Effects of Connective Tissue Massage and Classical Massage
Comparison of the Effects of Connective Tissue Massage and Classical Massage Methods on Pain, Flexibility, Disability and Autonomic Responses in Chronic Mechanical Back Pain, Randomized Study
1 other identifier
interventional
70
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2019
Shorter than P25 for not_applicable
1 active site
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
CompletedFirst Submitted
Initial submission to the registry
November 25, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 24, 2019
CompletedFirst Posted
Study publicly available on registry
December 26, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 15, 2020
CompletedDecember 26, 2019
December 1, 2019
2 months
November 25, 2019
December 23, 2019
Conditions
Keywords
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
EXPERIMENTALConnective 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.
Classical Massage
EXPERIMENTALClassic 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.
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.
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.
Eligibility Criteria
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)
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: 21982256BACKGROUNDMaher 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: 27745712BACKGROUNDOksuz 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: 17139213BACKGROUNDFurlan 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: 19561560BACKGROUNDAourell 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: 16290894BACKGROUNDLangevin 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: 16919887BACKGROUNDKavlak 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: 25371578BACKGROUNDYüksel 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
BACKGROUNDBakar 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: 25108749BACKGROUNDHoley 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: 21875520BACKGROUNDToprak 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: 28840379BACKGROUNDBrattberg 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: 10700351BACKGROUNDYakut 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: 15129077BACKGROUNDKoçyiğit 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
BACKGROUNDNatour 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: 24965957BACKGROUNDVischer 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: 27417699BACKGROUNDLahiri 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: 32288544BACKGROUNDGatt 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
- PRINCIPAL INVESTIGATOR
Göktuğ Er
MPT
- STUDY DIRECTOR
İnci Yüksel
DPT
Central Study Contacts
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