NCT04211701

Brief Summary

As a randomized study, this study aimed to investigate the effects of classical massage and connective tissue massage on pain, flexibility, disability, quality of life and autonomic responses in patients with chronic mechanical low back pain. The primary evaluation parameter of the study is autonomic function and the secondary evaluation parameter is pain. The participants will be treated accompanied with same physiotherapist along four weeks and five days in a week. A six-week follow-up will be performed to see how long the effect of the treatment continues.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
70

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 22, 2019

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

November 25, 2019

Completed
29 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 24, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 26, 2019

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2020

Completed
Last Updated

December 26, 2019

Status Verified

December 1, 2019

Enrollment Period

2 months

First QC Date

November 25, 2019

Last Update Submit

December 23, 2019

Conditions

Keywords

Connective TissueMassagePeripheral Nervous System

Outcome Measures

Primary Outcomes (4)

  • Changes in autonomic function (pulse) compared with baseline and last measurement

    Pulse will be measured with pulse oximeter (pulse/min).

    Measurements will be made at baseline and 4th week (last assessment). It takes about one minute.

  • Changes in autonomic function (blood pressure) compared with baseline and last measurement

    Blood pressure will be measured with manual sphygmomanometer (mmHg).

    Measurements will be made at baseline and 4th week (last assessment). It takes about two minutes

  • Changes in autonomic function (temperature) compared with baseline and last measurement

    Local temperature and peripheral temperature measurements will be made with laser-marked heat meter (°C).

    Measurements will be made at baseline and 4th week (last assessment). It takes about five minutes

  • Changes in low back pain compared with baseline and last measurement

    Low back pain will be measured with using Visual Analog Scale (cm).

    Measurements will be made at baseline and 4th week (last assessment). It takes about one minute.

Secondary Outcomes (12)

  • Changes in disability compared to baseline with baseline and last measurement

    Measurements will be made at baseline and 4th week (last assessment). It takes about three minutes.

  • Changes in quality of life compared to baseline with baseline and last measurement

    Measurements will be made at baseline and 4th week (last assessment). It takes about three minutes.

  • Changes in flexibility (lumbar lateral flexion test) compared to baseline with baseline and last measurement

    Measurements will be made at baseline and 4th week (last assessment). It takes about five minutes.

  • Changes in flexibility (sit and reach) compared to baseline with baseline and last measurement

    Measurements will be made at baseline and 4th week (last assessment). It takes about two minutes.

  • Changes in autonomic function (pulse) at six weeks after the end of the treatment

    Measurements will be made at six weeks after the end of the treatment. It takes about one minute.

  • +7 more secondary outcomes

Study Arms (2)

Connective Tissue Massage

EXPERIMENTAL

Connective tissue massage will be applied to the lumbo-sacral region, lower thoracic, scapular and interscapular regions, respectively. The treatment will be administered for four weeks, five days a week.

Procedure: Connective Tissue Massage

Classical Massage

EXPERIMENTAL

Classic massage will be applied to the lower back and upper back, respectively, while the patient is lying in the prone position. The treatment will be administered for four weeks, five days a week.

Procedure: Classical Massage

Interventions

Connective tissue massage (CTM) will be applied to the lumbo-sacral region, lower thoracic, scapular and interscapular regions. Three to five pulling will be applied during massage. The treatment will be administered for four weeks, five days a week.

Connective Tissue Massage

Classic massage (CM) will be applied to the lower back and upper back while the patient is lying in the prone position. Three stroking will be applied during massage.The treatment will be administered for four weeks, five days a week.

Classical Massage

Eligibility Criteria

Age20 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Being between 20-60 years of age
  • Low back pain for more than 12 weeks
  • Lack of neurological problems caused by lumbar region
  • Not to be included in physiotherapy and rehabilitation program in the last 6 months

You may not qualify if:

  • Having ankylosing spondylitis
  • Pain and / or numbness in the hip and lower extremities
  • Previous trauma or surgery in lumbar region
  • Presence of congenital malalignment in the vertebral column
  • Malignancy
  • Lower limb inequality over one cm
  • Pregnancy
  • Blood pressure difference of more than 10 mmHg between two arms

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Eastern Mediterranean University

Mersin, Famagusta, 33010, Turkey (Türkiye)

RECRUITING

Related Publications (18)

  • Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.

    PMID: 21982256BACKGROUND
  • Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11.

    PMID: 27745712BACKGROUND
  • Oksuz E. Prevalence, risk factors, and preference-based health states of low back pain in a Turkish population. Spine (Phila Pa 1976). 2006 Dec 1;31(25):E968-72. doi: 10.1097/01.brs.0000247787.25382.3c.

    PMID: 17139213BACKGROUND
  • Furlan AD, Imamura M, Dryden T, Irvin E. Massage for low back pain: an updated systematic review within the framework of the Cochrane Back Review Group. Spine (Phila Pa 1976). 2009 Jul 15;34(16):1669-84. doi: 10.1097/BRS.0b013e3181ad7bd6.

