Connective Tissue Massage And Classical Massage In Patients With Chronic Non-Specific Low Back Pain.
NCT ID: NCT06135142
Last Updated: 2023-11-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
30 participants
INTERVENTIONAL
2023-10-16
2023-12-10
Brief Summary
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Methods The study included 30 participants diagnosed with chronic non-specific low back pain. Participants were randomly divided into three groups: classical massage (n=10), connective tissue massage (n=10), and control groups (n=10). The control group received standart physical therapy only. All interventions were administered over a period of 3 days per week for 4 weeks, with each session lasting approximately 15-20 minutes. All assessments were performed at baseline and at the end of 4 weeks. For all participants, the severity of pain was assessed using the Visual Analog Scale, the level of impaired function was measured using the Functional Low Back Pain Scale, lumbar mobility was evaluated with the Modified Schober Test and Sit and Reach Test, physical disabilities were gauged using the Roland Morris Disability Questionnaire, and the quality of life was assessed using the Short Form-36 Quality of Life questionnaire.
Detailed Description
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All treatment sessions were administered by the same investigator (C.D) in the study group. The intervention duration was uniform across all groups: 4 consecutive weeks, with 3 sessions per week lasting 15-20 minutes per session. Outcome measurements were taken at the beginning and 4 weeks after the completion of the program. An independent physiotherapist, unaware of the research details and participant groupings, conducted the evaluations.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Connective Tissue Massage Group
The patient was positioned in sitting position and their feet were supported.The basic region consisted of short and long strokes to the anterior superior iliac spine, the sacrolumbar angle, the ilium, L5 to T12, the pectoral muscles.After,the transition was made to the lower thoracic region.Short strokes were applied from lateral to medial on the latissimus dorsi muscle.Short strokes were executed between the transverse processes of the vertebrae from T12 to T7.Following this,long strokes were initiated from the axilla and continued up to the vertebrae.Finally,long strokes continued beneath the scapular angles.At the end of the lower thoracic region massage,the pectoral muscles were subjected to three stroking motions.After concluding the massage of the lower thoracic region,the application was finalized with long strokes performed subcostally and under the iliac crest.
Connective Tissue Massage
It involves manipulating the soft and deep tissues of the body.
Classic Massage Group
The patient positioned themselves face down with their upper clothing removed. The massage initiation involved employing a general stroking motion. Commencing from the sacrolumbar region, paravertebral long sweeping strokes were executed bilaterally, progressing upwards along the vertebrae's lateral edges. In the area spanning from the lumbothoracic boundary to the gluteals, a general stroking motion was iterated thrice. Subsequently, the erector spinae, latissimus dorsi, and gluteus maximus muscles were sequentially subjected to a series of actions: three cycles of stroking, followed by three cycles of kneading, concluding with three more cycles of stroking. As a concluding step, the initial general stroking movements were replicated thrice prior to finalizing the massage session.
Classical Massage
It involves manipulating the soft tissues of the body.
Control Group
The standardized physiotherapy program included the application of superficial thermal heat, transcutaneous electrical nerve stimulation (TENS) and therapatic Ultrasound. TENS at a frequency of 100 Hz (250-μsec pulses) was applied for 15 min using two 4- to 6-cm electrodes placed bilaterally on each side of the spinous process of the L4 to S1 vertebrae with thermal therapy. While the TENS application was in progress, the heat treatment was also applied. Topical moist heat treatment at 40°C applied directly on the skin to increase both tissue temperature and blood flow. Then, continuous ultrasound was applied at an intensity of 1.5 to 2.5 W/cm2 for a period of 5 minutes.
Transcutaneous Electrical Nerve Stimulation (TENS)
The sum of therapeutic modalities of physical medicine capable to change the threshold of elicitation of nerve or muscle.
Therapatic Ultrasound
The sum of therapeutic modalities of physical medicine capable to change the threshold of elicitation of nerve or muscle.
Heat Treatment
Applying heat to an affected area to treat damaged muscles, joints or tissues in the body.
Interventions
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Connective Tissue Massage
It involves manipulating the soft and deep tissues of the body.
Transcutaneous Electrical Nerve Stimulation (TENS)
The sum of therapeutic modalities of physical medicine capable to change the threshold of elicitation of nerve or muscle.
Classical Massage
It involves manipulating the soft tissues of the body.
Therapatic Ultrasound
The sum of therapeutic modalities of physical medicine capable to change the threshold of elicitation of nerve or muscle.
Heat Treatment
Applying heat to an affected area to treat damaged muscles, joints or tissues in the body.
Eligibility Criteria
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Inclusion Criteria
* Diagnosis of chronic non-specific low back pain,
* Rest or activity pain score of 3 or higher on the Visual Analog Scale (VAS).
Exclusion Criteria
* Presence of spondyloarthropathy, spondylolisthesis, or lumbar stenosis,
* Systemic inflammatory disease,
* Usage of non-specific anti-inflammatory medication in the past 15 days
* Pregnancy.
18 Years
65 Years
ALL
No
Sponsors
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Cansu DAL
OTHER
Responsible Party
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Cansu DAL
Principal Investigator
Principal Investigators
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Cansu DAL
Role: PRINCIPAL_INVESTIGATOR
Muğla Sıtkı Koçman University
Meltem KOÇ
Role: STUDY_DIRECTOR
Muğla Sıtkı Koçman University
Banu BAYAR
Role: STUDY_DIRECTOR
Muğla Sıtkı Koçman University
Locations
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Bayındır Devlet Hastanesi
Izmir, Bayındır, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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İzmir Bayındır Hospital Department of Physical Therapy and Rehabilitation
Role: primary
Other Identifiers
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CD1
Identifier Type: -
Identifier Source: org_study_id