Effectiveness of Manual Therapy in Non-specific Low Back Pain

NCT05440253 | Completed

• 1 other identifier: 230622
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Physiotherapy Specialty; Low Back Pain

Keywords

dry needling; low back pain; physiotherapy specialty; pain

Outcome Measures

Primary Outcomes (1)

• Pain

  Visual Scale Analogue (0 minimum, 10 maximum).

  1 week

Secondary Outcomes (2)

• movement

  1 week

• quality of life

  1 week

Study Arms (2)

dry needling group

EXPERIMENTAL

Device: dry needling

ischaemic compression group

ACTIVE COMPARATOR

Procedure: ischemic compression

Interventions

dry needling DEVICE

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

dry needling group

ischemic compression PROCEDURE

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

ischaemic compression group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• 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).

Sponsors & Collaborators

• Universidad Católica de Ávila: lead

Study Sites (1)

Universidad Católica de Ávila

Ávila, 05005, Spain

Location

Related Publications (8)

• Martinez de la Iglesia J, Duenas Herrero R, Onis Vilches MC, Aguado Taberne 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. doi: 10.1016/s0025-7753(01)72040-4. Spanish.

  PMID: 11472684 BACKGROUND

• 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. doi: 10.1016/0090-6980(96)00047-0.

  PMID: 8873236 BACKGROUND

• Perez-Palomares S, Jimenez-Sanchez 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 Environ Res Public Health. 2021 Nov 18;18(22):12121. doi: 10.3390/ijerph182212121.

  PMID: 34831877 RESULT

• Aguilera FJ, Martin 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 Manipulative Physiol Ther. 2009 Sep;32(7):515-20. doi: 10.1016/j.jmpt.2009.08.001.

  PMID: 19748402 RESULT

• 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. doi: 10.1097/00007632-200012150-00006. No abstract available.

  PMID: 11124727 RESULT

• Martin-Pintado-Zugasti A, Mayoral Del Moral O, Gerwin RD, Fernandez-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.2018.01.003. Epub 2018 Jan 17.

  PMID: 30368339 RESULT

• Martin-Pintado-Zugasti A, Rodriguez-Fernandez AL, 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 Musculoskelet Rehabil. 2016 Apr 27;29(2):301-308. doi: 10.3233/BMR-150630.

  PMID: 26406209 RESULT

• 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.jbmt.2013.11.004. Epub 2013 Nov 9.

  PMID: 24725800 RESULT

MeSH Terms

Conditions

Low Back Pain; Pain

Interventions

Dry Needling; Acupressure

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Therapy, Soft Tissue; Musculoskeletal Manipulations; Rehabilitation

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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 23, 2022
• First Posted: June 30, 2022
• Study Start: April 1, 2022
• Primary Completion: May 29, 2022
• Study Completion: June 24, 2022
• Last Updated: August 15, 2022

Record last verified: 2022-08

Locations

ES (1)