    PMID: 19561560BACKGROUND
  • Aourell M, Skoog M, Carleson J. Effects of Swedish massage on blood pressure. Complement Ther Clin Pract. 2005 Nov;11(4):242-6. doi: 10.1016/j.ctcp.2005.02.008.

    PMID: 16290894BACKGROUND
  • Langevin HM, Sherman KJ. Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms. Med Hypotheses. 2007;68(1):74-80. doi: 10.1016/j.mehy.2006.06.033. Epub 2006 Aug 21.

    PMID: 16919887BACKGROUND
  • Kavlak E, Buker N, Altug F, Kitis A. Investigation of the effects of connective tissue mobilisation on quality of life and emotional status in healthy subjects. Afr J Tradit Complement Altern Med. 2014 Apr 3;11(3):160-5. doi: 10.4314/ajtcam.v11i3.23. eCollection 2014.

    PMID: 25371578BACKGROUND
  • Yüksel İ, Baltacıoğlu S, Akbayrak T. Konnektif Doku Masajı. In: Yüksel İ, editor. Masaj Teknikleri. 4th ed. Ankara: Hipokrat Kitabevi & Pelikan Kitabevi; 2016. p. 283-354

    BACKGROUND
  • Bakar Y, Sertel M, Ozturk A, Yumin ET, Tatarli N, Ankarali H. Short term effects of classic massage compared to connective tissue massage on pressure pain threshold and muscle relaxation response in women with chronic neck pain: a preliminary study. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):415-21. doi: 10.1016/j.jmpt.2014.05.004. Epub 2014 Aug 6.

    PMID: 25108749BACKGROUND
  • Holey LA, Dixon J, Selfe J. An exploratory thermographic investigation of the effects of connective tissue massage on autonomic function. J Manipulative Physiol Ther. 2011 Sep;34(7):457-62. doi: 10.1016/j.jmpt.2011.05.012. Epub 2011 Jul 23.

    PMID: 21875520BACKGROUND
  • Toprak Celenay S, Anaforoglu Kulunkoglu B, Yasa ME, Sahbaz Pirincci C, Un Yildirim N, Kucuksahin O, Ugurlu FG, Akkus S. A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: a randomized controlled trial. Rheumatol Int. 2017 Nov;37(11):1799-1806. doi: 10.1007/s00296-017-3805-3. Epub 2017 Aug 24.

    PMID: 28840379BACKGROUND
  • Brattberg G. Connective tissue massage in the treatment of fibromyalgia. Eur J Pain. 1999 Jun;3(3):235-244. doi: 10.1053/eujp.1999.0123.

    PMID: 10700351BACKGROUND
  • Yakut E, Duger T, Oksuz C, Yorukan S, Ureten K, Turan D, Frat T, Kiraz S, Krd N, Kayhan H, Yakut Y, Guler C. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004 Mar 1;29(5):581-5; discussion 585. doi: 10.1097/01.brs.0000113869.13209.03.

    PMID: 15129077BACKGROUND
  • Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. Drug and Therapy.1999; 12, 102-106

    BACKGROUND
  • Natour J, Cazotti Lde A, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015 Jan;29(1):59-68. doi: 10.1177/0269215514538981. Epub 2014 Jun 25.

    PMID: 24965957BACKGROUND
  • Vischer AS, Burkard T. Principles of Blood Pressure Measurement - Current Techniques, Office vs Ambulatory Blood Pressure Measurement. Adv Exp Med Biol. 2017;956:85-96. doi: 10.1007/5584_2016_49.

    PMID: 27417699BACKGROUND
  • Lahiri BB, Bagavathiappan S, Jayakumar T, Philip J. Medical applications of infrared thermography: A review. Infrared Phys Technol. 2012 Jul;55(4):221-235. doi: 10.1016/j.infrared.2012.03.007. Epub 2012 Apr 13.

    PMID: 32288544BACKGROUND
  • Gatt A, Formosa C, Cassar K, Camilleri KP, De Raffaele C, Mizzi A, Azzopardi C, Mizzi S, Falzon O, Cristina S, Chockalingam N. Thermographic patterns of the upper and lower limbs: baseline data. Int J Vasc Med. 2015;2015:831369. doi: 10.1155/2015/831369. Epub 2015 Jan 13.

    PMID: 25648145BACKGROUND

Study Officials

  • Göktuğ Er

    MPT

    PRINCIPAL INVESTIGATOR
  • İnci Yüksel

    DPT

    STUDY DIRECTOR

Central Study Contacts

İnci Yüksel, DPT

CONTACT

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

November 25, 2019

First Posted

December 26, 2019

Study Start

October 22, 2019

Primary Completion

December 24, 2019

Study Completion

June 15, 2020

Last Updated

December 26, 2019

Record last verified: 2019-12

Locations