The Effectiveness of the Massage and the Hypopressive Abdominal Gymnastics on Low Back Pain (MAS-GAH)

NCT02721914 | Completed

• 1 other identifier: USeville-MSalas
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The main goal of this study is to get to know if applying both, massotherapy plus hypopressive abdominal gymnastics (H.A.G) will reduce the pain of chronic non-specific low back pain. It actually reduces the inability produced by the pain and improve the patient's quality of life as well as the join range of the lumbar spine, way more than these two therapies applied separately.

Conditions

Low-back Pain

Keywords

low-back pain; massage therapy; Gymnastics; disability

Outcome Measures

Primary Outcomes (4)

• Change from Self-reported lumbar pain intensity at 3 weeks.

  Evaluated by the numerical pain scale.

  At the start of the study, before the fifth treatment session (third week)

• Change from Self-reported lumbar pain intensity at 5 weeks.

  Measured by the Oswestry disability index.

  After the last treatment session (fifth week).

• Change from Disability at 3 weeks.

  Measured by the Oswestry disability index.

  At the start of the study, before the fifth treatment session (third week)

• Change from Disability at 5 weeks.

  Measured by the Oswestry disability index.

  After the last treatment session (fifth week).

Secondary Outcomes (4)

• Change from Lumbar joint mobility at 3 weeks.

  At the start of the study, before the fifth treatment session (third week)

• Change from Lumbar joint mobility at 5 weeks.

  After the last treatment session (fifth week).

• Change from Quality of life at 3 weeks.

  At the start of the study, before the fifth treatment session (third week)

• Change from Quality of life at 5 weeks.

  After the last treatment session (fifth week).

Study Arms (3)

GROUP RECEIVING MASSOTHERAPY- HYPOPRESSIVE ABDOMINAL GYMNASTIC

EXPERIMENTAL

Subjects will receive 4 massotherapy sessions and 4 of HYPOPRESSIVE ABDOMINAL GYMNASTIC (HAG).

Procedure: GROUP RECEIVING MASSOTHERAPY- HYPOPRESSIVE ABDOMINAL GYMNASTIC

GROUP RECEIVING MASSOTHERAPY

EXPERIMENTAL

The subjects of this group will receive a total of 8 sessions of 30 minutes each.

Procedure: GROUP RECEIVING MASSOTHERAPY

GROUP RECEIVING HYPOPRESSIVE ABDOMINAL GYMNASTIC

EXPERIMENTAL

The subjects of this group will receive a total of 8 sessions of 30 minutes each.

Procedure: GROUP RECEIVING HYPOPRESSIVE ABDOMINAL GYMNASTIC

Interventions

GROUP RECEIVING MASSOTHERAPY- HYPOPRESSIVE ABDOMINAL GYMNASTIC PROCEDURE

The subjects of this group will receive an amount of eight sessions that will be applied within five weeks; four massotherapy sessions and another 4 of H.A.G. The three first weeks one session of each methodology will be applied, starting always with massotherapy (with sessions on Mondays and Thursdays or on Tuesdays and Fridays). On the fourth week a session of massotherapy will be applied on the same day as usual. And, finally, on the fifth week a session of H.A.G will be applied on the same day as massotherapy is applied.

GROUP RECEIVING MASSOTHERAPY- HYPOPRESSIVE ABDOMINAL GYMNASTIC

GROUP RECEIVING MASSOTHERAPY PROCEDURE

The sessions will be applied for 5 weeks. The first three weeks 2 sessions per week will be applied (whether on Mondays and Thursdays or Tuesdays and Fridays), and during the remaining two weeks only a session will be applied per week, on the first day of the week same as applied before. Massotherapy technics will be applied all over the back, covering the thoracolumbar area as well as upper areas reaching the cervix and occiput. In particular, posterosuperior iliac spines, iliac crests, ribs, shoulder girdle and the entire spine (sacral bone- lumbar area-backbones-cervical vertebrae) and its attached tissues will be worked down. Massotherapy protocol will be applied by the physical therapist, always respecting the postural ergonomics. This enables the verticality of the body (avoiding the slopes) which makes work much easier thanks to the inertia triggered by the load transfer in the lower extremities in both sagittal and horizontal plane.

