Effectiveness of Manual Therapy in Non-specific Low Back Pain

Study Overview
=================
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.

Official Title
-----------------
Effectiveness of Dry Needling VS Ischaemic Compression on Latent Myofascial Myofascial Trigger Points in the Gluteus Medius in Patients With Patients With Non-specific Low Back Pain: a Randomised Clinical Trial

Conditions
-----------------
Physiotherapy Specialty, Low Back Pain

Intervention / Treatment
-----------------
* Device: dry needling
* Procedure: ischemic compression


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 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. Exclusion Criteria: 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).

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: dry needling group<br> | Device: dry needling<br>* Dry needling of the trigger point of the gluteus medius in patients diagnosed with non-specific low back pain.<br>|
| Active Comparator: ischaemic compression group<br> | Procedure: ischemic compression<br>* Ischaemic trigger point compression of the gluteus medius in patients diagnosed with non-specific low back pain.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain | Visual Scale Analogue (0 minimum, 10 maximum). | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| movement | Schober test (0 minimum, 45 maximun). | 1 week | 
| quality of life | Oswestry low back pain disability scale (0 minimum, 100% maximum; Between 0-20% minimal limitation or disability, 21-40% moderate limitation or disability, 41- 60% severe limitation or disability, 61-80% disabled and above 81% limitation or disability. 60% severe limitation or disability, 61-80% disabled and above 81% maximum functional limitation or disability, 61-80% disabled and above 81% maximum functional limitation or disability. maximum functional limitation). | 1 week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
dry needling, low back pain, physiotherapy specialty, pain