or
another contributed comments and advices during the preparation of this
good practice guideline on Malay massage for use in the Traditional and
Complementary Medicine (T&CM) Unit in integrated hospitals.

1
Good Practice Guideline On Malay Massage
1. INTRODUCTION
In Malaysia, three pioneer Traditional and Complementary Units (T&CM Units) were
started at Hospital Kepala Batas (October 2007), Hospital Sultan Ismail (January 2008)
and Hospital Putrajaya (March 2008). Malay massage is one of two T&CM modalities
introduced at these hospitals. Since the establishments of the three integrated hospitals,
three more T&CM Units have started their operations since December 2009. The new
units are at Hospital Sultanah Zahirah, Terengganu, Hospital Duchess of Kent, Sabah and
Hospital Umum, Sarawak.
This Good Practice Guideline was developed from the Working Paper on Development of
Good Practice Guideline for Malay Traditional Massage in Chronic Pain and Post Stroke
Management for Traditional and Complementary Unit at the Integrated Hospitals, which
was presented to the Standing Committee, in May 2009.
From data analyzed on the experience of the first three T&CM Units, the following
improvements were identified;
1. The need for a proper and systematic documentation.
2. The need for a standardized approach for the assessment of patients.
3. The need for a standardized treatment plan for a similar condition at all the integrated
hospitals.

Thus, the purpose of this Good Practice Guideline is to guide the T&CM practitioners to;
1. Have a proper and standardized record keeping.
2. Have a standardized approach to assessment and treatment of patients.
3. Maintain an ethical and professional conduct at all times.
This guideline guides the practitioner through the examination, treatment and discharge
of a patient. It will assist practitioners in making decisions on the suitable provisions for
specific clinical circumstances. They are not standards or rules. It is the responsibility
of the individual practitioner to know and understand this guideline, apply it to his/her
clinical case, where and when appropriate.

One needs to keep in mind that each patient is an individual and that each practitioner
has his or her own approach to delivery of care. Therefore, all treatment must be tailored
to the patient’s specific needs.

2
The good practice guideline in Malay Massage is organized into four sections. In Section
I, discusses practice guidelines in assessment and diagnosis of presenting complain
/ patient’s problem (Evaluative Phase). Section II outlines practice guidelines for
Treatment plan (Treatment Planning Phase), Section III describes practice
guidelines in planning of patient Care and Monitoring (Treatment Phase), and in
Section IV, practice guidelines in Discharge assessment (Discharge Phase).
2. GENERAL CONSIDERATIONS
2.1. Record Keeping
2.1.1. General Considerations
a. All information must be recorded in a chronological order and entered as
contemporaneously as possible.
b. Records should not be backdated or altered.
c. Corrections or additions should be initialled and dated.
d. Charts or files should be fully documented and contain all relevant, objective
information, extraneous information should not be included.
e. Records must be complete to provide the practitioner with information
required for subsequent patient care or reporting to outside parties. See
Appendix 7 for example of a case study.
2.1.2. Legibility and Clarity
a. All records should be neat, organized and complete to provide adequate
information requested by a subsequent healthcare provider, insurance
company, and/or attorney. A dated record of what occurred on each visit
and any significant changes in the clinical picture or assessment or care plan
need to be noted.
b. All entries should be written in ink.
c. Entries should not be erased or altered with correction fluid/tape/adhesive
labels.
d. If the contents are changed, the practitioner should initial and date such
changes in the corresponding margin.
e. The method in which notes are recorded is a matter of preference for each
practitioner.
f. All records must be in a language that has been agreed upon, i.e. Malay or
English, typewritten or in a legible handwriting.
g. The patient’s records are confidential and should be kept properly.

