Asian Journal of Sports Medicine

Published by: Kowsar

Comparison of Effects Between Core Stability Training and Sports Massage Therapy Among Elite Weightlifters with Chronic Non-Specific Low Back Pain: A Randomized Cross-Over Study

Leonard Henry Joseph 1 , 2 , Benjamaporn Hancharoenkul 3 , Patraporn Sitilertpisan 1 , Ubon Pirunsan 1 and Aatit Paungmali 1 , *
Authors Information
1 Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand
2 School of Health Science, University of Brighton, Eastbourne BN20 7UR, East Sussex, United Kingdom
3 School of Health Sciences, Mae Fah Luang University, Chiang Rai 57100, Thailand
Article information
  • Asian Journal of Sports Medicine: March 2018, 9 (1); e58644
  • Published Online: March 11, 2018
  • Article Type: Research Article
  • Received: July 24, 2017
  • Revised: September 22, 2017
  • Accepted: November 5, 2017
  • DOI: 10.5812/asjsm.58644

To Cite: Henry Joseph L, Hancharoenkul B, Sitilertpisan P, Pirunsan U, Paungmali A. Comparison of Effects Between Core Stability Training and Sports Massage Therapy Among Elite Weightlifters with Chronic Non-Specific Low Back Pain: A Randomized Cross-Over Study, Asian J Sports Med. 2018 ; 9(1):e58644. doi: 10.5812/asjsm.58644.

