Can the combination of deep tissue massage and stretching influence the recovery process of lower back pain injuries?
Abstract
Lower Back Pain (LBP) presents as discomfort in the lumbar region, leading to movement limitations. Addressing LBP requires specialized treatment to alleviate pain. The aim of this study was to demonstrate the effectiveness of combining deep tissue massage and stretching in healing low back pain injuries. This study adopted a pre-experimental design, employing a one-group pretest and posttest approach. The initial assessments (pretests) gauged LBP severity using VAS, Modified Schober Test, Fingertip to Floor, and ODI. Subsequently, a combination therapy of deep tissue massage and stretching is administered three times weekly over three weeks. Final assessments (posttest) are conducted. Participants, recruited from the LKP Rumah Sehat Mandiri clinic over the past five months, consisted of 20 individuals aged 20-60 years, sampled purposively. The study revealed significant improvements in pain, flexion, extension, right flexion, left flexion, and functional indicators following the combination therapy, with a significance value of 0.000, indicating a profound effect (p < 0.05). Notably, left flexion demonstrated a significance value of 0.001, further affirming the treatment's efficacy. The findings support the effectiveness of combining deep tissue massage and stretching in reducing LBP severity and promoting healing. Thus, this combined approach holds promise for managing LBP injuries effectively.
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Ahmed, N. Z., Anwar, N., Begum, S., Parvez, A., Ezhil, R., & Anjum, N. (2021). Effect of Hijama (wet cupping), Dalk (massage) & Bukhūr (medicated steam) in amelioration of Waja al-Zahr (non-specific low back pain)- A n open prospective clinical trial. Journal of Complementary and Integrative Medicine, 19(4), 1025–1032. https://doi.org/10.1515/jcim-2021-0099
Ansari, A., Nayab, M., Saleem, S., & Ansari, A. N. (2022). Effect of soft and prolonged Graeco-Arabic massage in low back pain - A randomized controlled clinical trial. Journal of Bodywork and Movement Therapies, 29, 232–238. https://doi.org/10.1016/j.jbmt.2021.10.007
Babu K, R., & . S. (2022). Ayurvedic management of low back pain with modified abhyanga: A case study. International Journal of Research in Ayurveda and Pharmacy, 12(6), 2. https://doi.org/10.7897/2277-4343.1206159
Bellido-Fernández, L., Jiménez-Rejano, J. J., Chillón-Martínez, R., Gómez-Benítez, M. A., De-La-Casa-Almeida, M., & Rebollo-Salas, M. (2018). Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study. Evidence-Based Complementary and Alternative Medicine, 2018, 3684194. https://doi.org/10.1155/2018/3684194
Borges, T. P., Kurebayashi, L. F. S., & Da Silva, M. J. P. (2014). Occupational low back pain in nursing workers: Massage versus pain. Revista Da Escola de Enfermagem, 48(4), 669–675. https://doi.org/10.1590/s0080-623420140000400014
Buttagat, V., Techakhot, P., Wiriya, W., Mueller, M., & Areeudomwong, P. (2020). Effectiveness of traditional Thai self-massage combined with stretching exercises for the treatment of patients with chronic non-specific low back pain: A single-blinded randomized controlled trial. Journal of Bodywork and Movement Therapies 24(1), 19–24. https://doi.org/10.1016/j.jbmt.2019.03.017
Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2020). Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10267), 2006–2017. https://doi.org/10.1016/S0140-6736(20)32340-0
