Assessment of the Effectiveness of Classic Massage with the Use of Trigger Points Therapy Elements in Patients Suffering from Pain in the Lumbosacral Spine

Marlena Krawczyk-Suszek, Natalia Mikulec, A. Zając
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Abstract

Abstract Introduction Nowadays, back pain is a very common problem, especially in the area of lower back. Classic massage is one of the methods of reducing back pain and is included in the therapeutic procedure. Purpose The purpose of the study was to compare the effectiveness of classic massage and massage with the trigger points therapy elements in patients with painful ailments by cutting the lumbosacral spine. Material and method of the study The study involved 84 patients with pain in the lumbosacral spine. The subjects were divided into two groups. Group I included 42 people (50.0%) who received classic massage, and group II included another 42 people (50.0%) who received classic massage with the trigger points therapy elements. A proprietary questionnaire was used for the analysis, which allowed for the assessment of the effectiveness of the applied treatment, supplemented with the VAS scale and the Thomayer test. Results The results of the study show a statistically significant difference between the intensity of perceived pain measured before and after the procedures in both group I (p<0.001) and group II (p<0.001). The average improvement achieved by the patients from group I was 2.88 points, and by the patients from group II to 4.48 points. On the other hand, the average improvement in the Thomayer test obtained by the patients from group I was 2.12 cm, and by the patients from group II was 3.68 cm. The difference in the treatment effect in the two groups was statistically significant (p<0.001). Conclusions Classic massage with the trigger points therapy elements has a better effect on improving spine mobility in the patients with pain in the lumbosacral spine and reduces pain to a greater extent compared to classic massage.
经典推拿配合穴位疗法对腰骶痛患者的疗效评价
摘要:目前,背部疼痛是一个非常普遍的问题,特别是在下背部区域。经典按摩是减轻背部疼痛的方法之一,并包括在治疗过程中。目的比较经典按摩和穴位按摩对腰骶骨切断性疼痛患者的治疗效果。研究材料和方法本研究涉及84例腰骶棘疼痛患者。受试者被分成两组。第一组42人(50.0%)接受经典按摩,第二组42人(50.0%)接受经典按摩结合触发点治疗元素。使用专有问卷进行分析,以评估应用治疗的有效性,并辅以VAS量表和Thomayer测试。结果研究结果显示,I组和II组患者手术前后感知疼痛强度测量差异有统计学意义(p<0.001)。第一组患者的平均改善为2.88分,第二组患者的平均改善为4.48分。另一方面,I组患者的Thomayer试验平均改善为2.12 cm, II组患者的Thomayer试验平均改善为3.68 cm。两组治疗效果差异有统计学意义(p<0.001)。结论与经典按摩相比,结合触发点治疗要素的经典按摩能更好地改善腰骶椎疼痛患者的脊柱活动能力,减轻疼痛的程度更大。
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