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Therapeutic evaluation of lumbar tender point deep massage for chronic non-specific low back pain.

Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan
December 1, 2012
Zhixin Zheng et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the therapeutic effects of lumbar tender point deep tissue massage combined with lumbar traction versus lumbar traction alone on chronic non-specific low back pain, using pressure pain threshold, muscle hardness, and pain intensity as measures.

Results Summary

The treatment group (massage + traction) showed significantly greater improvements in pressure pain threshold, reduced muscle hardness, and lower pain intensity compared to the control group (traction alone), with statistically significant differences (P < 0.05).

Population

64 patients with chronic non-specific low back pain (60 completed the study).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
lumbar tender point deep tissue massage plus lumbar traction
increase
pressure pain threshold
patients with chronic non-specific low back pain
1.5 +/- 0.8 (treatment group) vs 1.1 +/- 0.7 (control group)
produced better improvement
#1
lumbar tender point deep tissue massage plus lumbar traction
decrease
muscle hardness
patients with chronic non-specific low back pain
4.2 +/- 1.6 (treatment group) vs 3.5 +/- 1.3 (control group)
produced better improvement
#2
lumbar tender point deep tissue massage plus lumbar traction
decrease
pain intensity
patients with chronic non-specific low back pain
1.9 +/- 0.9 (treatment group) vs 1.4 +/- 0.8 (control group)
produced better improvement
#3
Abstract

OBJECTIVE: To observe the therapeutic effect of lumbar tender point deep tissue massage plus lumbar traction on chronic non-specific low back pain using change in pressure pain threshold, muscle hardness and pain intensity as indices. METHODS: We randomly divided 64 patients into a treatment group (32 cases) and a control group (32 cases). Two drop-outs occurred in each group. Patients in the treatment group received tender point deep tissue massage plus lumbar traction and patients in the control group received lumbar traction, alone. We used a tissue hardness meter/algometer and visual analog scale (VAS) to assess the pressure pain threshold, muscle hardness and pain intensity. RESULTS: Following treatment, we obtained the following results in the treatment and control groups, respectively: the pressure pain threshold difference was 1.5 +/- 0.8 and 1.1 +/- 0.7; the muscle hardness difference was 4.2 +/- 1.6 and 3.5 +/- 1.3; and the VAS score difference was 1.9 +/- 0.9 and 1.4 +/- 0.8. Compared to the control group, the treatment group had higher pressure pain threshold (t = 2.09, P < 0.05), and lower muscle hardness (t = 2.05, P < 0.05) and pain intensity (t = 2.46, P < 0.05). CONCLUSION: Lumbar tender point deep tissue massage combined with lumbar traction produced better improvement in pressure pain threshold, muscle hardness and pain intensity in patients with chronic non-specific low back pain than with lumbar traction alone.

Medical Subject Headings (MeSH)
Acupuncture PointsAdultAgedFemaleHumansLow Back PainLumbosacral RegionMaleMassageMiddle AgedTreatment OutcomeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations34
Citations/Year2.6
Relative Citation Ratio1.71
NIH Percentile69.6%
Research Impact Scores
APT Score0.75
Weight Score1.42
Normalized Score0.69
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