Bellido-Fernández L, Jiménez-Rejano J J, Chillón-Martínez R, Gómez-Benítez M A, De-La-Casa-Almeida M, Rebollo-Salas M
Physiotherapy Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, C/ Avicena S/N, 41009 Seville, Spain.
Podiatry Department, University of Seville, C/ Avicena S/N, 41009 Seville, Spain.
Evid Based Complement Alternat Med. 2018 Feb 22;2018:3684194. doi: 10.1155/2018/3684194. eCollection 2018.
There are a great number of interventions in physiotherapy, but with little evidence of their effectiveness in chronic low back pain. Therefore, this study assesses effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics and the combination of both to decrease pain and lumbar disability while increasing joint mobility and quality of life in patients with chronic nonspecific low back pain.
A randomized, single-blinded, controlled, clinical trial with sample ( = 27) was comprised of patients between 20 and 65 years, diagnosed with pain of mechanical origin characterized by having a duration of at least 12 weeks and no serious complications. Each group received 8 interventions of 30 minutes.
Friedman ANOVA test obtained statistically significant differences of Oswestry, NRS, and Schober variables ( < 0.05) in the three measurements (pretest, posttest 1, and posttest 2), in each individual group. ANOVA Kruskal-Wallis test was used for comparison between groups, and Oswestry Disability values were significantly higher ( = 0.024) in the group receiving both treatments.
Both individual groups reduce pain levels, improve disability, and increase the flexibility of the lumbar spine. The combination therapy provides greater benefits in terms of lumbar disability. This study is registered on March 8, 2016, with NCT02721914.
物理治疗中有大量干预措施，但几乎没有证据表明它们对慢性下腰痛有效。因此，本研究评估按摩疗法和腹部减压体操以及两者结合在减轻慢性非特异性下腰痛患者疼痛和腰椎功能障碍、同时增加关节活动度和生活质量方面的有效性。
一项随机、单盲、对照临床试验，样本量（n = 27）由年龄在20至65岁之间、被诊断为机械性疼痛且病程至少12周且无严重并发症的患者组成。每组接受8次每次30分钟的干预。
Friedman方差分析检验在每次测量（预测试、后测试1和后测试2）中，在每个单独组的Oswestry、NRS和Schober变量上获得了统计学显著差异（P < 0.05）。采用ANOVA Kruskal-Wallis检验进行组间比较，接受两种治疗的组中Oswestry功能障碍值显著更高（P = 0.024）。
两个单独的组均降低了疼痛水平，改善了功能障碍，并增加了腰椎的灵活性。联合治疗在腰椎功能障碍方面提供了更大的益处。本研究于2016年3月8日注册，注册号为NCT02721914。