3
2.2. Ethical Issues
At all times during the provision of treatment to patients, the T&CM practitioners
should;
2.2.1. Adhere to guideline for ethical conduct (refer to Code of Ethics and Code of
Practice for Traditional and Complementary Medicine Practitioners).
2.2.2. Maintains clinical boundaries during the treatment through appropriate draping
and communication with the patient.
2.2.3. Demonstrates responsible and caring concern for the patient.
2.2.4. Responds appropriately to the patient’s emotional reaction to treatment.
2.2.5. Elicit patient’s ongoing feedback on progress with clinical outcomes and provides
the patient with appropriate education on ongoing care.
2.2.6. Maintain an updated documentation on the treatment provided and the patient’s
response to it.
2.2.7. Maintain communication with the referring clinician or other healthcare
professional as appropriate.
2.3. Cleanliness and Sterility
2.3.1. All practitioners must always maintain good personal hygiene.
2.3.2. All practitioners should wash his/her hands prior to the examination of patients
and starting treatment.
2.3.3. The premise and all equipments used should be cleaned regularly and after each
treatment session.
2.3.4. Practitioners are required to take appropriate measures for prevention of
infection (refer to Traditional and Complementary Medicine Practice Guideline on
Malay Massage, 2nd Edition 2009).
2.3.5. Opened bottles/containers of massage oils should not be left exposed for
prolonged periods of time.
2.3.6. All instruments used should be disinfected and sterilized according to the
recommended methods of sterilization and disinfection (Appendix 5).
3. SECTION I – PRACTICE GUIDELINE IN ASSESSMENT AND DIAGNOSIS OF
PRESENTING COMPLAIN/PATIENT’S PROBLEM (EVALUATIVE PHASE)
This section is concerned with adequate practitioner’s preparation and appropriate
engagement of the patient’s information into the clinical process. It provides the foundation
of the practitioner’s treatment process. The steps revolve around the formulation and
confirmation of the hypothesis about the patient’s problem. It begins with data gathering

4
through patient examination and also involves the confirmation of the patient’s problem,
the creation of a summary of clinical findings, and the decision of whether to pursue treatment.
Below are the steps involved in this process of information gathering (Appendix 1);
3.1. History Taking
3.1.1. Prior to taking the patient’s history, determine whether the patient has a specific
diagnosis on referral. If there is a specific diagnosis, then the history taking will
include questions relating to that condition and will focus on eliciting information
to confirm or refute the patient’s presenting diagnosis.
3.1.2. If it is a walk-in patient, without a specific diagnosis, begin by eliciting general
information that will clarify the patient’s presenting problem and suggest a
diagnosis.
3.2. Physical Examination
3.2.1. The practitioner then proceeds to patient examination, in which the practitioner
analyzes the patient’s presenting problems/impairments and further confirms
the clinical diagnosis.
3.2.2. Practitioners are required to document all findings in the clerking form (Appendix
6a and 6b).
3.3. To Treat or Not To Treat?
3.3.1. Not all patients who are referred are suitable for massage therapy. Therefore,
determine whether the patient would benefit from treatment or not.
3.3.2. Once the practitioner has confirmed that treatment is appropriate, and before he/
she begins treatment planning, the practitioner has to determine the presence or
absence of contraindications. The patient should be referred to the appropriate
healthcare professional should the need arise.
4. SECTION II – PRACTICE GUIDELINE FOR TREATMENT PLAN (TREATMENT
PLANNING PHASE)
This section will discuss the steps involved in planning the patient’s treatment (Appendix
2).
4.1. It begins with the summary of clinical findings from the evaluative phase.
The practitioner has to distinguish between the patient’s area of function and
dysfunction, or those areas that will respond to direct application of massage
technique and those that will not.

5
4.2. Once these areas have been identified, the practitioner should select treatment
techniques that are appropriate for the patient. In the Consensus Meeting on
Improvement Strategy in Traditional and Complementary Medicine Services in
Integrated Hospital (March 2009), for treatment of post stroke patients, the
concept is whole body massage, and half body massage for chronic pain
patients.
4.3. The choice of treatment technique depends on the identification of functional
outcomes of care for the patient. These outcomes should be consistent with the
functional limitations that the patient has.
4.4. The patient should be explained regarding the treatment technique that has been
decided upon. If there is significant harm from the proposed treatment, this risk
should be disclosed, understood and accepted by the patient.
4.5. Obtain patient’s consent prior to the provision of treatment. Patients must be
competent to give consent of care. In care of minors (less than 18 years old)
and mentally impaired adults, practitioners requires the consent of a guardian.
4.6. The number of follow up or frequency of visits planned is catered to the individual
patient. Below is a guide for the number of sessions in management of chronic
pain and post stroke patients;
Chronic pain
3 sessions
3 sessions in a week
Can either be:
3 days in a row
OR
Alternate days
Done at third session
5 sessions
Number of sessions
Breakdown of sessions
Assessment for
effectiveness
Maximum session given in
the unit for cases
Post stroke
7 sessions
First week: 3 sessions
Second week: 2 sessions
Third week: 2 sessions
Done at the 7th session
10 sessions
Table 1: Regime Treatment of Malay Massage for Chronic pain and post stroke cases
(Presented at WHO Workshop on Development of Harmonized Policy and Standards of
Integrative Medicine).

