None listed
Conditions
Brief summary
Ankylosing spondylitis (AS) is a chronic, progressive inflammatory rheumatic disease that predominantly affects the sacroiliac joints and spine and it may also involve the peripheral joints, and specific organ like the eyes and bowels. AS leads to structural damage and functional impairments and a decrease in the quality of life. The majority of AS patients suffer from back pain. Lower back pain and stiffness is a clinical criteria for the diagnosis of AS. The treatment of AS patients requires pharmacotherapy together with non-pharmacological intervention, including physiotherapy modalities Only a few studies, mostly case studies, have discussed the effect of massage therapy on LBP in AS patients. This study aims to assess the effectiveness of deep tissue massage and therapeutic massage in the management of AS patients.
Interventions
Deep tissue massage: the massage therapist gave a series of 10 back massages intended to identify and alleviate musculoskeletal contributors to the participants' lower back pain. It was performed by using trigger point therapy and oblique pressure for a combination of lengthening strokes (extending a particular joint while at the same time working the muscle in the direction of the lengthening), Cross-fibre strokes (rolling the fingers over the tendon or muscle, back and forth, perpendicular to
Deep tissue massage: the massage therapist gave a series of 10 back massages intended to identify and alleviate musculoskeletal contributors to the participants' lower back pain. It was performed by using trigger point therapy and oblique pressure for a combination of lengthening strokes (extending a particular joint while at the same time working the muscle in the direction of the lengthening), Cross-fibre strokes (rolling the fingers over the tendon or muscle, back and forth, perpendicular to the fibre direction for two or three minutes), anchor and stretch (anchoring at a tight area and stretching away from the spot), freeing muscle from entrapment (mobilizing the erector spinae muscle in the lateral/medial direction by using both fingers of both hands to apply force along the border of the muscle and slowly push the muscle towards the opposite side). Patients from both groups: DTM (deep tissue massage) and TM (therapeutic massage) underwent 30-minute session of deep tissue massage or therapeutic massage daily for 2 weeks (total of 10 sessions). Massage was provided by 2 licensed therapists with at least 5 years of experience who were comfortable following the study protocol and had experience in the permitted techniques.
Sponsors
Poznan University of Medical Sciences, Poland
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
Male
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
Diagnosis of AS Age range: 20-60 years old Informed consent for participation in the study, signed by the patient
Exclusion criteria
Pain (NRS) < 4 points Change in dosage of non-steroidal anti-inflammatory drugs and corticosteroids for 2 weeks before the beginning of the study and for the duration of the study Change in dosage of the disease-modifying antirheumatic drugs (methotrexate, sulfasalazine) for 3 months before the beginning of the study and for the duration of the study Injection of a local anesthetic, steroids Patients after surgical procedures around spine or in the abdominal area Neurological signs present Compression of spinal nerve root confirmed by specific imaging techniques: computed tomography, myelography, or magnetic resonance imaging
Outcome results
None listed