GROUP RECEIVING MASSOTHERAPY

GROUP RECEIVING HYPOPRESSIVE ABDOMINAL GYMNASTIC PROCEDURE

The subjects of this group will receive a total of 8 sessions of 30 minutes each; sessions will be applied for 5 weeks. The first three weeks 2 sessions per week will be applied (whether on Mondays and Thursdays or Tuesdays and Fridays), and during the remaining two weeks only a session will be applied per week, on the first day of the week same as applied before. The techniques applied are an assembly of rhythm, postural and breathing exercises that have to be done in a systematically. The physical therapist will check that all of the group subjects have assimilated properly the H.A.G and the breathing patterns from the exercises protocol. If they have, then the practical session which comprises 6 hypopressive exercises, can be started. The subjects must remain in each position between 10 and 30 seconds and repeat the exercise three times, with a rest period among each that will last at least 20 seconds.

GROUP RECEIVING HYPOPRESSIVE ABDOMINAL GYMNASTIC

Eligibility Criteria

• Age: 20 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with chronic non-specific low back pain diagnosed and at least 12 weeks of mechanical pain.

You may not qualify if:

• Patients:
• With arterial hypertension diagnosed.
• With progressive neurological deficits.
• Pregnant or suspect that they are pregnant.
• With psychological or psychiatric process diagnosed.
• Under analgesic treatment.

Sponsors & Collaborators

• University of Seville: lead

Study Sites (1)

Grupo de Investigación Área de Fisioterapia CTS 305 - Universidad de Sevilla

Seville, 41009, Spain

Location

Related Publications (8)

• Trampas A, Mpeneka A, Malliou V, Godolias G, Vlachakis P. Immediate Effects of Core-Stability Exercises and Clinical Massage on Dynamic-Balance Performance of Patients With Chronic Specific Low Back Pain. J Sport Rehabil. 2015 Nov;24(4):373-83. doi: 10.1123/jsr.2014-0215. Epub 2014 Dec 4.

  PMID: 25474502 BACKGROUND

• Resende AP, Torelli L, Zanetti MR, Petricelli CD, Jarmy-Di Bella ZI, Nakamura MU, Araujo Junior E, Moron AF, Girao MJ, Sartori MG. Can Abdominal Hypopressive Technique Change Levator Hiatus Area?: A 3-Dimensional Ultrasound Study. Ultrasound Q. 2016 Jun;32(2):175-9. doi: 10.1097/RUQ.0000000000000181.

  PMID: 26441380 RESULT

• Stupp L, Resende AP, Petricelli CD, Nakamura MU, Alexandre SM, Zanetti MR. Pelvic floor muscle and transversus abdominis activation in abdominal hypopressive technique through surface electromyography. Neurourol Urodyn. 2011 Nov;30(8):1518-21. doi: 10.1002/nau.21151. Epub 2011 Aug 8.

  PMID: 21826719 RESULT

• Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt E. Noninvasive Treatments for Low Back Pain [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Feb. Report No.: 16-EHC004-EF. Available from http://www.ncbi.nlm.nih.gov/books/NBK350276/

  PMID: 26985522 RESULT

• Sejari N, Kamaruddin K, Ramasamy K, Lim SM, Neoh CF, Ming LC. The immediate effect of traditional Malay massage on substance P, inflammatory mediators, pain scale and functional outcome among patients with low back pain: study protocol of a randomised controlled trial. BMC Complement Altern Med. 2016 Jan 15;16:16. doi: 10.1186/s12906-016-0988-1.

  PMID: 26767971 RESULT

• Furlan AD, Giraldo M, Baskwill A, Irvin E, Imamura M. Massage for low-back pain. Cochrane Database Syst Rev. 2015 Sep 1;2015(9):CD001929. doi: 10.1002/14651858.CD001929.pub3.

  PMID: 26329399 RESULT

• Bellido-Fernandez L, Jimenez-Rejano JJ, Chillon-Martinez R, Lorenzo-Munoz A, Pinero-Pinto E, Rebollo-Salas M. Clinical relevance of massage therapy and abdominal hypopressive gymnastics on chronic nonspecific low back pain: a randomized controlled trial. Disabil Rehabil. 2022 Aug;44(16):4233-4240. doi: 10.1080/09638288.2021.1884903. Epub 2021 Feb 15.

  PMID: 33587856 DERIVED

• Bellido-Fernandez L, Jimenez-Rejano JJ, Chillon-Martinez R, Gomez-Benitez MA, De-La-Casa-Almeida M, Rebollo-Salas M. Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study. Evid Based Complement Alternat Med. 2018 Feb 22;2018:3684194. doi: 10.1155/2018/3684194. eCollection 2018.

  PMID: 29681973 DERIVED

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: March 18, 2016
• First Posted: March 29, 2016
• Study Start: April 1, 2016
• Primary Completion: June 1, 2016
• Study Completion: July 1, 2018
• Last Updated: October 15, 2019

Record last verified: 2019-01

Locations

ES (1)