6
5. SECTION III – PRACTICE GUIDELINE FOR PATIENT CARE AND MONITORING
(TREATMENT PHASE)
This phase involves an ongoing cycle of treatment; re-examination and treatment progression
that begins after the practitioner completes the plan of care (Appendix 3).
5.1. In the first stage of treatment, the practitioner evaluates the appropriateness of
the plan of care and gauges the patient’s treatment tolerance. Be cautious not
to introduce too many treatment techniques at once, lest it be difficult to identify
which technique to which the patient has a positive or adverse response to.
5.2. At any time during the intervention, the practitioner can perform patient
examination to assess any clinical change. The reexamination is focused on
the identification and measurement of changes in the patient’s impairment and
functional level form the baseline. It is also to identify whether the patient has a
positive or adverse response to treatment given.
5.3. The practitioner should reassess the patient’s impairments and functional level
as recommended (see Section II, Table I) and at other suitable intervals deemed
appropriate.
5.4. Ideally, during each treatment session, the practitioner incorporates patient’s
examination and progression or modification of either the treatment techniques
or client education.
Table 2: Duration of Malay massage therapy for chronic pain and post stroke cases.
New case
Follow up case
Chronic pain
30 – 45 minutes
30 minutes
Post stroke
30 – 60 minutes
30 – 60 minutes

7
6. SECTION IV – PRACTICE GUIDELINE IN DISCHARGE ASSESSMENT (DISCHARGE
PHASE)
The discharge phase involves the transition of the patient from the care of the practitioner to
the care of another clinician or to self-care. The steps involved are (Appendix 4);
6.1. The practitioner elicits the patient’s perceived discharge needs.
6.2. The patient is then informed of post-discharge treatment requirements.
6.3. An appropriate initial discharge plan based on clinical findings is prepared.
6.4. Discharge goals and arrangements are discussed with the patient, and the
practitioner documents the final discharge plan.
6.5. The patient is prepared for pre-discharge education and preparation.
6.6. The practitioner completes and documents pre-discharge examination and
determines whether the patient has achieved the identified functional outcomes.
The patient may be referred to another practitioner or healthcare provider for
follow up care as appropriate.
6.7. Advice should be given on self-care, maintenance of health and prevention of
recurrence of the patient’s problem(s).
7. CONCLUSION
This guideline with the clinical decision making process proposed is a guide for T&CM
Practitioners of Malay Massage, through the evaluative, treatment planning, treatment and
discharge phases of a patient care. It provides guidelines for enhancing the appropriateness
and adequacy of examinations performed, the plans of care outlined, and the interventions
planned and provided by the practitioners. This guideline also encourages the T&CM
practitioners to adhere to the code of ethics and code of practice, and maintains a high level
of medical professionalism.

8
APPENDICES

9
APPENDIX 1 : EVALUATIVE PHASE
Patient with presenting
problem
Case history & physical
examination
Within scope
of treatment
No
No
Refer to
appropriate
healthcare
professional
Yes
Yes
Contraindications
Treatment planning
phase

10
APPENDIX 2 : TREATMENT PLANNING PHASE
Treatment planning
phase
Areas of
impairment/problem
Establish diagnosis
For active
treatment
Preparation for
treatment
Treatment sessions
Other appropriate
technique
Reassess for
treatment
Areas of normal
function
compensating for
deficit
Plan of care

11
APPENDIX 3 : TREATMENT PHASE
Session procedure
completed
Compensation mechanism
done
Treat accordingly
and possibility of
referrals to other
health care
professional
Revise plan of care
Refine application
technique
Reassess – to refer
Monitoring of
symptoms/
complications
Continue treatment programme,
reassessment and after care advise
Functional
changes/
outcome met
Continue treatment plan
Yes
Yes
No
No

12
APPENDIX 4 : DISCHARGE PHASE
Assess progression
and re-examination
Functional
outcome met/
improved physical
function
Initiate discharge
assessment &
education
Document findings
and plans on
discharge
Discharge
Continue
treatment plan
No
Yes

