Romanowski Mateusz, Romanowska Joanna, Grześkowiak Marcin
Rheumatological Center, Śrem.
Stud Health Technol Inform. 2012;176:411-4.
This study compared the effectiveness of two different kind of massage: therapeutic and deep tissue on chronic low back pain.
The research was made on 26 patient aged from 60 to 75 years who were separated into 2 groups: I [n=13] and II [n=13]. Group I had therapeutic massage [TM] which uses effleurage, petrissage, tapping and friction. Group II had deep tissue massage [DTM] which uses oblique pressure, a combination of lengthening and cross-fiber strokes, anchor and stretch, freeing muscle from entrapment. TM and DTM lasted for 10 days, each 30 min and were made by qualify massage therapist. Both groups did not have other treatment. Outcome measures obtained at baseline and after treatment consisted of Modified Oswestry Low Back Pain Disability Index [ODI], Quebec Back Pain Disability Scale[QBPD] and Visual Analog Scale [VAS].
There was not statistically significant differences between groups according to age and BMI. Statistically significant differences were noted after TM in every test [ODI p=0.010; QBPD p<0.001; VAS p<0.001] and after DTM in every test [ODI p<0.001; QBPD p<0.001; VAS p<0.001]. DTM was statistically significant better therapy than TM in ODI [p=0.038] and VAS [p=0.015]. Further research is needed to verify the results.
本研究比较了两种不同类型的按摩——治疗性按摩和深层组织按摩对慢性下腰痛的疗效。
对26名年龄在60至75岁之间的患者进行了研究，这些患者被分为两组：第一组[n = 13]和第二组[n = 13]。第一组接受治疗性按摩（TM），该按摩使用轻抚法、揉捏法、叩击法和摩擦法。第二组接受深层组织按摩（DTM），该按摩使用斜向压力、延长和交叉纤维推法、固定和拉伸法，将肌肉从卡压中松解出来。TM和DTM持续10天，每次30分钟，由合格的按摩治疗师进行操作。两组均未接受其他治疗。在基线和治疗后获得的结果测量指标包括改良的奥斯威斯下腰痛残疾指数（ODI）、魁北克下腰痛残疾量表（QBPD）和视觉模拟量表（VAS）。
根据年龄和BMI，两组之间没有统计学上的显著差异。在每次测试中，TM后（ODI p = 0.010；QBPD p < 0.001；VAS p < 0.001）和DTM后（ODI p < 0.001；QBPD p < 0.001；VAS p < 0.001）均观察到统计学上的显著差异。在ODI（p = 0.038）和VAS（p = 0.015）方面，DTM在统计学上比TM是更好的治疗方法。需要进一步的研究来验证结果。
