Affiliations: [a] Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran | [b] Department of Physiotherapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran | [c] Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Correspondence:
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Corresponding author: Fahimeh Kamali, Faculty of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran. Tel.: +98 711 6271552; Fax: +98 711 6272495; E-mail: [email protected]
Abstract: Objective:The aim of this study was to investigate the comparison of massage therapy and routine physical therapy on patients with sub acute and chronic nonspecific low back pain. Methods and Materials:Thirty volunteer female subjects with a sub acute or chronic nonspecific low back pain were randomly enrolled in two groups, massage therapy and routine physical therapy. After massage application, the hamstring and paravertebral muscles stretching and also stabilizing exercises were prescribed. In the routine physical therapy group, TENS, US and vibrator were used besides exercises. Pain intensity according to Numerical Rating Scale, functional disability level in accordance to Oswestry Disability Index, and modified Schober test, for measurement of flexion range of motion, before and after ten sessions of treatment were used to evaluate the effectiveness of the treatment. Results:Pain intensity, Oswestry Disability Index and flexion range of motion had shown significant differences before and after intervention in both groups (p< 0.001). The statisticl analysis revealed that the massage therapy had significantly improved the pain intensity and Oswestry Disability Index compared to routine physical therapy (p=0.015, p=0.013 respectively), but the range of motion changes were not significant between two groups (p=1.00). Conclusion:It can be concluded that both massage therapy and routine physical therapy are useful for sub acute and chronic nonspecific low back pain treatment especially if accompanied with exercise. However, massage is more effective than other electrotherapy modalities, and it can be used alon e or with electrotherapy for the treatment of patients with low back pain.
Keywords: Massage therapy, electrotherapy, nonspecific low back pain
