Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04760379
Other study ID # REC/00906 Maham Malik
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 20, 2021
Est. completion date December 30, 2021

Study information

Verified date May 2022
Source Riphah International University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Low back pain that does not have any known specific pathology i.e.: tumor, any infection, fracture, osteoporosis, structural deformity, radicular syndrome, inflammatory disorder or cauda equine syndrome) is referred as non-specific low back pain.Over worldwide low back pain is a major public health challenge. Low back pain prevalence is shown to be 84% while 23% of chronic low back pain. Disability due to low back pain is about 11 to 12%. Low back pain is a leading cause of increasing economic burden in respect to huge medical expenses. Statistical analysis of indirect and direct expenses for the low back pain treatment in U.S shows over $100 billion per year.Many risk factors for low back pain has been identified including degeneration of lumbar discs, over weight/obesity, sedentary life style and mechanical factors i.e. occupational sitting, manual handling and assisting patients, awkward postures, lifting and carrying weights. Exercise therapy is suggested as an effective treatment in improving function of the back muscles and relieving pain in patients with Low back pain. Many studies suggested that muscle vibration is effective as the vibration signals are delivered via an external stimulator that is exposed to the part of the body resulting in pain relief and reducing muscle spasm. Vibratory stimuli have practical uses in rehabilitation and in exercise performance. Increasing reflexive activity through the stimulation of muscle spindles results in tonic vibratory reflex. The mechanical and electrical responses of the muscle could vary with the frequency of the vibration to the muscle. LMV effects are localized to the point where the stimulation is given and this is the result of neurogenic potentiation through the tonic vibratory reflex from the stimulation of muscle spindles. In our study we will work with 120hz frequency to improve the flexibility and perceived stiffness.


Description:

Evidence suggests that a period of localized muscle stimulation have positive effects on muscle function and in relieving pain and muscular stiffness. In 2014 local muscle vibration frequency's acute effects on peak torque, EMG activity and rate of torque development was studied. The purpose of this study was to examine the effects of vibration on quadriceps muscle. Findings of this study suggest that local muscle vibration can encourage improvement in quadriceps activation and it can be useful in the treatment of quadriceps dysfunction that can occur in several knee pathologies. A study was conducted in 2009 to examine the effects of vibration on arm muscles during isometric activity of muscles. Analysis according to the recordings revealed a significant increase in the waves on electromyography when vibration was applied. This study results revealed that vibration given to the specific muscles produces an increase of the activation and the coactivation. A study in 1999 was held to investigate the effects of muscle vibration on the muscle spindles of Para spinal muscles in active lumbosacral position sense in sitting .This study suggest that muscle vibration technique was used to alter the potential afferent input from these Para spinal muscle receptors. Result shows that the muscle vibration on multifidus encouraged the illusion of significant muscle lengthening in the patients. Another study in 2003 was held to inspect the facilitation of triceps brachii muscle contraction by applying the vibration on tendon after chronic cervical spinal cord injury. The efficacy of the vibration was checked by the analysis of a tonic vibration reflex was induced in each of the triceps brachii muscles at rest. If a reflex response was induced by the vibration before or during the voluntary contraction of the triceps brachii, vibration may facilitate the initiation, maintenance, and/or strength of the voluntary contraction.


Recruitment information / eligibility

Status Completed
Enrollment 44
Est. completion date December 30, 2021
Est. primary completion date November 30, 2021
Accepts healthy volunteers No
Gender All
Age group 25 Years to 45 Years
Eligibility Inclusion Criteria: • Having mechanical low back pain from past 3 months Exclusion Criteria: - Patients with neurological symptoms - Back operations 6 months before - Leg length discrepancies - Those diagnosed with bony deformity of spine like scoliosis and spondylolisthesis.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Conventional therapy
Bridging, Stretching exercises (quadratus lumborum, erector spinae) McKenzie exercises and TENS (10 mins).
vibration therapy
Focal muscle vibrator (120 Hz) for 10 minutes on paraspinal muscles. Bridging, Stretching exercises (quadratus lumborum, erector spinae) McKenzie exercises and TENS (10 mins).

