Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study

L Bellido-Fernández, J J Jiménez-Rejano, R Chillón-Martínez, M A Gómez-Benítez, M De-La-Casa-Almeida, M Rebollo-Salas, L Bellido-Fernández, J J Jiménez-Rejano, R Chillón-Martínez, M A Gómez-Benítez, M De-La-Casa-Almeida, M Rebollo-Salas

Abstract

Background: There are a great number of interventions in physiotherapy, but with little evidence of their effectiveness in chronic low back pain. Therefore, this study assesses effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics and the combination of both to decrease pain and lumbar disability while increasing joint mobility and quality of life in patients with chronic nonspecific low back pain.

Methods: A randomized, single-blinded, controlled, clinical trial with sample (n = 27) was comprised of patients between 20 and 65 years, diagnosed with pain of mechanical origin characterized by having a duration of at least 12 weeks and no serious complications. Each group received 8 interventions of 30 minutes.

Results: Friedman ANOVA test obtained statistically significant differences of Oswestry, NRS, and Schober variables (p < 0.05) in the three measurements (pretest, posttest 1, and posttest 2), in each individual group. ANOVA Kruskal-Wallis test was used for comparison between groups, and Oswestry Disability values were significantly higher (p = 0.024) in the group receiving both treatments.

Conclusion: Both individual groups reduce pain levels, improve disability, and increase the flexibility of the lumbar spine. The combination therapy provides greater benefits in terms of lumbar disability. This study is registered on March 8, 2016, with NCT02721914.

Figures

Figure 1
Figure 1
Diagram of the participants.
Figure 2
Figure 2
Abdominal Hypopressive Gymnastics protocol.
Figure 3
Figure 3
Marginal mean diagram of the Oswestry and NRS variable. The group receiving both treatments (Massage Therapy + AHG) obtained a greater statistically significant difference between pretest and posttest 2 against Massage Therapy group (p = 0,024).

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