13
APPENDIX 5: STRERILIZATION AND DISINFECTION METHODS
Methods of sterilization
Steam sterilization is the most widely used method for apparatus and instruments made of metal.
It is nontoxic, inexpensive, sporicidal and rapid if used in accordance with the manufacturer’s
instructions (e.g. time, temperature, pressure, wraps, load size and load placement). Steam
sterilization is only fully effective when free from air, ideally at 100% saturated steam. Pressure
itself has no influence on sterilization, but serves as a means of obtaining the high temperatures
required.
Recommended sterilizing temperatures and times for steam under pressure, and for dry heat, are
shown in the table below.
* Steam under pressure (e.g. autoclave, pressure cooker)
Required pressure: => 15 pounds per square inch (101 kilopascals)
Temperature
115°C
121°C
126°C
134°C
Time
30 minutes
15 minutes
10 minutes
3 minutes
* Dry heat (e.g. electric oven)
Temperature
160°C
170°C
180°C
Time
120 minutes
60 minutes
30 minutes
(Source: WHO - GPA/TCO/HCS/95/16 p.15.)
Recommended methods of sterilization

14
Instruments made of rubber or plastic which are unable to stand the high temperature of an
autoclave can be sterilized chemically, at appropriate concentrations and ensuring adequate
immersion times (e.g. 6% stabilized hydrogen peroxide for six hours).
It should be noted that boiling needles in water is not sufficient for sterilization, nor is soaking in
alcohol, since these methods do not destroy resistant bacterial spores or certain viruses.
Methods of Disinfection
A high level of disinfection is achieved when instruments are boiled for 20 minutes. This is the
simplest and most reliable method of inactivating most pathogenic microbes, including HIV, when
sterilization equipment is not available. Boiling should be used only when sterilization by steam or
dry heat is not available. Hepatitis B virus is inactivated by boiling for several minutes; HIV, which
is very sensitive to heat, is also inactivated by boiling for several minutes. However, in order to be
sure, boiling should be continued for 20 minutes.
Chemical disinfection is used for heat-sensitive equipment that may be damaged by high
temperatures. Most disinfectants are effective against a limited range of microorganisms only
and vary in the rate at which they destroy microorganisms. Items must be dismantled and fully
immersed in the disinfectant. Care must be taken to rinse disinfected items with clean water
so that they do not become recontaminated. Chemical disinfectants are unstable and chemical
breakdown can occur. They may also be corrosive and irritating to skin. Protective clothing may be
required. Chemical disinfection is not as reliable as boiling or sterilization. The agents include:
• chlorine-based agents, e.g., bleach
• aqueous solution of 2% glutaraldehyde
• 70% ethyl or isopropyl alcohol.
(Source: WHO - GPA/TCO/HSC/95/16 p.16 and WHO AIDS Series 2, 2nd edition, p.3, 1989.)

15

16
Lokasi (site):
Ciri-ciri kelumpuhan (Character)
Ketidakupayaan (Disability) yang lain:
Faktor yang menjadikan keadaan lebih buruk
(Aggrevating Factor) :
Faktor yang menambahbaikan keadaan
(Relieving Factor) :
Kemajuan (Progression) :
Huraian :
Isikan nama bahagian yang
mengalami kelumpuhan . Samada
bahagian Kiri atau Kanan. Anggota
yang sakit e.g Kaki, Bahu dll
Huraian:
Isikan ciri yang dialami;e.g
tidak boleh mengerak anggota
bahagian,kejang, keras
Huraian:
Isikan samada pesakit mengalami
simptom yang lain e.g tidak boleh
bertutur , tidak boleh menelan air
atau/dan makanan dll
Isikan perbandingan keadaan
pesakit dari tempoh kelumpuhan
hingga hari ini.
Jenis kelumpuhan :
Seluruh badan Separuh badan Kiri Kanan
PENILAIAN PESAKIT
Catatan

