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Clinical relevance of massage therapy and abdominal hypopressive gymnastics on chronic nonspecific low back pain: a randomized controlled trial.

Disability and rehabilitation
August 1, 2022
Lorena Bellido-Fernández et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

To determine the clinical relevance of Massage Therapy (MT) and Abdominal Hypopressive Gymnastics (AHG) on disability, pain intensity, quality of life, and lumbar mobility in patients with chronic nonspecific low back pain (CNSLBP).

Results Summary

Massage Therapy and Abdominal Hypopressive Gymnastics reduced pain levels, increased lumbar mobility, and improved disability and quality of life in the short term. The combination of both therapies provided more benefits in terms of lumbar disability.

Population

60 adults with chronic nonspecific low back pain (CNSLBP).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Massage Therapy (MT)
decrease
pain levels
patients with chronic nonspecific low back pain (CNSLBP)
-
reduce
#1
Massage Therapy (MT)
increase
the mobility of the lumbar spine
patients with chronic nonspecific low back pain (CNSLBP)
-
increase
#2
Massage Therapy (MT)
increase
disability
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#3
Massage Therapy (MT)
increase
quality of life (PCS)
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#4
Abdominal Hypopressive Gymnastics (AHG)
decrease
pain levels
patients with chronic nonspecific low back pain (CNSLBP)
-
reduce
#5
Abdominal Hypopressive Gymnastics (AHG)
increase
the mobility of the lumbar spine
patients with chronic nonspecific low back pain (CNSLBP)
-
increase
#6
Abdominal Hypopressive Gymnastics (AHG)
increase
disability
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#7
Abdominal Hypopressive Gymnastics (AHG)
increase
quality of life (PCS)
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#8
Abdominal Hypopressive Gymnastics (AHG)
increase
quality of life (MCS)
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#9
MT + AHG
decrease
pain levels
patients with chronic nonspecific low back pain (CNSLBP)
-
reduce
#10
MT + AHG
increase
the mobility of the lumbar spine
patients with chronic nonspecific low back pain (CNSLBP)
-
increase
#11
MT + AHG
increase
disability
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#12
MT + AHG
increase
quality of life (PCS)
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#13
MT + AHG
increase
quality of life (MCS)
patients with chronic nonspecific low back pain (CNSLBP)
-
improve
#14
MT + AHG
increase
lumbar disability
patients with chronic nonspecific low back pain (CNSLBP)
-
provides more benefits
#15
Abstract

PURPOSE: To determine the clinical relevance of the effects that Massage-Therapy (MT) and Abdominal-Hypopressive-Gymnastics (AHG) and the combination of both procedures have on the disability, pain intensity, quality of life, and lumbar mobility of patients with chronic nonspecific low back pain (CNSLBP). METHODS: A randomized controlled-trial with parallel-groups, concealed allocation, assessor blinding, and intention-to-treat analysis was carried out. The sample included 60 adults with CNSLBP. The participants received MT ( RESULTS: The ODI change scores were significantly higher ( CONCLUSIONS: Massage Therapy and Abdominal Hypopressive Gymnastics reduce pain levels, increase the mobility of the lumbar spine, and improve disability and quality of life (PCS) in patients with CNSLBP in the short term. Likewise, AHG and MT + AHG improve quality of life (MCS). The combination of both therapies provides more benefits in terms of lumbar disability in patients with CNSLBP in the short term. This improvement is clinically relevant. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02721914). UNLABELLED: IMPLICATIONS FOR REHABILITATIONMassage Therapy (MT) and Abdominal Hypopressive Gymnastics (AHG), reduce pain, improve mobility and quality of life, and reduce disability in the short term.These results are clinically relevant.The combination of manual and active therapy (MT + AHG) seems to be more effective and produces clinically relevant changes.

Medical Subject Headings (MeSH)
AdultChronic PainGymnasticsHumansLow Back PainMassageQuality of LifeTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations7
Citations/Year2.3
Relative Citation Ratio1.50
NIH Percentile65.2%
Research Impact Scores
APT Score0.75
Weight Score2.77
Normalized Score0.72
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