The Effectiveness of Short-term Massage Versus Trabert Current Therapy in Patients With Low Back Pain

NCT03772093 | Completed

• 1 other identifier: R-I-002/418/2013
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

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.

Conditions

Low Back Pain

Keywords

massage; low back pain; Trabert current; Ultra-Reiz current

Outcome Measures

Primary Outcomes (1)

• pain intensity measured by NRS (numerical rating scale)

  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.

  NRS was measured before and after 10 days massage and Trabert current therapy groups

Secondary Outcomes (1)

• quality of life measured by Oswestry Disability Index (ODI)

  ODI was measured before and after 10 days massage and Trabert current therapy groups

Other Outcomes (1)

• quality of life measured by Roland-Morris Disability Questionnaire (RMDQ)

  RMQ was measured before and after 10 days massage and Trabert current therapy groups

Study Arms (2)

Patients with manual massage therapy

ACTIVE COMPARATOR

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.

Other: Manual massage

Patients with Trabert current therapy

ACTIVE COMPARATOR

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.

Device: Trabert current

Interventions

Trabert current DEVICE

Trabert current is an interrupted direct current of low frequency (143 Hz) applied via medium sized electrodes supported on a thick moist viscose sponge. These electrodes are placed near the spinal column along the thoracolumbar region. The electrodes are separated from each other by a distance of 3-4 cms.The current is passed through electrodes placed on the body. The intensity of the current is gradually increased short of pain. The feeling should be a pronounced but a comfortable 'tingling' sensation ('comfortably strong'). By doing this, the optimum current strength specific to the patient is found. The intensity of the current is slowly increased in the first few minutes as patients get used to the sensation. It is thought that this current provides pain relief, reduces muscle spasm and increases blood flow.

Also known as: Ultra-Reiz current

Patients with Trabert current therapy

Manual massage OTHER

Therapeutic massage is the manipulation of the soft tissue of whole body areas to bring about generalised improvements in health.Massage is thought to work through a mechanical action and a reflex action. A mechanical action is created by moving the muscles and soft tissues of the body using pressure and stretching movement. This mechanical action is based on breaking up fibrous tissue and loosen stiff joints.It may help heal damaged muscle, stimulate circulation, clear waste products via the lymphatic system, boost the activity of the immune system, reduce pain and tension and induce a calming effect.

Patients with manual massage therapy

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• confirmed in X-ray spondyloarthrotic changes in lumbar area of spine
• pain of lumbar area lasting than 1 year

You may not qualify if:

• 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

Sponsors & Collaborators

• Medical University of Bialystok: lead

Related Publications (13)

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  PMID: 28062862 BACKGROUND

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  PMID: 20876922 BACKGROUND

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  PMID: 21971895 BACKGROUND

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  PMID: 30229473 BACKGROUND

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  PMID: 28192793 BACKGROUND

• Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990 Aug;13(4):227-36. doi: 10.1002/nur.4770130405.

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  PMID: 11074683 BACKGROUND

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  PMID: 11124727 BACKGROUND

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  PMID: 29122255 BACKGROUND

• Bellido-Fernandez L, Jimenez-Rejano JJ, Chillon-Martinez R, Gomez-Benitez MA, De-La-Casa-Almeida M, Rebollo-Salas M. Corrigendum to "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 Sep 6;2018:3601984. doi: 10.1155/2018/3601984. eCollection 2018.

  PMID: 30271453 BACKGROUND

• 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 BACKGROUND

MeSH Terms

Conditions

Low Back Pain

Interventions

Manual Lymphatic Drainage

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Drainage; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 10, 2018
• First Posted: December 11, 2018
• Study Start: January 1, 2016
• Primary Completion: September 30, 2018
• Study Completion: October 30, 2018
• Last Updated: December 11, 2018

Record last verified: 2018-11