Effect of the Dry Needling and Kinesio Taping in Management of Mechanical Low Back Pain

NCT04976582 | Unknown

• 1 other identifier: not applicale
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain (LBP) is an extremely common problem that most people experience at some point in their life. It is the leading cause of activity limitation and work absence throughout much of the world. In India, occurrence of LBP is also alarming. Nearly 60% of the population has significant back pain at some time in their life. In Brazil, spinal pain (cervical, thoracic and lumbar) was considered the second most prevalent complaint, affecting approximately 13.5% of the population. It is estimated that globally 39% of the population will have at least one episode of back pain throughout their lives. In episodes of pain greater than 12 weeks (classified as chronic lower back pain), the prognosis is unfavorable and is highly associated with high treatment costs and work absenteeism. Non-specific low back pain" \[NSLBP\] is defined as, low back pain that is not attributable to a recognizable or known specific pathology - bone disorder in the spine \[fracture\], radicular nerve compression, slipped intervertebral disk, stenosis in lumbar spine, inflammatory disorder of spine \[ankylosing spondylitis\], cauda equine syndrome, congenital back disorder, infection in the spine \[discitis\], tumour in lumbar area, osteoporosis, meningitis, Cancer, HIV, autoimmune disorder \[RA\].

Conditions

Mechanical Low Back Pain

Keywords

kinesio-taping, dry needling, low back pain

Outcome Measures

Primary Outcomes (1)

• comparison of dry needling and kinesio taping in management of mechanical low back pain.

  mechanical low back pain will be measured using Roland Morris low back questionnaire and Pain Numeric Rating scale calculated as mean score.

  6 months

Secondary Outcomes (1)

• Quality of life in patient with mechanical low back pain

  6 months

Study Arms (2)

interventional group

EXPERIMENTAL

experimental group in which dry needling with conventional physical therapy treatment modalities including transcutaneous electrical nerve stimulation (TENS); electrical muscle stimulation (EMS); and interferential current (IFC). Physical agents including ultrasound, hot packs, and cold packs. Exercise including McKenzie exercises) will be administered.

Device: dry needle

control group

NO INTERVENTION

control group in which kinesiotaping with conventional physical therapy treatment (modalities including transcutaneous electrical nerve stimulation (TENS); electrical muscle stimulation (EMS); and interferential current (IFC). Physical agents including ultrasound, hot packs, and cold packs. Exercise including McKenzie exercises) will be administered.

Interventions

dry needle DEVICE

modalities including transcutaneous electrical nerve stimulation (TENS); electrical muscle stimulation (EMS); and interferential current (IFC). Physical agents including ultrasound, hot packs, and cold packs. Exercise including McKenzie exercises) will be administered.

Also known as: Exercise including McKenzie exercises

interventional group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patient with age of 18 and above with non-specific chronic low back pain.
• Back pain of mechanical origin, apparently without a defined cause, for at least 12 weeks duration.
• Participants had not had any physical therapy treatment in the past six months and had never used Kinesio Taping and dry needling technique.
• Being asymptomatic, latent MTrPs in the muscle of lumbar region (pain during examination).
• The absence of skin allergies, Palpable taut bands (if muscle accessible).
• Recognition of usual local pain suffered by the patient pressing on the sensitive nodule on the taut bands (focally). (identification of active MTPs).
• Painful restriction of the full range of motion on passive stretching.
• The consent to physical examination, dry needling and kinesio taping application.

You may not qualify if:

• Severe injury in the last 12 months.
• Previous spinal surgical intervention, neurological diseases or musculoskeletal dis-orders, pharmacological treatment at present.
• infection, open wound, rash, decreased blood circulation in the treatment area
• A pacemaker, or epilepsy, presence of skin diseases and pregnancy
• Serious spinal pathologies such as a tumor, an inflammatory disease or former fracture of L1-S1, symptoms of spinal stenosis, disc protrusion or nerve root compromise and degeneration established in more than two levels
• Subjects who had used or had prior knowledge of the Kinesio Taping and dry needling method.
• generalized chronic pain, fibromyalgia, clinical sign of radiculopathy and peripheral nervous system diseases
• spondylolysis with or without spondylolisthesis, arthritis or osteoporosis and Congenital or acquired deformity
• ongoing psychiatric or somatic disease that excluded either one or both treatment alternatives

Sponsors & Collaborators

• Shaheed Zulfiqar Ali Bhutto Medical University: lead

Study Sites (1)

Adeela Asad

Islamabad, Federal Capital, 44000, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Adeela Asad, m.phil

  Rawal Institue of Health Sciences Islamabad

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Adeela Asad, m.phil

CONTACT

03165184758; adeelaasadfmdc@gmail.com

Asma Irshad, m.phil

CONTACT

03345339123; asima0332@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Researcher and participants both are familiar with the procedure of interventions.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PRINICIPAL INVESTIGATOR

Model Details: Participants will be divided into two groups Group 1: control group in which kinesiotaping with conventional physical therapy treatment (modalities including transcutaneous electrical nerve stimulation (TENS); electrical muscle stimulation (EMS); and interferential current (IFC). Physical agents including ultrasound, hot packs, and cold packs. Exercise including McKenzie exercises) will be administered. Group 2: experimental group in which dry needling with conventional physical therapy treatment modalities including transcutaneous electrical nerve stimulation (TENS); electrical muscle stimulation (EMS); and interferential current (IFC). Physical agents including ultrasound, hot packs, and cold packs. Exercise including McKenzie exercises) will be administered.

Study Record Dates

• First Submitted: November 11, 2020
• First Posted: July 26, 2021
• Study Start: July 1, 2021
• Primary Completion: August 1, 2021
• Study Completion: September 1, 2021
• Last Updated: July 26, 2021

Record last verified: 2021-07

Locations

PA (1)