None listed
Conditions
Brief summary
The aim of the study was to assess the quality of life of patients with chronic lower back pain who underwent myofascial therapy. The analysis also included posture quality, body weight pattern, respiratory parameters and dorsal extensor activity. The study group consisted of 60 women, volunteers with chronic lower back pain. Participation in the study was voluntary. Women with chronic low back pain were randomly assigned to one of two groups: group one DTM /deep tissue massage/ and group two SI /Structural Integration/. All DTM and SI women participated in 10 30-minute treatments twice a week at regular time intervals. All treatments were performed by the same experienced physiotherapist. Deep tissue massage in the region of pain was performed in DTM participants. The whole body therapy in accordance with the concept of Structural Integration was applied in SI group. The women were examined three times, at the beginning of the experiment, after 4 weeks (to confirm the earlier diagnosis) and after 10 sessions of myofascial therapy. All participants completed the following tests: • Quality of life survey using The World Health Organization Quality of Life (WHOQOL) questionnaire - BREFF, • Examination of the intensity of pain perceived - the VAS scale, • Assessment of disability resulting from felt back pain - Questionnaire Revised Oswestry Low Back Pain Disability Scale - Polish version, • Roland-Morris Questionnaire, • Body posture assessment using the Zebris Pointer ultrasonic system with WinSpine software • Anthropometric measurements: body height, body weight, BMI, • Assessment of foot load with body weight during free standing on the BTS P-WALK baroresist platform, • Chest mobility measurements, • Functional examination of the respiratory system - spirometry, • Examination of dorsal extensor activity - sEMG (surface electromyography set). • Gait and dynamic muscle activity testing during gait using the BTS SMART system • Muscle strength assessment during concentric and eccentric work of selected lower limb muscles • Assessment of contractions speed and muscle stiffness of selected muscle groups
Interventions
Material
The study group consisted of 40 women with chronic low back pain and 20 healthy peers. The subjects' age ranged between 20-42 years (23.89 ± 5.18). Participation in the study was voluntary.
Description of the Intervention
Women with chronic low back pain were randomly assigned to one of two groups: group one DTM /deep tissue massage/ and group two SI /Structural Integration/.
All DTM and SI women participated in 10 30-minute treatments twice a week at regular time intervals. All treatm
Material The study group consisted of 40 women with chronic low back pain and 20 healthy peers. The subjects' age ranged between 20-42 years (23.89 ± 5.18). Participation in the study was voluntary. Description of the Intervention Women with chronic low back pain were randomly assigned to one of two groups: group one DTM /deep tissue massage/ and group two SI /Structural Integration/. All DTM and SI women participated in 10 30-minute treatments twice a week at regular time intervals. All treatments were performed by the same experienced physiotherapist. Deep tissue massage in the region of pain was performed in DTM participants. The order and selection of the techniques used were in accordance with the assumptions of the method described by Art Riggs (2012). The whole body therapy in accordance with the concept of Structural Integration (Jacobson 2011) was applied in SI group. Briefly, the subsequent treatments consisted on (1) breathing release and balance the pelvis (2) balance the foot as a support for standing position (3) extend and balance the lateral side of the body from knee to neck (4) extend the inner side of the lower limb and balance the pelvic floor (5) opening the deeper abdominal walls and balance the front side of the pelvis (6) balance the back side of the pelvis (7) correct positioning of the head (8) integration of the pelvis and lower limbs (9) integration of the shoulder girdle and upper limbs (10) integration of the whole body. The study was conducted as the double blind randomized controlled trial. The performing therapist did not participate in the measurements, the participants did not know that the therapy was conducted in two ways and the measuring persons did not know to which group the women were qualified.
Sponsors
University of Applied Sciences
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
20 Years to 42 Years
Healthy volunteers
Yes
Inclusion criteria
1. age 20-42 years old, 2. voluntary consent to participate in the research. 3. All participants qualified for the study group subjected to 12 weeks of therapy had lower back pain of a chronic nature (40 woman). Additionally, people without lower back pain of a chronic nature participated in the project, acting as a control group (20 woman).
Exclusion criteria
1. pregnancy, 2. certificate of disability level, 3. spinal surgery or other surgery performed in the last six months, 4. chronic use of antidepressant, psychotropic, sleeping pills, painkillers, 5. injuries of the musculoskeletal system (fractures, dislocations, sprains) completed within six months before the start of the tests, 6. contraindications for myofascial therapy
Outcome results
None listed