Coenen, P., Kingma, I., Boot, C. R. L., Twisk, J. W. R., Bongers, P. M., & Van Dieën, J. H. (2013). Cumulative Low Back Load at Work as a Risk Factor of Low Back Pain: A Prospective Cohort Study. Journal of Occupational Rehabilitation, 23(1), 11–18. https://doi.org/10.1007/s10926-012-9375-z
Daneau, C., Cantin, V., & Descarreaux, M. (2019). Effect of Massage on Clinical and Physiological Variables During Muscle Fatigue Task in Participants With Chronic Low Back Pain: A Crossover Study. Journal of Manipulative and Physiological Therapeutics, 42(1), 55–65. https://doi.org/10.1016/j.jmpt.2018.12.001
Farber, K., & Wieland, L. S. (2016). Massage for Low-back Pain. Explore, 12(3), 215–217. https://doi.org/10.1016/j.explore.2016.02.014
Forestier, R., Suehs, C., Françon, A., Marty, M., Genevay, S., Sellam, J., Chauveton, C., Erol Forestier, F. B., & Molinari, N. (2020). Usual care including home exercise with versus without spa therapy for chronic low back pain: Protocol for the LOMBATHERM’ study, a multicentric randomised controlled trial. Trials, 21(1), 392. https://doi.org/10.1186/s13063-020-04271-9
Goertz, C. M., Long, C. R., English, C., Meeker, W. C., & Marchiori, D. M. (2021). Patient-Reported Physician Treatment Recommendations and Compliance among U.S. Adults with Low Back Pain. Journal of Alternative and Complementary Medicine, 27(S1), S99–S105. https://doi.org/10.1089/acm.2020.0392
Güney, E., & Uçar, T. (2021). Effects of deep tissue massage on pain and comfort after cesarean: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101320. https://doi.org/10.1016/j.ctcp.2021.101320
Hoffman, E. G., Jain, D., Radcliff, K., Fischer, C. R., Hilibrand, A. S., & Razi, A. E. (2020). Management of Adult Lumbar Spine Problems for General Orthopaedic Surgeons: A Practical Guide. Instructional Course Lectures, 69, 597–606.
Joseph, L. H., Hancharoenkul, B., Sitilertpisan, P., Pirunsan, U., & Paungmali, A. (2018). Effects of massage as a combination therapy with lumbopelvic stability exercises as compared to standard massage therapy in low back pain: A randomized cross-over study. International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice, 11(6), 16–22. https://doi.org/10.3822/ijtmb.v11i4.413
Kiel, S., Raus, C., Sierocinski, E., Knauthe, P., & Chenot, J. F. (2020). Concordance of patient beliefs and expectations regarding the management of low back pain with guideline recommendations – a cross-sectional study in Germany. BMC Family Practice, 21(1), 275. https://doi.org/10.1186/s12875-020-01352-1
Kozinoga, M., Majchrzycki, M., & Piotrowska, S. (2015). Low back pain in women before and after menopause. Przegląd Menopauzalny, 14(3), 203–207.
Krekoukias, G., Sakellari, V., Anastasiadi, E., Gioftsos, G., Dimitriadis, Z., Soultanis, K., & Gelalis, I. D. (2021). Gait kinetic and kinematic changes in chronic low back pain patients and the effect of manual therapy: A randomized controlled trial. Journal of Clinical Medicine, 10(16), 3593. https://doi.org/10.3390/jcm10163593
Lee, H. J., & Ko, Y. L. (2015). Back massage intervention for relieving lower back pain in puerperal women: A randomized control trial study. International Journal of Nursing Practice, 21(2), 32–37. https://doi.org/10.1111/ijn.12299
Li, H., Ge, D., Liu, S., Zhang, W., Wang, J., Si, J., & Zhai, J. (2019). Baduanjin exercise for low back pain: A systematic review and meta-analysis. In Complementary Therapies in Medicine, 43, 109–116. https://doi.org/10.1016/j.ctim.2019.01.021
Liza, B., Bafirman, M., Masrun, A., Alimuddin, S., Sari, D. P., Selviani, I., Okilanda, A., & Suganda, M. A. (2022). Combination of Massage Therapy with Ultramagnetic Therapy: Does it Affect Shoulder Pain Rehabilitation? Journal for ReAttach Therapy and Developmental Diversities, 5(2), 76–85.
