The Effect of Short Term Massage on Plantar Pressure During Walking and Pain Intensity ‎in Women with Low Back Pain Disc Herniation

Document Type : Original Article

Authors

Department of Sports Injury and Corrective Exercise,, Faculty of Sports Sciences, Ferdowsi University of Mashhad, Mashhad, Iran

Abstract

Purpose:
Lumbar disc herniation is one type of low back pain, which can cause muscle spasm, change in walking and ultimately lead to disability and loss of quality of life in an individual. Massage is one of the effective interventions to reduce pain in patients with back pain and hernia. Therefore, in this study, the effect of acute massage on pain relief and subsequent changes in plantar pressure in each session was investigated.
Methods:
In this study, 14 women with lumbar disc herniation ranging from 35 to 45 years with a BMI of 25 to 30, received 5 sessions of massage, and at the end of each session, the distribution of foot pressure and pain intensity were evaluated.
Results:
The results showed a significant decrease in pain after 5 sessions of massage (p<0.05). Additionally, there was a significant difference between massage sessions (p<0.05). The amount of pain reduction was higher in first sessions. Foot pressure during walking after five sessions of massage had a significant improvement only in the right foot (p<0.05). However, there was no significant difference between massage sessions (p<0.05).
Conclusions:
A massage session can improve pain relief in patients with low back pain caused by a lumbar disc herniation, but has no significant effect on plantar pressure. However, 5 sessions of massage can probably neutralize the compensatory mechanism created to prevent pain.

Keywords

References

  1. Akuthota V, Ferreiro A, Moore T, Fredericson M. Core stability exercise principles. Current sports medicine reports 2008; 7(1): 39-44.
  2. Kelsey JL. Epidemiology and impact of low-back pain. Spine 1980; 5(2): 133-142.
  3. Nezhad Roomezi S, Rahnama N, Habibi A, Negahban H. The effect of core stability training on pain and performance in women patients with non-specific chronic low back pain. Journal of Research in Rehabilitation Sciences 2012; 8(1): 59-60.[persian]
  4. Uei H, Matsuzaki H, Oda H, Nakajima S, Tokuhashi Y, Esumi M. Gene expression changes in an early stage of intervertebral disc degeneration induced by passive cigarette smoking. Spine 2006; 31(5): 510-514.
  5. Koosha M, Aghajanloo M, Paybast S, Rahiminejad Me, Soltanzadeh A. Evaluation of Lumbar Disk Herniation Risk Factors in Patients with Low Back Pain. International Journal of Occupational Hygiene  2018; 10(1): 7-11. [Persian]
  6. Brodke DS, Ritter SM. Nonsurgical management of low back pain and lumbar disk degeneration. Instructional course lectures 2005; 54: 279-286.
  7. Edgelow P. Dysfunction, evaluation, and treatment of the lumbar spine. Orthopedic Physical Thearapy 1st ed New York: Churchill Livingstone 1989; 324-325.
  8. Atlas SJ, Keller RB, Robson D, Deyo RA, Singer DE. Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the maine lumbar spine study. Spine 2000; 25(5): 556-562.
  9. Henchoz Y, Soldini N, Peyrot N, Malatesta D. Energetics and mechanics of walking in patients with chronic low back pain and healthy matched controls. European journal of applied physiology 2015; 115(11): 2433-2443.
  10. Lee JH, Fell DW, Kim K. Plantar pressure distribution during walking: comparison of subjects with and without chronic low back pain. Journal of Physical Therapy Science 2011; 23(6): 923-926.
  11. Waddell G, Burton AK. Concepts of rehabilitation for the management of low back pain. Best Practice & Research Clinical Rheumatology 2005; 19(4): 655-670.
  12. Lund I. Massage as a pain relieving method. Physiotherapy 2000; 86(12): 638-654.
  13. Hashemi Javaheri AA, Khan Zadeh R, Omidi Kashani F, Mohamadi J. The Effect of Combined Therapeutic Protocol (Exercise Therapy and Massage) on Quality of Life in Male Patients Suffering from Chronic Low Back Pain due to Lumbar Disc Herniation. Iranian Journal of Health and Physical Activity 2011; 2(2); 29-36. [Persian]
  14. Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from US national surveys, 2002. Spine 2006; 31(23): 2724-2727.
  15. Lee CE, Simmonds MJ, Etnyre BR, Morris GS. Influence of pain distribution on gait characteristics in patients with low back pain: part 1: vertical ground reaction force. Spine 2007; 32(12): 1329-1336.
  16. Farimani Yasamani N, Khoshraftar Yazdi N. Comparison the effects of 8 weeks running on asphalt and tartan on foot pressure and pain in the girls with shin splint. FUM. Thesis 2017. [Persian]
  17. Barzilay Y, Segal G, Lotan R, Regev G, Beer Y, Lonner BS, et al. Patients with chronic non-specific low back pain who reported reduction in pain and improvement in function also demonstrated an improvement in gait pattern. European Spine Journal 2016; 25(9): 2761-2766.
  18. De Paula Lima PO, De Oliveira RR, De Moura Filho AG, et al. Reproducibility of the pressure biofeedback unit in measuring transversus abdominis muscle activity in patients with chronic nonspecific low back pain. Journal of bodywork and movement therapies 2012; 16(2): 251-257.
  19. Marshall PW, Schabrun S, Knox MF. Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PloS one 2017; 12(7): e0180788.
  20. Dharmayat S, Shrestha S. Assessment of posture and musculoskeletal pain in school going girls using backpacks. IOSR J Nurs Health Sci 2017; 6(1): 9-12.
  21. Van der Leeden M, Dekker JH, Siemonsma PC, Lek-Westerhof SS, Steultjens MP. Reproducibility of plantar pressure measurements in patients with chronic arthritis: a comparison of one-step, two-step, and three-step protocols and an estimate of the number of measurements required. Foot & ankle international 2004; 25(10): 739-744.
  22. Kopec JA, Esdaile JM, Abrahamowicz M, Abenhaim L, et al. The Quebec Back Pain Disability Scale. Measurement properties. Spine 1995; 20(3): 341-352.
  23. Taylor S, Frost H, Taylor A, Barker K. Reliability and responsiveness of the shuttle walking test in patients with chronic low back pain. Physiotherapy Research International 2001; 6(3): 170-178.
  24. Daneau C, Cantin V, Descarreaux M. 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 2019; 42(1): 55-65.
  25. Bell J. Massage therapy helps to increase range of motion, decrease pain and assist in healing a client with low back pain and sciatica symptoms. Journal of bodywork and movement therapies 2008; 12(3): 281-289.
  26. Deutsch FE. Isolated lumbar strengthening in the rehabilitation of chronic low back pain. Journal of manipulative and physiological therapeutics 1996 ;19(2): 124-133.
  27. Marsh RL. How muscles deal with real-world loads: the influence of length trajectory on muscle performance. Journal of Experimental Biology 1999; 202(23): 3377-33785.
  28. Gard G, Gille KÅ, Grahn B. Functional activities and psychosocial factors in the rehabilitation of patients with low back pain. Scandinavian journal of caring sciences 2000; 14(2): 75-81.
  29. Bakhtiary AH, Safavi-Farokhi Z, Rezasoltani A. Lumbar stabilizing exercises improve activities of daily living in patients with lumbar disc herniation. Journal of Back and musculoskeletal Rehabilitation 2005; 18(3-4): 55-60.
  30. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine 2002; 27(5): E109-E20.
Journal of Paramedical Sciences & Rehabilitation
Volume 10, Issue 4
March 2022
Pages 20-29

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