Effect of Connective Tissue Massage in Low Back Pain

Examining the Effectiveness of Connective Tissue Massage Applied in Addition to Exercise in Individuals With Chronic Low Back Pain: A Randomized Sham-Controlled Study

Connective tissue massage (CTM) is a manual therapy method that aims to modulate the autonomic response using special stroking techniques performed on connective tissue, and its analgesic effects are described in the literature. However, studies examining the effects of CTM on multidimensional parameters such as mobility, flexibility, endurance, balance, proprioception, emotional state, and quality of life, in addition to pain and disability in chronic low back pain, are limited.

This study is designed as a randomized controlled trial to evaluate the multifaceted effects of KDM applied in addition to exercise and sham massage in individuals with chronic low back pain. The study will include a total of 40 participants aged 18-65 years who have experienced low back pain for at least six months. The eight-week interventions will be conducted twice weekly; all assessments will be performed before and after treatment. The study will assess pain (VAS), functional status (RMDQ), quality of life (NHP), fatigue (FSS), sleep quality (PUKİ), lumbar mobility, flexibility, balance, core endurance, and autonomic functions.

Inclusion Criteria:

Participants aged 18-65 who have had chronic low back pain in the past 6 months, have a VAS score above 3, do not have any disease that prevents them from working, and are volunteers will be included in the study.

Exclusion Criteria:

• pregnant women,
• individuals with fibromyalgia and chronic fatigue syndrome,
• individuals with uncontrolled hypertension,
• cancer, and diabetes,
• individuals with lumbar spine fractures and those who have undergone surgical interventions in the back region,
• and individuals who are unwilling or uncooperative.