A massage technique for chronic nonspecific low back pain:protocol of a randomised controlled trial

Abstract

Abstract Background：Chronic nonspecific low back pain (CNLBP) is characterised as persistent low back pain lasting beyond a 12-week period, without any detectable particular pathology such as infection, tumour, osteoporosis, lumbar fracture, structural deformity, inflammatory disease, nerve root dysfunction, or cauda equina syndrome. The condition exhibits a substantial prevalence, impacting approximately 20% of the worldwide populace and affecting individuals across all age groups. Currently, low back pain remains the primary contributor to reduced functional capacity and prolonged disability. However, the assessment index for its therapeutic effect remains unclear, and its treatment has also imposed a significant medical burden on a global scale. In recent times, there has been a growing interest in utilising acupuncture and massage, which are considered emblematic modalities of traditional Chinese medicine, as innovative approaches for diagnosing and treating various ailments. The objective of the research was to examine the clinical effectiveness of a novel massage therapy in the treatment of chronic low back pain. Methods:This study is an interventional trial conducted at a single centre, characterised by a prospective design and incorporating control groups. The study design also includes randomization and blinding of the participants.The experiment will be conducted across three measurement periods, specifically on days 0 and 28 (referred to as D0 and D28, respectively). During D0, the subjects will be randomly assigned to two groups: the experimental group and the control group. Both groups will be evaluated based on their VAS scores and ODI scores.The erector spinae thickness was determined by the use of musculoskeletal ultrasonography.The experimental group received a modified massage intervention, whereas the control group received a conventional Chinese massage intervention. The subsequent measurements will be conducted in a manner consistent with the last assessment. The aforementioned timetable will be replicated on Day 28, with the completion of a single assessment. Disscusion:This study will start in 2023. Trial registration:This trial is registered with Clinicaltrials.gov, 2023 July, registration number is NCT05974761,The title is Clinical Observation on the Treatment of Massage Based on Fascia Chain.