Dry Needling With And Without Kinesio Taping® in The Non-Specific Chronic Low Back Pain

Study Overview
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Brief Summary
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We wiil evaluate the efficiency of adding kinesio taping (KT) therapy to dry needling (DN) therapy on pain, functionality and depression parameters in 60 patients with nonspecific chronic low back pain (nCLBP).

Detailed Description
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A total of 60 patients will be included in the study. 30 patients will be in the treatment group and 30 patients will be in the control group. Both groups will be underwent 3 sessions with 1-week intervals on active myofascial trigger points in lumbar multifidus, quadratus lumborum and gluteus medius muscles in DN therapy. KT application will be performed after every DN session in the study group. Pain will evaluate with visual analog scale, functionality was evaluated with Oswestry Disability Index and the status of depression will be evaluated with Beck Depression Index before the treatment and at the first month.

Official Title
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Comparing Dry Needling With And Without Kinesio Taping® in The Treatment of Non-Specific Chronic Low Back Pain

Conditions
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Non-Spesific Chronic Low Back Pain

Intervention / Treatment
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* Device: Dry needling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: having no abnormal results in routine blood tests having no known acute or chronic inflammatory disease an education level required for understanding the applied treatment, interventions Exclusion Criteria: malignancies active infection history of common inflammatory rheumatic disease trauma in spinal area, skin lesion, presence of infection or open wounds radiculopathy peripheral circulation disorder use of warfarin due to coagulopathy arthropathy congenital or acquired spinal pathology pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: DN plus KT group<br>DN plus KT therapy is going to be applied 3 sessions in 1-week intervals. Dry Needling Theraphy: DN therapy is going to be applied on active myofascial trigger points (MTrP) in quadratus lumborum, gluteus medius and lumbar multifidus muscles. Kinesio Taping Application: Tapes is going to be left on the patient's body for 5 days. | Device: Dry needling<br>* DN and KT therapy will be applied 3 sessions in 1-week intervals<br>* Other names: Kinesiotape;|
| Active Comparator: DN group<br>DN will be applied 3 sessions in 1-week intervals. Dry Needling Theraphy: DN therapy was applied on active myofascial trigger points (MTrP) in quadratus lumborum, gluteus medius and lumbar multifidus muscles. | Device: Dry needling<br>* DN and KT therapy will be applied 3 sessions in 1-week intervals<br>* Other names: Kinesiotape;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain pressure threshold | Amount of pressure (Kg/cm2) applied at the lomber multifidus muscle, quadratus lumborum and gluteus medius muscle myofascial trigger point site that elicit pain for the patient will be reported | 3 week | 
| Pain by visual analog scale (VAS) | Visual analog scale (VAS,0-10) will be used to assess resting, activity and night pain. | 3 week | 
| Oswestry disability Index (ODI) | Changes from the Baseline, ODI is an effective tool to provide information on the extent of backache affecting the patient ability to cope with tasks of everyday life. Ten sections are included in the ODI tool with a total possible score of 5 for each section. The first statement carries a score of 0, and the last has a score of 5. | 3 week | 
| Beck Depression Inventory | This is a 21-item standard assessment used to measure clinical depression. Scores on this assessment range from 0 to 63, where higher scores indicate higher levels of depression. | 3 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dry needling, Kinesiotape, Low-back pain