Clinical trial NCT06675006: Comparing Bowen Therapy With Ice to Medical Massage for Acute Ankle Sprain
Official title: Comparative Analysis of Cryotherapy Combined With Bowen Therapy Versus Medical Massage for Managing Acute Ankle Sprain
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Ankle Sprains
Keywords: Bowen therapy
Cryotherapy
Lead sponsor: Rehabilitation Centre Zivot
Sponsor class: OTHER
First posted: 2024-11-05
Enrollment: 40
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study population consists of 40 adult participants aged between 32 and 75 years, with a mean age of 52.1 years (SD ± 10.6). Participants are randomly assigned to two groups: one receiving Bowen therapy and the other receiving medical massage, allowing for a comparative analysis of the efficacy of each intervention. All participants provided informed consent prior to enrollment in the study and are expected to attend all scheduled therapy sessions and follow-up assessments.

Brief summary: Foot pain is particularly prevalent among older adults, affecting approximately 20% to 37% of men and women aged 45 years and older living in the community. Ankle pain is somewhat less common. This study evaluates the combined impact of cryotherapy (ice application) with Bowen therapy versus traditional medical massage in alleviating symptoms. A total of 41 patients, aged 32-75 years participated and were divided into two treatment groups: one receiving medical massage and ice, and the other Bowen therapy and ice, with three sessions over 15 days. Pain and functionality were measured using the VAS pain scale and Roland-Morris questionnaire. Findings revealed improvements in both groups, with the Bowen therapy group achieving greater pain reduction and functional improvement, suggesting potential advantages of Bowen therapy combined with cryotherapy for managing symptoms.


Eligibility criteria: Inclusion Criteria:

* Participants aged 32 to 75 years.
* Diagnosed with ankle sprain by a qualified healthcare professional (physiatrist or orthopedist).
* Able to provide informed consent.
* Willing to comply with the study protocol and attend all scheduled therapy sessions.

Exclusion Criteria:

* Presence of serious spinal pathologies (e.g., cancer, osteoporosis, trauma, or fracture).
* History of significant neurological disorders or conditions affecting mobility.
* Pregnancy or breastfeeding.
* Previous surgical interventions on the spine or significant other surgeries within the last six months.
* Current use of medications that affect pain perception (e.g., opioids).
* Participation in other therapeutic interventions for low back pain during the study period.

Primary outcomes:
measure: Pain Intensity Reduction
timeFrame: 15 days
Secondary outcomes:
measure: Functional Improvement
timeFrame: 15 days
Other outcomes:
measure: Patient Satisfaction
timeFrame: 15 days
Locations:
city: Mostar
country: Bosnia and Herzegovina
facility: Rehabilitation Centre Život
Study officials:
References:
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citation: Marr M, Baker J, Lambon N, Perry J. The effects of the Bowen technique on hamstring flexibility over time: a randomised controlled trial. J Bodyw Mov Ther. 2011 Jul;15(3):281-90. doi: 10.1016/j.jbmt.2010.07.008. Epub 2010 Sep 15.
citation: Sivakumar P, Dhinakaran S, Sudharshini. Bowen Therapy: An Overview. Pon J Nurs. 2022;15(1):16-18.
citation: Tikhile P, Patil DS. Unveiling the Efficacy of Physiotherapy Strategies in Alleviating Low Back Pain: A Comprehensive Review of Interventions and Outcomes. Cureus. 2024 Mar 12;16(3):e56013. doi: 10.7759/cureus.56013. eCollection 2024 Mar.
citation: Shokri P, Zahmatyar M, Falah Tafti M, Fathy M, Rezaei Tolzali M, Ghaffari Jolfayi A, Nejadghaderi SA, Sullman MJM, Kolahi AA, Safiri S. Non-spinal low back pain: Global epidemiology, trends, and risk factors. Health Sci Rep. 2023 Sep 4;6(9):e1533. doi: 10.1002/hsr2.1533. eCollection 2023 Sep.