Department of Medicine, Wonju College of Medicine, Yonsei University, Wonju 26426, Gangwon-do, Republic of Korea.
Department of Biomedical Engineering, Yonsei University, Wonju 26493, Gangwon-do, Republic of Korea.
Medicina (Kaunas). 2024 Jun 13;60(6):976. doi: 10.3390/medicina60060976.
As the prevalence of chronic non-specific spinal pain rises, the utilization of diverse massage devices for therapeutic intervention increases rapidly. However, research on their mechanisms, particularly those involving spinal twisting, is limited. This study was designed to evaluate the impact of heat application and spinal twisting massage techniques on individuals suffering from chronic non-specific spinal pain. A total of 36 individuals were divided into two groups: a control group (18 participants) and an experimental group (18 participants). The experimental group received heat treatment plus spinal twisting massage twice a week for four weeks, while the control group received heat therapy plus traditional vibration massage techniques. Effectiveness was measured using the Visual Analog Scale (VAS), the Pressure Pain Threshold (PPT), the Korean Western Ontario and McMaster Universities (K-WOMAC) Index, spine tilt, and Cobb angle. VAS, K-WOMAC, and PPT significantly improved in both groups at all three time points. VAS notably decreased in the experimental group compared to the control group (-value: 0.0369). Despite improvements in K-WOMAC and PPT scores within the experimental group, statistical significance remained elusive. Furthermore, spine tilt and Cobb angle showed no significant differences from baseline to the 6th week. In conclusion, the application of thermotherapy coupled with twisting massage demonstrates significant efficacy in mitigating chronic non-specific spinal pain, surpassing the pain-relief outcomes achieved through heat therapy in combination with standard vibration massage techniques.
随着慢性非特异性脊柱疼痛的患病率上升，用于治疗干预的各种按摩设备的使用迅速增加。然而，关于其机制的研究，特别是涉及脊柱扭转的研究，是有限的。本研究旨在评估热应用和脊柱扭转按摩技术对慢性非特异性脊柱疼痛患者的影响。共有 36 名参与者被分为两组：对照组（18 名参与者）和实验组（18 名参与者）。实验组每周接受两次热疗加脊柱扭转按摩，共四周，而对照组接受热疗加传统振动按摩技术。使用视觉模拟评分（VAS）、压力疼痛阈值（PPT）、韩国西部安大略省和麦克马斯特大学（K-WOMAC）指数、脊柱倾斜和 Cobb 角来衡量疗效。两组在所有三个时间点的 VAS、K-WOMAC 和 PPT 均显著改善。与对照组相比，实验组的 VAS 明显降低（-值：0.0369）。尽管实验组的 K-WOMAC 和 PPT 评分有所改善，但仍未达到统计学意义。此外，脊柱倾斜和 Cobb 角与第 6 周相比没有显著差异。总之，热疗联合扭转按摩的应用在缓解慢性非特异性脊柱疼痛方面具有显著疗效，优于热疗联合标准振动按摩技术的止痛效果。