Liza, B., Bafirman, M., Masrun, A., Arief, I., Ishak, M., Khodari, R., Suganda, M. A., Suryadi, D., & Alimuddin. (2023). Does Combining Deep Tissue Massage and Stretching Help with the Healing of Low Back Pain Injuries? International Journal of Human Movement and Sports Sciences, 11(5), 994–1001. https://doi.org/10.13189/saj.2023.110507
Loghmani, M. T., Tobin, C., Quigley, C., & Fennimore, A. (2021). Soft Tissue Manipulation May Attenuate Inflammation, Modulate Pain, and Improve Gait in Conscious Rodents with Induced Low Back Pain. Military Medicine, 186(1), 506–514. https://doi.org/10.1093/milmed/usaa259
Mahesvi, H., Sukarmin, Y., Suhartini, B., & Graha, A. S. (2023). Effectiveness of massage therapy injury sports methods ali satia graha: experimental study against chronic ankle. Tanjungpura Journal of Coaching Research, 1(2), 56–62. https://doi.org/10.26418/tajor.v1i2.65216
Majchrzycki, M., Kocur, P., & Kotwicki, T. (2014). Deep tissue massage and nonsteroidal anti-inflammatory drugs for low back pain: A prospective randomized trial. The Scientific World Journal, 287597, 1–7. https://doi.org/10.1155/2014/287597
Meo, S. A., Abukhalaf, A. A., Alomar, A. A., Alessa, O. M., Sumaya, O. Y., & Meo, A. S. (2021). Prevalence of prediabetes and type 2 diabetes mellitus in football players: A novel multi football clubs cross sectional study. International Journal of Environmental Research and Public Health, 18(4), 1763. https://doi.org/10.3390/ijerph18041763
Miake-Lye, I. M., Mak, S., Lee, J., Luger, T., Taylor, S. L., Shanman, R., Beroes-Severin, J. M., & Shekelle, P. G. (2019). Massage for Pain: An evidence map. The Journal of Alternative and Complementary Medicine, 25(5), 475–502. https://doi.org/10.1089/acm.2018.0282
Namiranian, P., Emami Razavi, S. Z., Karimi, M., & Ayati, M. H. (2021). A Review of Iranian Traditional Massage or Dalk and Chronic Low Back Pain. Archives of Physical Medicine and Rehabilitation, 102(4), E5. https://doi.org/10.1016/j.apmr.2021.01.018
Oatyimprai, K., Eungpinichpong, W., Buranruk, O., Konharn, K., & Tudpor, K. (2020). Effect of traditional thai massage on muscle oxygen saturation in low back pain patients: A preliminary study. International Journal of GEOMATE, 19(72), 54-61 https://doi.org/10.21660/2020.72.5636
Putri, D. A. R., Imandiri, A., & Rakhmawati, R. (2020). Therapy low back pain with swedish massage, acupressure and turmeric. Journal of Vocational Health Studies, 4(1), 29–34. https://doi.org/10.20473/jvhs.v4.i1.2020.29-34
Romanowski, M., Romanowska, J., & Grześkowiak, M. (2012). A comparison of the effects of deep tissue massage and therapeutic massage on chronic low back pain. Studies in Health Technology and Informatics, 176, 411–414. https://doi.org/10.3233/978-1-61499-067-3-411
Rothberg, S., & Friedman, B. W. (2017). Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review. The American Journal of Emergency Medicine, 35(1), 55–61. https://doi.org/10.1016/j.ajem.2016.10.001
Rubiyatno, P, R. P., Fallo, I. S., Arifin, Z., Nusri, A., Suryadi, D., Suganda, M. A., & Fauziah, E. (2023). Analysis of differences in physical fitness levels of extracurricular futsal students: Survey studies on urban and rural environments. Pedagogy of Physical Culture and Sports, 27(3), 208–214. https://doi.org/10.15561/26649837.2023.0304
Rujipong, P., Kantaruksa, K., Chaloumsuk, N., & Yothayai, C. (2021). Pain Self-Management Strategies of Chronic Back Pain Sufferers in Thailand: A Qualitative Study (A Doctoral Project). The Open Nursing Journal, 15(2), 85–92. https://doi.org/10.2174/1874434602115010085
