Effectiveness of massage therapy in reducing back pain in older adults

I. Wilk, K. Kowalczyk, B. Nowak, W. Andrzejewski, K. Kassolik
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Abstract

Background: Lower back pain is one of the most common complaints in the elderly. Pain symptoms can be chronic and aggravated by comorbidities. Back pain leads to reduced function, difficulty performing activities of daily living, and prevents physical activity. Massage is one of the more commonly used forms of physiotherapy for these complaints. Aim of the study: The purpose of this study was to assess the effectiveness of therapeutic massage for spinal pain in older adults. Material and methods: Twenty-three participants, including 18 females and 5 males aged 61–85 years old, participated in the study. All patients had degenerative lesions of the spine that were diagnosed by their primary care physician. Patients received classical therapeutic back massages for a period of 3 weeks at a frequency of 2 times a week. Each treatment session was 40-minute-long. Analysis of pain was performed before and immediately after therapy to assess changes in pain. The McGill (short form) and the WHOQL-BREF questionnaires were used to assess the level and quality of life of the study participants. Pain intensity was assessed using the visual analog scale (VAS). Results: There was a reduction in pain intensity (VAS) and pain perception after massage therapy, with changes in the sensory and emotional components of the pain score. The changes were statistically significant. Quality of life measured by the WHOQOL-BREF questionnaire was at a good level. Elderly participants rated social relationships the highest and physical components the lowest. Conclusions: Massage therapy resulted in a reduction of spinal pain in older adults. Massage is an effective form of therapy for reducing back pain in older adults.
按摩疗法减轻老年人背痛的疗效
背景:下背部疼痛是老年人最常见的主诉之一。疼痛症状可能是慢性的,并因合并症而加重。背部疼痛导致功能下降,日常生活活动困难,并妨碍身体活动。按摩是治疗这些疾病最常用的物理疗法之一。研究目的:本研究的目的是评估治疗性按摩对老年人脊柱疼痛的有效性。材料与方法:共23人参与研究,其中女性18人,男性5人,年龄61 ~ 85岁。所有患者均有由初级保健医生诊断的脊柱退行性病变。患者接受经典治疗性背部按摩,疗程为3周,频率为每周2次。每次治疗时间为40分钟。在治疗前和治疗后立即进行疼痛分析,以评估疼痛的变化。使用McGill(简短形式)和WHOQL-BREF问卷来评估研究参与者的生活水平和质量。采用视觉模拟评分法(VAS)评估疼痛强度。结果:按摩治疗后疼痛强度(VAS)和疼痛感觉有所降低,疼痛评分的感觉和情绪成分有所改变。这些变化具有统计学意义。WHOQOL-BREF问卷测量的生活质量处于良好水平。老年人对社会关系的评价最高,对身体素质的评价最低。结论:按摩治疗可减轻老年人脊柱疼痛。按摩是减轻老年人背部疼痛的一种有效疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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