Clinical trial NCT05088031: Shock Wave Therapy Versus Mechanical Traction on Mechanical Low Back Pain
Official title: Shock Wave Therapy Versus Mechanical Traction on Mechanical Low Back Pain
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Mechanical Low Back Pain
Lead sponsor: Merit University
Sponsor class: OTHER
First posted: 2021-10-21
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Sixty Patients between 20 and 35 years of both genders (male and female); all subjects suffered from mechanical low back pain and were picked from the orthopedic hospital in Sohag University. The study took place from April and August 2021 there. Treatment sessions three times a week for four weeks

Brief summary: investigate the effect of shock wave therapy versus mechanical traction on mechanical low back pain.

Detailed description: Chronic low back pain (CLBP) is a common condition that causes tremendous health and socio-economic problems. CLBP is a widespread problem. About 70%-80% of adults in the general population are expected to suffer at least a low back pain episode at some time in their lives1. CLBP is the leading cause of absenteeism at work and creates restrictions on movements, lasting disabilities, and impaired quality of life. Non-specific low back pain is described as low back discomfort, which cannot be attributed to a distinct, known etiology "(e.g., infection, tumors, osteoporosis, fracture, structural deformity, inflammatory disorder, radicular syndrome, or cauda equina syndrome)" 2. Non-specific low back pain is a mechanical musculoskeletal pain that has a symptom that varies according to the physical activity nature 3.

The practice of sitting with a healthy posture and preventing a protracted-standing position can often prevent simple low back pain. However, many kinds of low back pain are addressed with therapies as numerous as the causes of low back pain. The most important treatments are therapeutic measures, such as bed rest, assistive aids, traction therapy, heat, electrical stimulation, and manual therapy are the first choice treatments4. If these methods fails, invasive therapy procedures like nerve roots blocks and epidural injections are employed, and operations are carried out when no reaction to other treatments has been seen or if the disease status is critical. New conservative therapies, including extracorporeal shock wave therapy (ESWT), have recently been embraced 5.

Eligibility criteria: Inclusion Criteria:

* Age between (20 and 35 years)
* all subjects suffered from mechanical low back pain

Exclusion Criteria:

* Rheumatoid arthritis or backbone pathologies, and past lumbar vertebrae surgery or cancer were reported

Primary outcomes:
measure: McGill Pain Questionnaire for pain assessment
timeFrame: 1 hour
Secondary outcomes:
measure: Roland Morris Disability Questionnaire (RMDQ)
timeFrame: 1 hour
Other outcomes:
measure: Back Range (BROM)
timeFrame: 1 hour
Locations:
city: Sohag
country: Egypt
facility: Ahmed Abd El Rahim
Study officials:
References:
citation: Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.
citation: Chung TS, Yang HE, Ahn SJ, Park JH. Herniated Lumbar Disks: Real-time MR Imaging Evaluation during Continuous Traction. Radiology. 2015 Jun;275(3):755-62. doi: 10.1148/radiol.14141400. Epub 2015 Jan 22.
citation: Lee S, Lee D, Park J. Effects of extracorporeal shockwave therapy on patients with chronic low back pain and their dynamic balance ability. J Phys Ther Sci. 2014 Jan;26(1):7-10. doi: 10.1589/jpts.26.7. Epub 2014 Feb 6.
citation: Han H, Lee D, Lee S, Jeon C, Kim T. The effects of extracorporeal shock wave therapy on pain, disability, and depression of chronic low back pain patients. J Phys Ther Sci. 2015 Feb;27(2):397-9. doi: 10.1589/jpts.27.397. Epub 2015 Feb 17.