Clinical trial NCT03696979: The Effect of Myofascial Induction and Therapeutic Pain Education in Chronic Low Back Pain
Official title: The Effect of Myofascial Induction and Therapeutic Pain Education in Chronic Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Back Pain
Lead sponsor: Medipol University
Sponsor class: OTHER
First posted: 2018-10-05
Enrollment: 40
Sex: ALL
Minimum age (years): 25
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study was to investigate the effects of therapeutic pain education and myofascial induction therapy on pain and function in patients with chronic low back pain. In the literature, studies on myofascial induction therapy in patients with chronic low back pain are very limited and there is no study comparing therapeutic pain training.

Detailed description: Lumbar pain has become a major health problem which is growing and is very common in all societies and negatively affects the full well-being of the individual. It has been reported that 80% of the population experienced low back pain at any time in their lives. The prolongation of this painful process affects the physical, mental and psychological state of the patient and limits its daily functions. The acute or chronic pain determines the nature and duration of pain. Low back pain lasting 12 weeks or more is defined as chronic. In chronic diseases, lumbar pain, which is the first one, restricts the daily activities of the person due to current chronic pain or deterioration of functional status and causes loss of labor force.

Myofascial induction therapy is a therapy concept focused on optimizing function and balance within the fascial system. The approach aims at global recovery, local correction and painless body use.

Superficial procedures are directed to surface and / or local restrictions that can be directly detected by palpation. Deep myofascial induction therapy is a method that eliminates the limitations of the myofascial system and the three-dimensional pressures.

Therapeutic pain education is a training intervention that aims to reduce pain and disability by helping patients better understand the biological processes that support pain states. The neurobiology of pain and pain processed by the nervous system is explained to the patient in detail. Changes the patient's olab viewpoint to pain. For example, the patient believes that the cause of pain is caused by tissue damage. The patient who receives pain education understands that the cause of pain is the hypersensitive central nervous system. As a result, the patient's fear avoidance behavior decreases and he starts to move more easily. Because the sensitivity of the central nervous system will be alleviated, the perceived pain will decrease.

Eligibility criteria: Inclusion Criteria:

* Between 25-65 years old
* Low back pain for at least 12 weeks
* Physical therapy in the last 1 month
* There is no other disease that may cause low back pain.

Exclusion Criteria:

* Stem pressure associated with pain
* Having severe discopathy
* Available compression fracture
* To have rheumatic or inflammatory disease that may cause back pain.

Primary outcomes:
measure: Mc Gill pain survey
timeFrame: 8 week
measure: Roland Morris Disability index
timeFrame: 8 week
measure: Survey of fear avoidance beliefs
timeFrame: 8 week
measure: Evaluation of mobility (finger ground test)
timeFrame: 8 week
measure: SF.36 Healthy life survey
timeFrame: 8 week
measure: Ultrasound examination of thoracolumbar fascia
timeFrame: 8 week
Secondary outcomes:
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Mehmet Unal
state: Select...
Study officials:
References: