Clinical trial NCT04719689: Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis
Official title: Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis Due to Myofascial Trigger Points in Quadratus Lumborum
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Myofascial Trigger Point Pain
Quadratus Lumborum Syndrome
Positional Fault of Pelvis
Myofascial Trigger Point in Quadratus Lumborum
Keywords: Dry needling
Dry cupping
Quadratus lumborum
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-01-22
Enrollment: 26
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This project was a Randomized clinical trial conducted to Compare the effects of dry needling and dry cupping in Positional fault of pelvis due to Myofascial trigger points in Quadratus Lumborum so that we can have best treatment option for patients with myofascial trigger points.

Detailed description: Non Probability Convenient sampling was done. Patients following eligibility criteria from Physiotherapy department of Islam Central hospital, Sialkot were considered. Sample size was calculated with Epitool calculator. 26 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Dry needling technique and Group B was given Dry Cupping along with conventional physiotherapy treatment (hot pack and stretching). Duration of research was almost 6 months. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Eligibility criteria: Inclusion Criteria:

* On palpation the presence of at least 1 active trigger point in quadratus lumborum. So the patient presents with low back pain.
* Patients presents with positional fault of pelvis (lateral tilt)(4).
* Patients having chronic Low Back Pain for at least more than 6 months(3).
* Patients agree to get treatment sessions for the research work.

Exclusion Criteria:

* Participants should not have taken any medications like analgesics, anti-coagulants, Non-steroidal anti-inflammatory drugs or muscle relaxants during this study or even 3 days before this study.
* Participants should not have received any other treatment for the pain management, because it will affect the results of the study.
* Patients with bleeding disorders, local or systemic infection, acute muscle trauma.
* Patients with comorbid conditions.
* Patients with severe physical disability and true leg length discrepancy(1).
* Pregnant females

Primary outcomes:
measure: Change in Pain by 'Pressure Pain Algometer'
timeFrame: Baseline, 6th session(at 3rd week), follow up session after 1 month
measure: Change in Range of Motion of lumbar spine side flexion by 'Goniometer'
timeFrame: Baseline, 6th session(at 3rd week), follow up session after 1 month
Secondary outcomes:
measure: Change in pain by 'Numeric Pain Rating Scale'
timeFrame: Baseline, 6th session(at 3rd week), follow up session after 1 month
measure: Change in Range of Motion of lumbar side flexion by Measuring tape
timeFrame: Baseline, 6th session(at 3rd week), follow up session after 1 month
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah IU
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Pavkovich R. EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug;10(4):540-51.
citation: Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296.
citation: Haake M, Muller HH, Schade-Brittinger C, Basler HD, Schafer H, Maier C, Endres HG, Trampisch HJ, Molsberger A. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med. 2007 Sep 24;167(17):1892-8. doi: 10.1001/archinte.167.17.1892.
citation: Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004 Jun;36(6):926-34. doi: 10.1249/01.mss.0000128145.75199.c3.