Effects of Myofascial Release on Pain, Disability and Electromyography of Erector Spinae in Chronic Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effects of a Myofascial Release Protocol on Pain, Disability and Activation Pattern of Erector Spinae in Patients With Chronic Low Back Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01241071
• Other study ID #: CEU-UCH-88
• Status: Completed
• Phase: N/A
• First received: November 15, 2010
• Last updated: August 7, 2017
• Start date: January 2011
• Est. completion date: March 2013

Study information

• Verified date: August 2017
• Source: Cardenal Herrera University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether myofascial release techniques are effective in the improvement of pain, disability and electromyography response of lumbar muscles in patients with chronic low back pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 54
• Est. completion date: March 2013
• Est. primary completion date: December 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• low back pain for more than 3 months

Exclusion Criteria:

• vertebra fractures

• systemic disease (spondylitis, neoplasia, infectious, vascular, endocrine or metabolic disorders)

• spinal surgery

• advanced lumbar instability

• osteoporosis (in advanced stage)

• degenerative articular disease

• acute soft tissue inflammation

• rheumatoid arthritis

• osteomyelitis

• neuromuscular disease

• lower limb musculoskeletal injuries

• radiculopathy

• cauda equine syndrome

• myelopathy

• stenosis

• structural spine deformity (kyphoscoliosis...)

• pregnancy

• abundant menstruation

• IUD carrier

• mental disease

• dermatologic disease

• skin sensitivity

• aneurysma

• corticosteroids treatment

• anticoagulant therapy

• hypertension

• diabetes

• hemophilia

• leucemia

• rejection to manual contact

Related Conditions & MeSH terms

• Back Pain
• Disability
• Low Back Pain
• Motor Activity
• Range of Motion

Intervention

Other:
• myofascial treatment
myofascial release techniques of different muscles implicated in low back pain
• Placebo
A manual sham intervention will be applied to different muscles implicated in low back pain

Locations

Country	Name	City	State
Spain	CEU Cardenal Herrera University	Moncada	Valencia

Sponsors (2)

Lead Sponsor	Collaborator
Cardenal Herrera University	Hospital Arnau de Vilanova

Country where clinical trial is conducted

Spain, 

References & Publications (7)

Alschuler KN, Neblett R, Wiggert E, Haig AJ, Geisser ME. Flexion-relaxation and clinical features associated with chronic low back pain: A comparison of different methods of quantifying flexion-relaxation. Clin J Pain. 2009 Nov-Dec;25(9):760-6. doi: 10.1097/AJP.0b013e3181b56db6. — View Citation

Fernández-Pérez AM, Peralta-Ramírez MI, Pilat A, Villaverde C. Effects of myofascial induction techniques on physiologic and psychologic parameters: a randomized controlled trial. J Altern Complement Med. 2008 Sep;14(7):807-11. doi: 10.1089/acm.2008.0117. — View Citation

FLOYD WF, SILVER PH. Function of erectores spinae in flexion of the trunk. Lancet. 1951 Jan 20;1(6647):133-4. — View Citation

Grinnell F. Fibroblast mechanics in three-dimensional collagen matrices. J Bodyw Mov Ther. 2008 Jul;12(3):191-3. doi: 10.1016/j.jbmt.2008.03.005. Epub 2008 May 23. Review. — View Citation

Ritvanen T, Zaproudina N, Nissen M, Leinonen V, Hänninen O. Dynamic surface electromyographic responses in chronic low back pain treated by traditional bone setting and conventional physical therapy. J Manipulative Physiol Ther. 2007 Jan;30(1):31-7. Erratum in: J Manipulative Physiol Ther. 2007 Jul-Aug;30(6):472. — View Citation

Saíz-Llamosas JR, Fernández-Pérez AM, Fajardo-Rodríguez MF, Pilat A, Valenza-Demet G, Fernández-de-Las-Peñas C. Changes in neck mobility and pressure pain threshold levels following a cervical myofascial induction technique in pain-free healthy subjects. J Manipulative Physiol Ther. 2009 Jun;32(5):352-7. doi: 10.1016/j.jmpt.2009.04.009. — View Citation

Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Med Hypotheses. 2005;65(2):273-7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Lumbar Pain	Short Form McGill Pain Questionnaire. Visual Analogical Scale	3 weeks
Secondary	Disability	Roland Morris Disability Questionnaire	3 weeks
Secondary	Fear Avoidance Beliefs	Fear Avoidance Beliefs Questionnaire	3 weeks
Secondary	EMG Erector Spinae	Electromyography record (MEGAWIN 6000)	3 weeks
Secondary	Lumbar ROM	Electrogonyometry Fastrak (Polhemus)	3 weeks

External Links

•   CEU Cardenal Herrera University is the first private university in the Valencian Community. It belongs to the San Pablo CEU Foundation which is a leading educational organization in Spain with three universities all over Spain.