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KMID : 0361420120360010055
Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 1 p.55 ~ p.65
Development and Application of a Newly Designed Massage Instrument for Deep Cross-Friction Massage in Chronic
Yoon Yong-Soon

Yu Ki-Pi
Lee Kwang-Jae
Kwak Soo-Hyun
Kim Jong-Yun
Abstract
Objective: To introduce a newly designed massage instrument, the Hand Grip T-bar (HT-bar) and use it to relieve chronic non-specifi c low back pain (nLBP) through deep cross-friction massage (roptrotherapy).

Method: 22 subjects (9 males and 13 females, aged 51.6¡¾6.7) with chronic nLBP were allocated randomly to a Roptrotherapy group (n=12) and a Transcutaneous Electrical Nerve Stimulation (TENS) group (n=10). The Roptrotherapy group received deep cross-friction massage with the HT-bar, which was made of metal and had a cylinder for increasing weight and grooves for an easy grip. It was applied across the middle and lower back for 20 minutes a day, 3 days a week for 2 weeks. Th e TENS group received TENS for 20 minutes a day, 5 days a week for 2 weeks. Th e outcome was measured on the pain numeric rating scale (PNRS), by the Oswestry disability index (ODI), and by the Roland & Morris Disability Questionnaire (RMDQ) at pre-treatment, at immediate post-treatment and 2 weeks later. Th e application of the HT-bar was assessed by a questionnaire to 19 therapists.

Results: At post-treatment, immediately and 2 weeks later, both groups showed signifi cant improvement in PNRS, ODI and RMDQ. During the two weeks after post-treatment, however, the Roptrotherapy group improved in PNRS, ODI and RMDQ, but the TENS group did not. Over 80% of the therapists responded that the HT-bar was useful and comfortable.

Conclusion: This study suggests that deep cross-friction massage can be a benefi cial therapeutic technique and that the HT-bar can be a useful instrument in deep cross-friction massage for chronic nLBP patients.
KEYWORD
Low back pain, Massage, Instrumentation
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