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Active exercise and massage for nonspecific low back pain:a clinical randomized controlled trial

Wang JingWang Bin,Wu Jian xian,Department of Rehabilitation Medicine,First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui Province,ChinaWang Jing,Department of Epidemiology and Health Statistics,College of Public Health,Anhui Medical University,Hefei 230032,Anhui Province,China  
AIM:To compare the effect of active exercise and Chinese massage on pain intensity and function of activity of daily living(ADL) in the randomly diagnosed outpatients with nonspecific low back pain since that active exercise and Chinese massage have been applied in the treatment of lumbar pain.METHODS:The experiment was conducted in Asian Medical Center in Muscat,Oman from January 1996 to December 1998.A total of 189 patients with nonspecific low back pain were randomized to group A(n=137) treated with active exercise and massage therapy,and group B(n=52) treated with massage therapy only according to their admission sequence.The pain intensity and limitation degree of ADL were assessed in patients of the two groups by using visual analog scale(VAS) and Oswestry low back pain disability index(OSW).RESULTS:The indexes of both VAS and OSW were decreased in the two groups.Moreover,the index of VAS was decreased more significantly in group A than in group B(t=2.657,P 0.01),and so was the index of OSW (t=15.733,P 0.01).The recurrence rate of group A(15.08% ,19/126) was lower than that of group B(35.42% ,17/48) during follow up from 6 months to 2 years(χ 2=8.761,P 0.01).CONCLUSION:Both active exercise and massage can relieve pain and improve the function of ADL in patients.Active exercise has much effect in preventing the recurrence of nonspecific low back pain,and exercise therapy is economic and effective for nonspecific low back pain.
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