Locations

Country Name City State
Pakistan Pakistan Railway General Hospital Rawalpindi Punjab

Sponsors (1)

Lead Sponsor Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (5)

Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6. Review. — View Citation

Brumagne S, Lysens R, Swinnen S, Verschueren S. Effect of paraspinal muscle vibration on position sense of the lumbosacral spine. Spine (Phila Pa 1976). 1999 Jul 1;24(13):1328-31. — View Citation

Mischi M, Cardinale M. The effects of a 28-Hz vibration on arm muscle activity during isometric exercise. Med Sci Sports Exerc. 2009 Mar;41(3):645-53. doi: 10.1249/MSS.0b013e31818a8a69. — View Citation

Pamukoff DN, Ryan ED, Blackburn JT. The acute effects of local muscle vibration frequency on peak torque, rate of torque development, and EMG activity. J Electromyogr Kinesiol. 2014 Dec;24(6):888-94. doi: 10.1016/j.jelekin.2014.07.014. Epub 2014 Aug 7. — View Citation

Wang XQ, Pi YL, Chen PJ, Chen BL, Liang LC, Li X, Wang X, Zhang J. Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial. Trials. 2014 Apr 2;15:104. doi: 10.1186/1745-6215-15-104. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Sit and Reach Test The sit and reach test is the most common of all flexibility tests. It measures the flexibility of the clients' lower back and hamstrings. All you need is a box about 30cm high and a meter ruler.
Your client should sit on the floor with their back and head against a wall. Their legs should be out straight ahead and their knees flat against the floor.
Place the box against your client's feet (no shoes). Whilst keeping their head and back against the wall, instruct your client to stretch out their arms as far as they can towards the box without their head or back loosing contact with the wall.
Place the ruler on the box and move the zero end towards your clients fingertips. When the ruler touches their fingertips you have the zero point and the test can begin.
Instruct your client to lean forward slowly as far as possible keeping their fingertips level with each other and their legs flat on the floor. Their head and shoulders can come away from the wall now.
Slowly
Change from baseline to 4 weeks
Primary Likert stiffness scale: this is 7 points scale, o indicate a complete absence of soreness and 6 indicates a severe muscle soreness,stiffness and weakness that limits my ability to move Change from baseline to 4 weeks
Secondary Numeric Pain Rating Scale: General Information:
The patient is asked to make three pain ratings, corresponding to current, best and worst pain experienced over the past 24 hours.
The average of the 3 ratings was used to represent the patient's level of pain over the previous 24 hours.
• Patient Instructions (adopted from (McCaffery, Beebe et al. 1989):
"Please indicate the intensity of current, best, and worst pain levels over the past 24 hours on a scale of 0 (no pain) to 10 (worst pain imaginable)"
Change from baseline to 4 weeks
See also
  Status Clinical Trial Phase
Recruiting NCT06009263 - Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP N/A
Completed NCT05052840 - Effects of Back Muscles Endurance Training in Patients With Chronic Mechanical Low Back Pain N/A
Completed NCT04562701 - Relationship Between Hamstring Length and Gluteus Maximums in Mechanical Low Back Pain
Not yet recruiting NCT04542798 - CRF vs WCRF or PRF-DRG in CLBP of FJ Origin and RFA Failure of MBDR: Central Sensitization and Aberrant Nerve Sprouting N/A
Terminated NCT02276794 - Thrust Versus Non-thrust Manipulation in Chronic Low Back Pain N/A
Recruiting NCT01940744 - Prescriptive Mobilization Versus a Pragmatic Mobilization N/A
Completed NCT02226692 - Prognostic Factors of Disabling Low Back Pain in Patients With Chronic Low Back Pain N/A
Recruiting NCT05616702 - Effectiveness of Pressure Biofeedback Therapy and Progressive Muscle Relaxation Technique in Improving Pain and Disability Among Patients With Non-Specific Low Back Pain N/A
Recruiting NCT02622789 - Efficacy and Influence of Pilates Based Physical Therapy Exercises for Low Back Pain N/A
Not yet recruiting NCT05088031 - Shock Wave Therapy Versus Mechanical Traction on Mechanical Low Back Pain
Not yet recruiting NCT06330792 - Effect of Bio-mechanical Awareness and Core Stability Exercises on Mechanical Low Back Pain N/A
Completed NCT03949179 - Optimizing Management of Low Back Pain Through the Pain and Disability Drivers Management Model
Completed NCT01591824 - Study of Effectiveness of Pold in Chronic Nonspecific Low Back Pain N/A
Completed NCT03517410 - Association Between the Duration of Smart Phone Use and Back Dysfunction in Patients With Low Back Pain
Completed NCT02239289 - Use of Biofeedback Training to Correct Abnormal Neuromechanical Pattern in Chronic Low Back Pain Patients N/A
Recruiting NCT05404997 - Comparative Effects of SWT and Maitland LM in Mechanical LBP N/A
Completed NCT05475912 - Effect of Talocrural Joint Thrust Manipulation on Mechanical Low Back Pain N/A
Not yet recruiting NCT04726579 - CBD Oil in Mechanical Back Pain
Recruiting NCT02491879 - Ketoprofen Gel vs Placebo in Low Back Pain Phase 4
Completed NCT01557049 - Global Postural Reeducation in Chronic Low Back Pain N/A