The Effectiveness of Short-term Massage Versus Trabert Current Therapy in Patients With Low Back Pain
- Conditions
- Low Back Pain
- Interventions
- Other: Manual massageDevice: Trabert current
- Registration Number
- NCT03772093
- Lead Sponsor
- Medical University of Bialystok
- Brief Summary
Background: Low back pain (LBP) is still a frequent health problem. Recurrance of symptoms leads to high absence at work. It was proved in previous studies that low back manual massage has a significant impact on pain reduction. Trabert current (TC) is common physical modality used in rehabilitation of patients with LBP. The aim of study was to assess the effectiveness of manual massage in comparison to TC in patients with LBP.
Methods: Sixty patients with LBP were enrolled in to the study. In all patients discopathy and spondyloarthrosis were diagnosed. The subjects were randomly assigned to two groups: massage (I=30) and TC (II=30) therapy. The procedures were performed for ten days. Pain intensity was assessed by Numerical Rating Scale. Quality of life and the degree of disability were evaluated by Oswestry Disability Index and Roland-Morris Disability Questionnaire.
Results: In both groups pain reduction and functional improvement were observed after therapy. However, better results were noticed in group I.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- confirmed in X-ray spondyloarthrotic changes in lumbar area of spine
- pain of lumbar area lasting than 1 year
- cardiac rythm disturbances
- cardiac pacemaker
- heart failure
- pulmonary embolism
- atherosclerosis
- neoplasmatic diseases
- skin lesions or purulent changes in the area of procedure
- pregnancy
- advanced osteoporosis
- spine fractures
- fever
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Patients with manual massage therapy Manual massage 30 patients were randomly assigned to massage therapy. The procedures were performed for ten days, with weekend break. Manual massage of lumbar area was performed by certified massage therapist with the typical course of the procedure. The technique was consisted of stroking, kneading, grinding, patting and shaking. The procedure lasted twenty minutes. Patients with Trabert current therapy Trabert current 30 patients were randomly assigned to Trabert current therapy. The Trabert current was administered by 143 frequency, time of 2 ms impulse, time of break 5 ms. The current was generated by Pulsotronic ST-6D device (ZAMED©). The electric pads were placed on the lumbar area, in the middle part of spine. The anode in the lower part, near to buttocks. The intensity of current was regulated between 15-25 mA. The time of procedure lasted fifteen minutes.
- Primary Outcome Measures
Name Time Method pain intensity measured by NRS (numerical rating scale) NRS was measured before and after 10 days massage and Trabert current therapy groups Numerical raitng scale (NRS) are psychometric measuring instruments designed to document the characteristics of disease-related symptom severity in individual patients and use this to achieve a rapid (statistically measurable and reproducible) classification of symptom severity and disease control. NRS is10-point scale, where 0=no pain and 10=worst possible pain.
- Secondary Outcome Measures
Name Time Method quality of life measured by Oswestry Disability Index (ODI) ODI was measured before and after 10 days massage and Trabert current therapy groups is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. The self-completed questionnaire contains ten topics concerning intensity of pain, lifting, ability to care for oneself, ability to walk, ability to sit, sexual function, ability to stand, social life, sleep quality, and ability to travel. Each topic category is followed by 6 statements describing different potential scenarios in the patient's life relating to the topic. The patient then checks the statement which most closely resembles their situation. Each question is scored on a scale of 0-5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.