Clinical trial NCT05440253: Effectiveness of Manual Therapy in Non-specific Low Back Pain
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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physiotherapy Specialty
Low Back Pain
Keywords: dry needling
low back pain
physiotherapy specialty
pain
Lead sponsor: Universidad Católica de Ávila
Sponsor class: OTHER
First posted: 2022-06-30
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.


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).

Primary outcomes:
measure: Pain
timeFrame: 1 week
Secondary outcomes:
measure: movement
timeFrame: 1 week
measure: quality of life
timeFrame: 1 week
Other outcomes:
Locations:
city: Ávila
country: Spain
facility: Universidad Católica de Ávila
Study officials:
References:
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citation: 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.
citation: 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.
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