10/12/2024
I recently read the peer reviewed article: Acute Effects of a Brief Physical Exercise Intervention on Somatosensory Perception, Lumbar Strength, and Flexibility in Patients with Nonspecific Chronic Low-Back Pain. I would like to share with you the take aways I learned that can be applied to both therapists and patients alike.
This study explored how different types of 20-minute physical exercises affect pain perception, strength, and flexibility in patients with nonspecific chronic low-back pain (NSCLBP). Eighty-one patients were divided into four groups: aerobic exercise, stretching, strengthening, and a control group. Tactile sensitivity, pressure-pain thresholds, lumbar strength, and flexibility were measured before and after the intervention.
The results showed that all exercise groups experienced improvements in pain sensitivity and lumbar flexibility. Aerobic exercise specifically increased tactile sensitivity at the gluteus medius compared to the erector spinal muscle. However, since improvements were also seen in the control group, the findings on exercise-induced hypoalgesia (reduced pain perception) are somewhat limited. The study contributes evidence about the effects of exercise on pain relief in chronic low-back pain, but further research is needed to clarify these effects.
This research on exercise-induced hypoalgesia (pain reduction) in patients with nonspecific chronic low-back pain (NSCLBP) is highly relevant for massage therapists in several ways:
1. Understanding Pain Modulation: The study highlights how different exercise modalities, such as aerobic exercise, stretching, and strengthening, can reduce pain sensitivity and improve flexibility. This should help inform therapists about how to complement massage with specific exercises to enhance pain reduction in clients.
2. Targeted Treatments: The findings suggest that certain body areas, like the gluteus medius and lumbar region, show varying responses to different exercises. For massage therapists, knowing which muscles respond better to specific interventions (e.g., increased tactile sensitivity in the gluteus medius after aerobic exercise) can guide more targeted, effective treatments, potentially focusing more on those regions during sessions. For example, if the goal is to help strengthen the lumbar musculature by implementing a walking exercise program, it would be prudent of a therapist to test the strength and endurance of the gluteus medius muscle for any possible weakness, since they are the lateral stabilizers of the hips and are integral for walking.
3. Incorporating Active Recovery: As massage therapists often encourage clients to engage in self-care and exercises between sessions, understanding which types of exercises (aerobic, stretching, strengthening) can yield immediate improvements in pain and flexibility. This will foster quicker recovery and improved long-term outcomes.
4. Holistic Approach to Pain Management: This research reinforces the idea that managing chronic pain often requires a multimodal approach. For massage therapists, integrating massage therapy with exercise recommendations can offer a more comprehensive strategy for reducing pain and improving overall physical function in clients with chronic low-back pain.
By leveraging insights from this study, massage therapists can tailor their treatments to not only address pain but also enhance the effects of massage through the incorporation of appropriate exercise regimens.
Patients can take a more proactive approach to their recovery from chronic low-back pain using the insights from this research in the following ways:
1. Incorporating Exercise into Daily Routine: The study highlights the benefits of different types of exercise—particularly aerobic, stretching, and strengthening—in reducing pain and improving flexibility. Patients should actively integrate these exercises into their daily routines, even if for short durations (like the 20-minute sessions in the study), to support their recovery. Engaging in these exercises between massage or physical therapy sessions can help maintain the pain-relief benefits.
2. Tracking Responses to Different Exercises: Patients can monitor how their bodies respond to various exercises and take note of what works best for them. Since the study showed that different modalities impact specific muscle groups and areas differently, patients should keep track of which exercises provide the most pain relief or improvement in flexibility. This self-awareness helps them personalize their recovery plan and communicate better with their healthcare providers.
3. Collaborating with Healthcare Providers: Armed with this knowledge, patients can actively collaborate with their massage therapists or other healthcare providers to develop a tailored treatment plan. They can request exercises or therapeutic strategies that complement the hands-on work during massage sessions, making recovery more efficient.
4. Engaging in Holistic Recovery: Instead of relying solely on passive treatments like massage, patients should adopt a more holistic approach by incorporating physical activity into their recovery. Understanding that exercise-induced hypoalgesia can help reduce pain encourages patients to combine both exercise and therapy for more comprehensive pain management.
5. Seeking Preventative Care: Patients can be proactive by using these exercises as preventative measures to manage or avoid future flare-ups of chronic pain. By consistently practicing flexibility and strengthening exercises, they may improve overall mobility and reduce the likelihood of pain recurrence.
Overall, by combining regular physical activity with massage therapy, patients can take charge of their recovery, making it more effective and sustainable in the long term.
Link to article:
https://www.tandfonline.com/doi/epdf/10.2147/JPR.S274134?needAccess=true
https://naturalpointtherapy.janeapp.com/locations/natural-point-therapy/book #/staff_member/25
Massage Therapy is the assessment and treatment of soft tissue and joints of the body. Manual techniques are used within treatment to decrease and prevent injury, pain and physical disorders. It is widely understood that massage therapy decreases stress and helps control pain. Perhaps less known is....