Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis

NCT04719689 | Completed

• 1 other identifier: REC/Lhr/20/0101 Huma Akhtar
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

This project was a Randomized clinical trial conducted to Compare the effects of dry needling and dry cupping in Positional fault of pelvis due to Myofascial trigger points in Quadratus Lumborum so that we can have best treatment option for patients with myofascial trigger points.

Conditions

Myofascial Trigger Point Pain; Quadratus Lumborum Syndrome; Positional Fault of Pelvis; Myofascial Trigger Point in Quadratus Lumborum

Keywords

Dry needling; Dry cupping; Quadratus lumborum

Outcome Measures

Primary Outcomes (2)

• Change in Pain by 'Pressure Pain Algometer'

  Change in Pain from baseline was checked at 6th session by Pressure Pain Algometer. A follow up reading was also taken after 1 month for checking prolonged post treatment effects.

  Baseline, 6th session(at 3rd week), follow up session after 1 month

• Change in Range of Motion of lumbar spine side flexion by 'Goniometer'

  Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. A goniometer is a device that measures an angle or permits rotation of an object to a definite position

  Baseline, 6th session(at 3rd week), follow up session after 1 month

Secondary Outcomes (2)

• Change in pain by 'Numeric Pain Rating Scale'

  Baseline, 6th session(at 3rd week), follow up session after 1 month

• Change in Range of Motion of lumbar side flexion by Measuring tape

  Baseline, 6th session(at 3rd week), follow up session after 1 month

Study Arms (2)

Dry needling

EXPERIMENTAL

Dry needling, hot pack, stretching exercises.

Other: Dry needling

Dry Cupping

EXPERIMENTAL

Dry cupping, hot pack, stretching exercises.

Other: Dry cupping

Interventions

Dry needling OTHER

Experimental group 1 got this intervention containing Dry needling for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus lumborum

Dry needling

Dry cupping OTHER

Experimental group 2 got this intervention containing Dry cupping for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum

Dry Cupping

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• On palpation the presence of at least 1 active trigger point in quadratus lumborum. So the patient presents with low back pain.
• Patients presents with positional fault of pelvis (lateral tilt)(4).
• Patients having chronic Low Back Pain for at least more than 6 months(3).
• Patients agree to get treatment sessions for the research work.

You may not qualify if:

• Participants should not have taken any medications like analgesics, anti-coagulants, Non-steroidal anti-inflammatory drugs or muscle relaxants during this study or even 3 days before this study.
• Participants should not have received any other treatment for the pain management, because it will affect the results of the study.
• Patients with bleeding disorders, local or systemic infection, acute muscle trauma.
• Patients with comorbid conditions.
• Patients with severe physical disability and true leg length discrepancy(1).
• Pregnant females

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah IU

Lahore, 54000, Pakistan

Location

Related Publications (4)

• Pavkovich R. EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug;10(4):540-51.

  PMID: 26347305 BACKGROUND

• Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.

  PMID: 20823359 BACKGROUND

• Haake M, Muller HH, Schade-Brittinger C, Basler HD, Schafer H, Maier C, Endres HG, Trampisch HJ, Molsberger A. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med. 2007 Sep 24;167(17):1892-8. doi: 10.1001/archinte.167.17.1892.

  PMID: 17893311 BACKGROUND

• Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004 Jun;36(6):926-34. doi: 10.1249/01.mss.0000128145.75199.c3.

  PMID: 15179160 BACKGROUND

MeSH Terms

Conditions

Myofascial Pain Syndromes

Interventions

Dry Needling

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Rabiya Noor, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 10, 2021
• First Posted: January 22, 2021
• Study Start: October 15, 2019
• Primary Completion: July 1, 2021
• Study Completion: July 1, 2021
• Last Updated: August 30, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)