Copyright © 2018, Asian Journal of Sports Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
5. Conclusions
  • 1. Wikipedia. List of Olympic records in weightlifting, From Wikipedia, the free encyclopaedia website 2017. 2017. Available from:
  • 2. Calhoon G, Fry AC. Injury rates and profiles of elite competitive weightlifters. J Athl Train. 1999;34(3):232-8. [PubMed: 16558570].
  • 3. Eltoukhy M, Travascio F, Asfour S, Elmasry S, Heredia-Vargas H, Signorile J. Examination of a lumbar spine biomechanical model for assessing axial compression, shear, and bending moment using selected Olympic lifts. J Orthop. 2016;13(3):210-9. doi: 10.1016/j.jor.2015.04.002. [PubMed: 27408480].
  • 4. Aasa U, Svartholm I, Andersson F, Berglund L. Injuries among weightlifters and powerlifters: a systematic review. Br J Sports Med. 2017;51(4):211-9. doi: 10.1136/bjsports-2016-096037. [PubMed: 27707741].
  • 5. Siewe J, Rudat J, Rollinghoff M, Schlegel UJ, Eysel P, Michael JW. Injuries and overuse syndromes in powerlifting. Int J Sports Med. 2011;32(9):703-11. doi: 10.1055/s-0031-1277207. [PubMed: 21590644].
  • 6. Sitilertpisan P, Hides J, Stanton W, Paungmali A, Pirunsan U. Multifidus muscle size and symmetry among elite weightlifters. Phys Ther Sport. 2012;13(1):11-5. doi: 10.1016/j.ptsp.2011.04.005. [PubMed: 22261425].
  • 7. Abdelraouf OR, Abdel-Aziem AA. The Relationship between Core Endurance and Back Dysfunction in Collegiate Male Athletes with and without Nonspecific Low Back Pain. Int J Sports Phys Ther. 2016;11(3):337-44. [PubMed: 27274419].
  • 8. Hides JA, Boughen CL, Stanton WR, Strudwick MW, Wilson SJ. A magnetic resonance imaging investigation of the transversus abdominis muscle during drawing-in of the abdominal wall in elite Australian Football League players with and without low back pain. J Orthop Sports Phys Ther. 2010;40(1):4-10. doi: 10.2519/jospt.2010.3177. [PubMed: 20044702].
  • 9. Hyde J, Stanton WR, Hides JA. Abdominal muscle response to a simulated weight-bearing task by elite Australian Rules football players. Hum Mov Sci. 2012;31(1):129-38. doi: 10.1016/j.humov.2011.04.005. [PubMed: 21840078].
  • 10. Sitilertpisan P, Pirunsan U, Puangmali A, Ratanapinunchai J, Kiatwattanacharoen S, Neamin H, et al. Comparison of lateral abdominal muscle thickness between weightlifters and matched controls. Phys Ther Sport. 2011;12(4):171-4. doi: 10.1016/j.ptsp.2011.02.002. [PubMed: 22085710].
  • 11. Zazulak B, Cholewicki J, Reeves NP. Neuromuscular control of trunk stability: clinical implications for sports injury prevention. J Am Acad Orthop Surg. 2008;16(9):497-505. [PubMed: 18768707].
  • 12. Brummitt J. The role of massage in sports performance and rehabilitation: current evidence and future direction. N Am J Sports Phys Ther. 2008;3(1):7-21. [PubMed: 21509135].
  • 13. Zheng Z, Wang J, Gao Q, Hou J, Ma L, Jiang C, et al. Therapeutic evaluation of lumbar tender point deep massage for chronic non-specific low back pain. J Tradit Chin Med. 2012;32(4):534-7. [PubMed: 23427384].
  • 14. Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003;34(2):245-54. [PubMed: 12914264].
  • 15. Paungmali A, Henry LJ, Sitilertpisan P, Pirunsan U, Uthaikhup S. Improvements in tissue blood flow and lumbopelvic stability after lumbopelvic core stabilization training in patients with chronic non-specific low back pain. J Phys Ther Sci. 2016;28(2):635-40. doi: 10.1589/jpts.28.635. [PubMed: 27064327].
  • 16. Leonard JH, Paungmali A, Sitilertpisan P, Pirunsan U, Uthaikhup S. Changes in Transversus Abdominis Muscle Thickness after Lumbo-Pelvic Core Stabilization Training among Chronic Low Back Pain Individuals. Clin Ter. 2015;166(5):e312-6. doi: 10.7417/T.2015.1884. [PubMed: 26550815].
  • 17. Andersen LL, Jay K, Andersen CH, Jakobsen MD, Sundstrup E, Topp R, et al. Acute effects of massage or active exercise in relieving muscle soreness: randomized controlled trial. J Strength Cond Res. 2013;27(12):3352-9. doi: 10.1519/JSC.0b013e3182908610. [PubMed: 23524365].
  • 18. Nelson N. Delayed onset muscle soreness: is massage effective?. J Bodyw Mov Ther. 2013;17(4):475-82. doi: 10.1016/j.jbmt.2013.03.002. [PubMed: 24139006].
  • 19. Moraska A. Sports massage. A comprehensive review. J Sports Med Phys Fitness. 2005;45(3):370-80. [PubMed: 16230990].
  • 20. Bernstein IA, Malik Q, Carville S, Ward S. Low back pain and sciatica: summary of NICE guidance. BMJ. 2017;356. i6748. doi: 10.1136/bmj.i6748. [PubMed: 28062522].
  • 21. Paungmali A, Joseph LH, Sitilertpisan P, Pirunsan U, Uthaikhup S. Lumbopelvic Core Stabilization Exercise and Pain Modulation Among Individuals with Chronic Nonspecific Low Back Pain. Pain Pract. 2017;17(8):1008-14. doi: 10.1111/papr.12552.
  • 22. Paungmali A, Sitilertpisan P, Taneyhill K, Pirunsan U, Uthaikhup S. Intrarater reliability of pain intensity, tissue blood flow, thermal pain threshold, pressure pain threshold and lumbo-pelvic stability tests in subjects with low back pain. Asian J Sports Med. 2012;3(1):8-14. [PubMed: 22461960].
  • 23. Selim Kaplan A. Effect of sport massage on pressure pain threshold and tolerance in athletes under eccentric exercise. Int J Sci Culture Sport. 2014;2(6):136. doi: 10.14486/ijscs185.
  • 24. Moss P, Sluka K, Wright A. The initial effects of knee joint mobilization on osteoarthritic hyperalgesia. Man Ther. 2007;12(2):109-18. doi: 10.1016/j.math.2006.02.009. [PubMed: 16777467].
  • 25. Voogt L, de Vries J, Meeus M, Struyf F, Meuffels D, Nijs J. Analgesic effects of manual therapy in patients with musculoskeletal pain: a systematic review. Man Ther. 2015;20(2):250-6. doi: 10.1016/j.math.2014.09.001. [PubMed: 25282440].
  • 26. Scott D, Jull G, Sterling M. Widespread sensory hypersensitivity is a feature of chronic whiplash-associated disorder but not chronic idiopathic neck pain. Clin J Pain. 2005;21(2):175-81. [PubMed: 15722811].
  • 27. Krouwel O, Hebron C, Willett E. An investigation into the potential hypoalgesic effects of different amplitudes of PA mobilisations on the lumbar spine as measured by pressure pain thresholds (PPT). Man Ther. 2010;15(1):7-12. doi: 10.1016/j.math.2009.05.013. [PubMed: 19643656].
  • 28. Mori H, Ohsawa H, Tanaka TH, Taniwaki E, Leisman G, Nishijo K. Effect of massage on blood flow and muscle fatigue following isometric lumbar exercise. Med Sci Monit. 2004;10(5):CR173-8. [PubMed: 15114265].
  • 29. Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005;35(3):235-56. [PubMed: 15730338].
  • 30. Zainuddin Z, Newton M, Sacco P, Nosaka K. Effects of massage on delayed-onset muscle soreness, swelling, and recovery of muscle function. J Athl Train. 2005;40(3):174-80. [PubMed: 16284637].
  • 31. Frey Law LA, Evans S, Knudtson J, Nus S, Scholl K, Sluka KA. Massage reduces pain perception and hyperalgesia in experimental muscle pain: a randomized, controlled trial. J Pain. 2008;9(8):714-21. doi: 10.1016/j.jpain.2008.03.009. [PubMed: 18455480].
  • 32. Gay CW, Alappattu MJ, Coronado RA, Horn ME, Bishop MD. Effect of a single session of muscle-biased therapy on pain sensitivity: a systematic review and meta-analysis of randomized controlled trials. J Pain Res. 2013;6:7-22. doi: 10.2147/JPR.S37272. [PubMed: 23403507].
  • 33. Bervoets DC, Luijsterburg PA, Alessie JJ, Buijs MJ, Verhagen AP. Massage therapy has short-term benefits for people with common musculoskeletal disorders compared to no treatment: a systematic review. J Physiother. 2015;61(3):106-16. doi: 10.1016/j.jphys.2015.05.018. [PubMed: 26093806].

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