Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

  • Leonard H. Joseph, PhD Chiang Mai University; University of Brighton
  • Benjamaporn Hancharoenkul, MSc, PT Mae Fah Luang University
  • Patraporn Sitilertpisan, PhD Chiang Mai University
  • Ubon Pirunsan, PhD Chiang Mai University
  • Aatit Paungmali, PhD Chiang Mai University
Keywords: massage, exercise, back pain, rehabilitation, weight lifting, sports

Abstract

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.

Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.

Setting: The study was conducted at the campus for National Olympic weight lifting training camp.

Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.
Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.


Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.


Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).


Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).


Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.

Author Biographies

Leonard H. Joseph, PhD, Chiang Mai University; University of Brighton
Department of Physical Therapy, Faculty of Associated Medical Sciences; School of Health Science
Benjamaporn Hancharoenkul, MSc, PT, Mae Fah Luang University
School of Health Sciences
Patraporn Sitilertpisan, PhD, Chiang Mai University
Department of Physical Therapy, Faculty of Associated Medical Sciences
Ubon Pirunsan, PhD, Chiang Mai University
Department of Physical Therapy, Faculty of Associated Medical Sciences
Aatit Paungmali, PhD, Chiang Mai University
Department of Physical Therapy, Faculty of Associated Medical Sciences
Published
2018-12-07
How to Cite
Joseph, PhD, L. H., Hancharoenkul, MSc, PT, B., Sitilertpisan, PhD, P., Pirunsan, PhD, U., & Paungmali, PhD, A. (2018). Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study. International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice, 11(4), 16-22. https://doi.org/10.3822/ijtmb.v11i4.413
Section
Research