Comparison of Dry Needling and Manual Pressure Release for Managing Low Back Pain

Study Overview
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Brief Summary
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This study will compare the effect of dry needling and manual pressure in patients having low back pain in terms of pain and disability. There will be two groups ; experimental and control. Half of study group will receive dry needling session along with hot pack. Half of study group will receive manual pressure technique along with hot pack.

Detailed Description
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The study is Randomized Control Trail , which is being conducted in fauji foundation hospital and Foundation University College Of Rehabilitation (oct 2022-feb 2023) . Sample size of 50 individual was calculated using epitool with 95% confidence interval (CI), and power 80%. sample will be collected through pilot study . both groups will recieve conventional physiotherapy protocol (hot pack) Assessment will be done on baseline, and 4th week .

Official Title
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Comparison of Dry Needling and Manual Pressure Release for Managing Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Procedure: Manual pressure release
* Procedure: Dry needling
* Procedure: Heat therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria:- age between 30-60 pateint with subacute and chronic low back pain at least last 6 months. pateint with active MTrps. Exclusion Criteria: patient with fibromyalgia pregnant females patient with chronic diseases (osteoporosis, lungs disease and diabetes) patient with musculoskeletal injuries patient that are using any medication to relief pain like analgesic or muscle relaxants Any treatment for back pain in same period of research. patient having any radiculopathies or discogenic low back pain

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized control trial which will consist of two groups, control and experimental
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dry needling<br>Total 12 sessions of trigger point dry needling at lumbar muscles with Hot pack,with 3 sessions per week | Procedure: Dry needling<br>* A filiform needle is inserted at 45 degree in to trigger point and then twirl the needle up and down to release trigger point<br>Procedure: Heat therapy<br>* Hydro collator pack will be placed on affected area for relaxation and pain relief for 15 min<br>|
| Active Comparator: manual pressure release<br>Hot pack for 15 min then manual pressure release | Procedure: Manual pressure release<br>* lengthens the muscle up to the increasing resistance, then gradually applies gentle pressure on MTrp until fingers feels a definite increase in tissue resistance (first barrier). Pressure would maintain until clinician sense relief of tension<br>Procedure: Heat therapy<br>* Hydro collator pack will be placed on affected area for relaxation and pain relief for 15 min<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity | visual analogue scale | 4 weeks | 
| functional disability | functional disability will be measured through oswestry disability index | 4 weeks |