Effectiveness of Manual Therapy in Non-specific Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effectiveness of Dry Needling VS Ischaemic Compression on Latent Myofascial Myofascial Trigger Points in the Gluteus Medius in Patients With Patients With Non-specific Low Back Pain: a Randomised Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05440253
• Other study ID #: 230622
• Status: Completed
• Phase: N/A
• Start date: April 1, 2022
• Est. completion date: June 24, 2022

Study information

• Verified date: August 2022
• Source: Universidad Católica de Ávila
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Low back pain affects many people and involves high medical costs. For this reason, we wish to test the efficacy of dry needling VS ischaemic compression in patients with non-specific low back pain. To this end, an investigation was carried out on 40 patients diagnosed with this ailment, divided into two groups by randomisation to assess the intensity of pain, range of movement, pain threshold to pressure and quality of life, measuring these variables prior to the intervention, immediately, at 48 hours and one week after the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: June 24, 2022
• Est. primary completion date: May 29, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• Signed informed consent form.
• Presence of non-specific low back pain for more than six weeks.
• Presence of a palpable tight band nodule in the gluteus medius muscle.
• Presence of a hypersensitive or hyperirritable point in the tight band.
• Patients reporting local or referred pain in the area of the latent MGP after mechanical stimulation mechanical stimulation.

Exclusion Criteria:

• Surgeries in the lumbopelvic region.
• Diagnosis of herniated discs in the lumbar region.
• Positive cognitive screening according to the Pfeiffer questionnaire.
• Heterometrics.
• Age outside the range of 18 to 75 years.
• Ingested or injected anticoagulant or antiplatelet drugs.
• Systemic or local infection in the lumbar region.
• Pregnancy.
• Presence of fear of needles (belonephobia).

Related Conditions & MeSH terms

• Back Pain
• Low Back Pain

Intervention

Device:
• dry needling
Dry needling of the trigger point of the gluteus medius in patients diagnosed with non-specific low back pain.

Procedure:
• ischemic compression
Ischaemic trigger point compression of the gluteus medius in patients diagnosed with non-specific low back pain.

Locations

Country	Name	City	State
Spain	Universidad Católica de Ávila	Ávila

Sponsors (1)

Lead Sponsor	Collaborator
Universidad Católica de Ávila

Country where clinical trial is conducted

Spain, 

References & Publications (8)

Aguilera FJ, Martín DP, Masanet RA, Botella AC, Soler LB, Morell FB. Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study. J M — View Citation

Kim HS, Lee JH, Kim IK. Intracellular glutathione level modulates the induction of apoptosis by delta 12-prostaglandin J2. Prostaglandins. 1996 Jun;51(6):413-25. — View Citation

Martín-Pintado-Zugasti A, Mayoral Del Moral O, Gerwin RD, Fernández-Carnero J. Post-needling soreness after myofascial trigger point dry needling: Current status and future research. J Bodyw Mov Ther. 2018 Oct;22(4):941-946. doi: 10.1016/j.jbmt.2018.01.00 — View Citation

Martín-Pintado-Zugasti A, Rodríguez-Fernández ÁL, Fernandez-Carnero J. Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors. J Back Muscul — View Citation

Martínez de la Iglesia J, Dueñas Herrero R, Onís Vilches MC, Aguado Taberné C, Albert Colomer C, Luque Luque R. [Spanish language adaptation and validation of the Pfeiffer's questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age]. Med Clin (Barc). 2001 Jun 30;117(4):129-34. Spanish. — View Citation

Pérez-Palomares S, Jiménez-Sánchez C, Serrano-Herrero I, Herrero P, Calvo S. Is Instrumental Compression Equally Effective and Comfortable for Physiotherapists and Physiotherapy Students than Manual Compression? A Comparative Cross-Sectional Study. Int J — View Citation

Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24. Review. Erratum in: Spine 2001 Apr 1;26(7):847. — View Citation

Ziaeifar M, Arab AM, Karimi N, Nourbakhsh MR. The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle. J Bodyw Mov Ther. 2014 Apr;18(2):298-305. doi: 10.1016/j.jb — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain	Visual Scale Analogue (0 minimum, 10 maximum).	1 week
Secondary	movement	Schober test (0 minimum, 45 maximun).	1 week
Secondary	quality of life	Oswestry low back pain disability scale (0 minimum, 100% maximum; Between 0-20% minimal limitation or disability, 21-40% moderate limitation or disability, 41- 60% severe limitation or disability, 61-80% disabled and above 81% limitation or disability.; 60% severe limitation or disability, 61-80% disabled and above 81% maximum functional limitation or disability, 61-80% disabled and above 81% maximum functional limitation or disability.; maximum functional limitation).	1 week