This preliminary study could not demonstrate that TTM
differs from conventional PT programs in decreasing spasticity
or improving limb functions. Although no statistical
significance was found, there were trends in decreasing
spasticity, anxiety, and depression scores in the TTM group
compared with the PT group. Massage may be an alternative
method for stroke patients to decrease spasticity, improve
psychological conditions and QoL. Further studies employing
an adequate sample size and evaluating the long-term effect
of massage are needed.