Samodra, Y. T. J., Suryadi, D., Wati, I. D. P., Supriatna, E., Santika, I. G. P. N. A., Suganda, M. A., & Dewi, P. C. P. (2023). Analysis of gross motoric analysis of elementary school students: A comparative study of students in hill and coastal areas. Pedagogy of Physical Culture and Sports, 27(2), 139–145. https://doi.org/0.15561/26649837.2023.0206
Saputra, E., Putra, M. E., Rianto, L., Tjahyanto, T., Widiyati, R., & Aziz, I. (2023). Profil kebugaran jasmani pada mahasiswa yang mengikuti latihan beban: Yo-yo intermittent test level 1. Tanjungpura Journal of Coaching Research, 1(1), 18–23. https://doi.org/10.26418/tajor.v1i1.63856
Shipton E. A. (2018). Physical Therapy Approaches in the Treatment of Low Back Pain. Pain and therapy, 7(2), 127–137. https://doi.org/10.1007/s40122-018-0105-x
Şimşek, Ş., Yağcı, N., & Şenol, H. (2017). Prevalence of and risk factors for low back pain among healthcare workers in Denizli. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 29(2), 71–78. https://doi.org/10.5505/agri.2017.32549
Suryadi, D. (2022). Analisis kebugaran jasmani siswa: Studi komparatif antara ekstrakurikuler bolabasket dan futsal. Edu Sportivo: Indonesian Journal of Physical Education, 3(2), 100–110. https://doi.org/10.25299/es:ijope.2022.vol3(2).9280
Suryadi, D., & Rubiyatno. (2022). Kebugaran jasmani pada siswa yang mengikuti ekstrakulikuler futsal. Jurnal Ilmu Keolahragaan, 5(1), 1–8. https://doi.org/10.26418/jilo.v5i1.51718
Suryadi, D., Samodra, Y. T. J., & Purnomo, E. (2021). Efektivitas latihan weight training terhadap kebugaran jasmani. Journal Respecs Research Physical Education and Sports, 3(2), 9–19. https://doi.org/10.31949/respecs.v3i2.1029
Suryadi, D., Suganda, M. A., Sacko, M., Samodra, Y. T. J., Rubiyatno, R., Supriatna, E., Wati, I. D. P., & Okilanda, A. (2023). Comparative Analysis of Soccer and Futsal Extracurriculars: A Survey Study of Physical Fitness Profiles. Physical Education and Sports: Studies and Research, 2(1), 59–71. https://doi.org/10.56003/pessr.v2i1.182
Suryadi, D., Susanto, N., Faridah, E., Wahidi, R., Samodra, Y. T. J., Nasrulloh, A., Suganda, M. A., Wati, I. D. P., Sinulingga, A., Arovah, N. I., & Dewantara, J. (2024). Exercise for health in old age: Comprehensive review examining the benefits and efficacy of interven-tions. Retos, 55(SE-Revisiones teóricas, sistemáticas y/o metaanálisis), 88–98. https://doi.org/10.47197/retos.v55.103771
Tchorowska, E., Wilk, I., & Kassolik, K. (2021). Assessment of the effectiveness of massage for spinal pain as part of primary healthcare: a pilot study. Medical Science Pulse, 15(2), p22-28. 7p. https://doi.org/10.5604/01.3001.0014.9273
Wati, I. D. P., Kusnanik, N. W., Wahjuni, E. S., Samodra, Y. T. J., Mardiyyaningsih, A. N., Suryadi, D., Amahoru, N. M., Seli, S., Candra, A. R. D., & Siringo-ringo, T. G. (2023). The BMI, fat percentage and total cholesterol of athletes: what is their status? Retos, 51, 712–718. https://doi.org/10.47197/retos.v51.100275
Workneh, B. S., & Mekonen, E. G. (2021). Prevalence and associated factors of low back pain among bank workers in gondar city, northwest ethiopia. Orthopedic Research and Reviews, 13, 25–33. https://doi.org/10.2147/ORR.S300823
Yang, M., Feng, Y., Pei, H., Deng, S., Wang, M., Xiao, X., Zheng, H., Lai, Z., Chen, J., Li, X., He, X., & Liang, F. (2014). Effectiveness of Chinese massage therapy (Tui Na) for chronic low back pain: Study protocol for a randomized controlled trial. Trials, 15(1), 1–7. https://doi.org/10.1186/1745-6215-15-418
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