Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain

Low Back Pain Clinical Trial

Official title:

Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain: A Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05279794
• Other study ID #: CE012207
• Status: Completed
• Phase: N/A
• Start date: March 21, 2022
• Est. completion date: May 19, 2022

Study information

• Verified date: May 2022
• Source: Universidad Católica San Antonio de Murcia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Non-specific low back pain can be caused by the presence of active trigger points in the muscles of the lumbopelvic region. Trigger points are defined as hypersensitive points within a taut band of a musculoskeletal system that cause pain during contraction, stretching, or stimulation of said muscle. If these points are active, they can trigger referred pain, local tenderness, and vegetative responses. There is scientific evidence of the improvement of the treatment of these points through non-invasive manual techniques. The objective of this study will be to determine the effect of Strain Counterstrain and Myofascial Induction techniques in subjects with low back pain secondary to the presence of active trigger points in the lumbopelvic region. Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Strain Counterstrain technique and Myofascial Induction in participants with the presence of an active trigger point in the erector spinae muscle.

Description:

The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 2 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of low back pain and disability caused by low back pain, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when representing reliable results in differences between techniques.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: May 19, 2022
• Est. primary completion date: March 23, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 19 Years to 40 Years

Eligibility

Inclusion Criteria:

• Presence of low back pain
• Presence of active trigger point in the erector spinae as described by Lawrence H. Jones

Exclusion Criteria:

• Participants who present dizziness, vertigo;
• Previous or scheduled surgeries in the lumbar spine and/or lower extremities;
• Suspicion of serious fractures or pathologies (tumor, inflammation, infection, rheumatological disorder, systemic disease, presence of fever);
• Diagnosis of radiculopathy or neuropathy;
• Structural deformity in the spine; spondyloarthropathy, disabling pain and physical disability;
• Use of pain relievers or anti-inflammatory drugs in the last 48 hours;
• Neurological or psychiatric disorder;
• Presence or suspicion of pregnancy

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain
• Myofascial Pain Syndromes
• Trigger Point Pain, Myofascial

Intervention

Other:
• Jones Group (Strain Counterstrain)
No pain positioning technique with diaphragmatic breathing
• Myofascial Induction Group
Myofascial Induction technique on the lumbar fascia
• Placebo Group
No pain positioning of participants

Locations

Country	Name	City	State
Spain	Universidad Católica de Murcia	Murcia

Sponsors (1)

Lead Sponsor	Collaborator
Universidad Católica San Antonio de Murcia

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10	20 minutes
Primary	Pression algometer	Measures pressure pain thresholds	20 minutes
Secondary	Spinal test	Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination	20 minutes
Secondary	Countermovement jump test	Measured with Baiobit software counter movement jump test wich consist a velocity, height and accuracy evaluation of a vertical jump	20 minutes