The Effect of Dry Needling on Trunk Muscle Function in Low Back Pain Patients

Low Back Pain Clinical Trial

Official title:

The Effect of Dry Needling on Trunk Muscle Function in Low Back Pain Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02250742
• Other study ID #: 045/11
• Status: Completed
• Phase: N/A
• First received: July 13, 2014
• Last updated: May 21, 2016
• Start date: September 2014
• Est. completion date: December 2015

Study information

• Verified date: May 2016
• Source: University of Haifa
• Contact: n/a
• Is FDA regulated: No
• Health authority: Israel: Ethics Commission
• Study type: Interventional

Clinical Trial Summary

The study will establish data on the function of trunk muscles in healthy and low back pain patient's pre and post dry needling treatment. This will help in understanding the underlying mechanism of this treatment and reveal the effect of dry needling on muscle performance.

Study hypothesis is that an improvement of back muscle function following dry needling procedure will be found.

Description:

Dry needling of muscles is mainly used for the management of pain in musculoskeletal disorders. Yet, the association between dry needling and motor performance of muscles is still unclear.

This study aims to investigate the immediate effect of dry needling on lumbar multifidus muscles' function in healthy and low back pain subjects.

The sample will be divided into: low back pain group and control (healthy) group. Both groups will receive dry needling to the lumbar multifidus muscles using a deep insertion technique with 4 needles (2 on each side of the spine). The needles will be left in situ for 10 minutes. Ultrasound imaging will be used to measure multifidus muscles' thickness, pre and post- procedure during rest in a prone position and during contralateral active straight leg extension.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: December 2015
• Est. primary completion date: December 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Age: 18-60 years.

• Healthy individuals or individuals with main complaint of low back pain (LBP)

Exclusion Criteria:

• Patients with "red flags" for a serious spinal condition, for example: tumor, compression fractures, infection, cancer.

• Signs of nerve root compression (positive straight leg raise <45 degrees, decreased reflexes, decrease sensation or decreased strength in the lower extremities).

• Pregnancy.

• Previous surgery to the lumbar spine

• History of congenital lumbar or pelvic anomalies

• Physical therapy for LBP was provided in the 6 months prior to participation in the study

• Patients who are unable to lie prone for 30 minutes.

Study Design

Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Basic Science

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Other:
• dry needling
Dry needling uses traditional acupuncture needles without injecting any liquid. Dry needling is based on traditional Western medicine whereby the needle insertion sites are located in known anatomical landmarks such as skeletal muscles, fascia and occasionally joints, tendons and bone/tendon junctions.

Locations

Country	Name	City	State
Israel	University of Haifa	Haifa

Sponsors (1)

Lead Sponsor	Collaborator
University of Haifa

Country where clinical trial is conducted

Israel, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Multifidus muscle thickness	Multifidus muscle thickness will be measured using diagnostic ultrasound imaging	baseline and Immediately after dry needling procedure at the same session	No