17

18

19
PENILAIAN PESAKIT
Lokasi (site):
Ciri-ciri kesakitan (character):
Menjalar (Radiate):
Masa bermula (Onset):
Perkembangan (Progression):
Tempoh (Duration):
Faktor yang menyebabkan keadaan kesakitan lebih
teruk (Aggravating Factor):
Faktor yang mengurangkan kesakitan
(Relieving Factor):
Simptom yang berkaitan (Associated symptoms):
Huraian :
Isikan nama bahagian yang sakit.
Samada bahagian Kiri atau Kanan.
Anggota yang sakit e.g Kaki, Bahu dll
Huraian:
Isikan ciri kesakitan yang dialami;e.g
cucuk,tarik,dll
Huraian:
Isikan pergerakkan kesakitan yang
dialami. Sebagai contoh bermula
kesakitan bermula di kaki kiri dan ianya
dapat dirasakan/menjalar hingga ke paha
kiri
Huraian:
Isikan masa mulanya kesakitan itu
bermula e.g 3 bulan yang lepas , 6 bulan
yang lepas
Huraian:
Isikan perbandingan keadaan kesakitan
pesakit dari tempoh ia bermula hingga
hari ini.e.g kesakitan bertambah teruk
dari boleh berjalan dulu tetapi sekarang
menggunakan bantuan untuk berjalan.
Huraian:
Disini menjelaskan tempoh masa
kesakitan apabila pesakit diserang
kesakitannya.e.g 10 minit, 20 minit dll

20

21
APPENDIX 7 : Case Study Example
Name : Mr M
Address : 3, Jalan Kenanga, Seksyen 5, 40000 Shah Alam, Selangor
I/C No. : 800205-14-5689
Age : 30 years
Referral : none
The patient is a 30 years old man who works as an accountant at a local company.
He presented with 4 months history of neck pain which has steadily increased in severity.
The neck pain occurs at rest, at end of range of motion and during functional activity. The
patient does not recall any injury or events preceding the onset of the neck pain. He also
reports difficulty in driving due to tightness of neck muscles, and transient headaches
(temporal region). He has no other medical illness.

Despite the fact that Mr. M has suffered for 3 months, he has not yet sought any
treatment for his neck pain. He does however, took various types of available over
the counter pain relief medications. He reports that the medications provides him with
temporary relief and enables him to continue working and has a good functional activity.
But, for the last 1 month, the medications are providing with very minimal pain control.
Since then, he finds that even getting up from bed is agonizing.

22

23
PENILAIAN PESAKIT
Lokasi (site):
Posterior neck, right side, and right upper back
Ciri-ciri kesakitan (character):
Sharp, pricking
Menjalar (Radiate):
Radiating to right shoulder and upper arm
Masa bermula (Onset):
4 months ago
Perkembangan (Progression):
Increasing in severity, previously able to turn head to right
side more easily. Now unable to turn head to the right at all.
Tempoh (Duration):
Everytime
Faktor yang menyebabkan keadaan kesakitan lebih teruk
(Aggravating Factor):
Driving, upon getting up form lying down, lifting up right arm
Faktor yang mengurangkan kesakitan (Relieving Factor):
Medications (painkiller)
Simptom yang berkaitan (Associated symptoms):
None
Huraian :
Isikan nama bahagian yang sakit.
Samada bahagian Kiri atau Kanan.
Anggota yang sakit e.g Kaki, Bahu dll
Huraian:
Isikan ciri kesakitan yang dialami;e.g
cucuk,tarik,dll
Huraian:
Isikan pergerakkan kesakitan yang
dialami. Sebagai contoh bermula
kesakitan bermula di kaki kiri dan ianya
dapat dirasakan/menjalar hingga ke
paha kiri
Huraian:
Isikan masa mulanya kesakitan itu
bermula e.g 3 bulan yang lepas , 6
bulan yang lepas
Huraian:
Isikan perbandingan keadaan kesakitan
pesakit dari tempoh ia bermula hingga
hari ini.e.g kesakitan bertambah teruk
dari boleh berjalan dulu tetapi sekarang
menggunakan bantuan untuk berjalan.
Huraian:
Disini menjelaskan tempoh masa
kesakitan apabila pesakit diserang
kesakitannya.e.g 10 minit, 20 minit dll

