Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries?

Liza, Bafirman, Masrun, Mikkey Anggara Suganda, Rubiyatno, Didi Suryadi, Muhamad Sazeli Rifki, Danang Dwi Purwanto, Ramli, Youssouf Haïdara, Y. Touvan Juni Samodra, Baharuddin Hasan, Ilham Surya Fallo

 

Liza, Bafirman, Masrun, Mikkey Anggara Suganda, Rubiyatno, Didi Suryadi, Muhamad Sazeli Rifki, Danang Dwi Purwanto, Ramli, Youssouf Haïdara, Y. Touvan Juni Samodra, Baharuddin Hasan, Ilham Surya Fallo – Combination of deep tissue massage and stretching: Does it affect the healing of low back pain injuries? –  Fizjoterapia Polska 2024; 24(2); 70-76

DOI: https://doi.org/10.56984/8ZG5608CA7

Abstract
Background and Study Aim. Low Back Pain (LBP) is an abnormal condition in the lower back which is accompanied by a painful sensation so that it will experience limitations in moving.Therefore, the need for special treatment in dealing with Low Back Pain (LBP) in order to reduce pain. Material and Methods. This research is a pre-experimental research using the approach one group pretest and posttest design. In this study, the results of the initial test data (pretest) were measured in the form of low back pain results with VAS, Modified Schober Test, Fingertip to Floor, and ODI, then giving treatment by combining deep tissue massage with stretching. Therapy is given to patients 3 times a week for 3 weeks, then the final data measurement (Posttest) is carried out. The subjects of this study were patients at the LKP Rumah Sehat Mandiri clinic for the last 5 months who had experienced low back pain injuries. Sampling in this study used purposive sampling so that there were 20 people with an age range of 20-60 years. The analysis in this study uses the SPSS Version 26 application. Results. The results showed that the indicators of pain, flexion, extension, right flexion, left flexion and function had a significant effect using a combination of deep tissue massage and stretching with a significant value si showing 0.000 < 0.05. In the left flexion indicator, a significance value of 0.001 < 0.05 was obtained, so it can be concluded that there is a significant difference in the deep tissue massage combination of stretching treatment. Conclusions. The results of this study provide evidence that the combination of deep tissue massage and stretching provides a significant reduction in the healing of low back pain injuries in patients. That way a combination of deep tissue massage and stretching can be applied to treat low back pain injury healing.
Keywords
low back pain, deep tissue massage, stretching
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Comparison of the effectiveness Tepurak therapy with deep tissue massage and stretching in treating non-specific low back pain injuries

Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga


Enggista Hendriko Delano, Wara Kushartanti, Novita Intan Arovah, Sabda Hussain As Shafi, Wahyu Aji Nugroho, Muhamad Ichsan Sabillah, Japhet Ndayisenga – Comparison of the effectiveness Tepurak therapy with deep tissue massage and stretching in treating non-specific low back pain injuries
. Fizjoterapia Polska 2023; 23(3); 210-220

DOI: https://doi.org/10.56984/8ZG143A4A

Abstract
This study aimed to determine: (1) The effectiveness of Tepurak therapy (press, hit, motion) in treating non-specific Low Back Pain (LBP) injuries. (2) The effectiveness of a combined Deep Tissue Massage with stretching (DTMS) in treating non-specific LBP injuries. (3) A comparison of the effectiveness between Tepurak therapy and the combination of Deep Tissue Massage with stretching in treating non-specific LBP injuries.
Recovery indicators included pain level and range of motion (ROM). This pre-experimental research used two distinct sample groups with different treatments. The sample comprised 42 individuals with non-specific LBP injuries, who were randomly divided into two groups of 21. Group A underwent Tepurak therapy (press, hit, motion), while Group B received combined Deep Tissue Massage and stretching (DTMS). Each treatment session lasted 30 minutes.
Pain levels were measured using the Visual Analogue Scale (VAS), while ROM was assessed with the modified Schober Test and the Fingertip-to-Floor instruments. The data analysis employed various tests, including the Paired t-test, Wilcoxon, independent t-test, and Mann-Whitney.
The findings revealed that Tepurak therapy reduced pain and significantly enhanced ROM (p < 0.05). Similarly, the Deep Tissue Massage combined with stretching notably diminished pain and improved ROM (p < 0.05). Comparing the pretest and posttest data between Tepurak therapy and the Deep Tissue Massage with stretching on pain and ROM indicators yielded a p-value > 0.05. This suggests that there was no significant difference in the effectiveness of the two therapy types.
Based on this study, it’s recommended that either Tepurak therapy or the combination of Deep Tissue Massage with stretching can be employed to treat individuals with non-specific LBP. The choice should depend on the specific situation and conditions, taking into account the pros and cons of each therapy type.
Keywords:
tepurak, deep tissue massage, stretching, non-specific low back pain
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