24

25
REFERENCES
1. Andrade and Clifford, Outcome-based Massage, Part I: Client Examination and Treatment
Planning.
2. Lynn Freeman, Mosby’s Complementary and Alternative Medicine, A Research-based Approach
(2nd Edition), Chapter 13: Massage Therapy.
3. Code of Ethics and Code of Practice for Traditional and Complementary Medicine Practitioners
(2nd Edition 2007).
4. Traditional and Complementary Medicine Practice Guideline on Malay Massage (2nd Edition
2009).
5. Consensus Meeting on Improvement Strategy in Traditional and Complementary Medicine (T&CM)
Services in Integrated Hospital with T&CM Practitioners, March 2009.
6. WHO Workshop on Development of Harmonized Policy and Standards of Integrative Medicine.
7. Presentation of Working Paper, Development of Good Practice Guideline for Malay Traditional
Massage in Chronic Pain and Post Stroke Management for Traditional and Complementary Medicine
Unit at Integrated Hospitals, May 2009.
8. http://nccam.nih.gov/health/massage
9. http://www.redmoonmassagetherapy.com
10. http://www.integrative-healthcare.org
11. http://www.emedicine.medscape.com
12. http://massagetherapy.suite101.com
13. Daniel C. Cherkin, Karen J. Sherman, Richard A. Deyo, Paul G. Shekelle. A Review of the Evidence
for the Effectiveness, Safety, and Cost of Acupuncture, Massage Therapy, and Spinal Manipulation
for Back Pain. Annals of Internal Medicine, June 2003. Volume 138, Number 11.
14. Jennie C.I. Tsao. Effectiveness of Massage Therapy for Chronic, Non-malignant Pain: A Review.
eCAM, February 2007.
15. E. Ernst. The Safety of Massage Therapy. Rheumatology, May 2003.
16. Anita R. Gross, Jan L. Hoving, Ted A. Haines, Charles H. Goldsmith, T. Kay, Peter Aker, Gert
Bronfort, and the Cervical Overview Group. A Cochrane Review of Manipulation and Mobilization
for Mechanical Neck Disorders. Spine, 2004. Volume 29, Number 14.

26
17. Harald Walach, Corina Güthlin, and Miriam König. Efficacy of Massage Therapy in Chronic Pain:
A Pragmatic Randomized Trial. The Journal Of Alternative And Complementary Medicine, 2003.
Volume 9, Number 6.
18. Catherine A. Warms, Judith A. Turner, Helen M. Marshall, and Diana D. Cardena. Treatments for
Chronic Pain Associated With Spinal Cord Injuries: Many Are Tried, Few Are Helpful. The Clinical
Journal of Pain, 2002.
19. EG Widerstro¨m-Noga, and DC Turk. Types and effectiveness of treatments used by people with
chronic pain associated with spinal cord injuries: influence of pain and psychosocial characteristics.
Spinal Cord, 2003.
20. Barrie R. Cassileth, and Andrew J. Vickers. Massage Therapy for Symptom Control: Outcome
Study at a Major Cancer Center. Journal of Pain and Symptom Management, 2004. Volume 28,
number 3.
21. Tiffany Field, Maria Hernandez-Reif, Susan Seligman, Josh Krasnegor, William Sunshine, Rafael
Rivas-Chacon, Saul Schanberg and Cynthia Kuhn. Juvenile Rheumatoid Arthritis: Benefits from
Massage Therapy. Journal of Pediatric Psychology, 1997. Volume 22, number 5.

27
Editorial Board
Dr. Ramli Abd. Ghani
Director
Traditional and Complementary Division
Ministry of Health
Dr. Shamsaini Shamsuddin
Senior Principal Assistant Director
Ministry of Health
Dr. Zalilah Abdullah
Principal Assistant Director
Ministry of Health
Dr. Nur Hidayati Abdul Halim
Senior Assistant Director
Ministry of Health

28
Traditional and Complementary Medicine
Practitioners
Syed Mahdi Syed Fouzi Barakhbah
Fauziah Mat Jani
Robaieyah Ramlie
Kamarul Abdul Rahman
Che Nab Shaari
Rohani Ibrahim
Zakariya Saad
Haniyah Ismail
Azlina Abdul Razak
Mimi Samsuddin
Razmah Mohd Amin
Mahani Mohd Aris
Norizan Radinmas
Siti Zawiyah Sarip
Shamsuri Ibrahim
Mary Kasim
Ab Rahim T. Ahmad
Siti Hajar Baba
Sharifah Yunnah
Sharifah Mariamah Abdullah
Zailani Omar
Rozana Ramli
Committee Members
Ministry of Health
Dr. Khadijah Abu Bakar
Deputy Director, Hospital Sultan Ismail,
Johor
Wan Najbah Nik Nab
Head of Traditional and Complementary
Medicine Unit, Hospital Putrajaya
Liew Ai Chi’i
Head of Traditional and Complementary
Medicine Unit, Hospital Kepala Batas,
Pulau Pinang

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