Clinical trial NCT01241071: Effects of Myofascial Release on Pain, Disability and Electromyography of Erector Spinae in Chronic Low Back Pain
Official title: Effects of a Myofascial Release Protocol on Pain, Disability and Activation Pattern of Erector Spinae in Patients With Chronic Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Back Pain
Disability
Motor Activity
Range of Motion
Keywords: Lumbar region
Pain
Fascia
Electromyography
Goniometry
Lead sponsor: Cardenal Herrera University
Sponsor class: OTHER
Collaborators: name: Hospital Arnau de Vilanova
First posted: 2010-11-16
Enrollment: 54
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine whether myofascial release techniques are effective in the improvement of pain, disability and electromyography response of lumbar muscles in patients with chronic low back pain.


Eligibility criteria: Inclusion Criteria:

* low back pain for more than 3 months

Exclusion Criteria:

* vertebra fractures
* systemic disease (spondylitis, neoplasia, infectious, vascular, endocrine or metabolic disorders)
* spinal surgery
* advanced lumbar instability
* osteoporosis (in advanced stage)
* degenerative articular disease
* acute soft tissue inflammation
* rheumatoid arthritis
* osteomyelitis
* neuromuscular disease
* lower limb musculoskeletal injuries
* radiculopathy
* cauda equine syndrome
* myelopathy
* stenosis
* structural spine deformity (kyphoscoliosis...)
* pregnancy
* abundant menstruation
* IUD carrier
* mental disease
* dermatologic disease
* skin sensitivity
* aneurysma
* corticosteroids treatment
* anticoagulant therapy
* hypertension
* diabetes
* hemophilia
* leucemia
* rejection to manual contact

Primary outcomes:
measure: Lumbar Pain
timeFrame: 3 weeks
Secondary outcomes:
measure: Disability
timeFrame: 3 weeks
measure: Fear Avoidance Beliefs
timeFrame: 3 weeks
measure: EMG Erector Spinae
timeFrame: 3 weeks
measure: Lumbar ROM
timeFrame: 3 weeks
Other outcomes:
Locations:
city: Moncada
country: Spain
facility: CEU Cardenal Herrera University
state: Valencia
Study officials:
affiliation: Health Science Faculty CEU-UCH
name: Javier Romero, Dean
role: STUDY_DIRECTOR
References:
citation: FLOYD WF, SILVER PH. Function of erectores spinae in flexion of the trunk. Lancet. 1951 Jan 20;1(6647):133-4. doi: 10.1016/s0140-6736(51)91212-3. No abstract available.
citation: Alschuler KN, Neblett R, Wiggert E, Haig AJ, Geisser ME. Flexion-relaxation and clinical features associated with chronic low back pain: A comparison of different methods of quantifying flexion-relaxation. Clin J Pain. 2009 Nov-Dec;25(9):760-6. doi: 10.1097/AJP.0b013e3181b56db6.
citation: Grinnell F. Fibroblast mechanics in three-dimensional collagen matrices. J Bodyw Mov Ther. 2008 Jul;12(3):191-3. doi: 10.1016/j.jbmt.2008.03.005. Epub 2008 May 23.
citation: Fernandez-Perez AM, Peralta-Ramirez MI, Pilat A, Villaverde C. Effects of myofascial induction techniques on physiologic and psychologic parameters: a randomized controlled trial. J Altern Complement Med. 2008 Sep;14(7):807-11. doi: 10.1089/acm.2008.0117.
citation: Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Med Hypotheses. 2005;65(2):273-7. doi: 10.1016/j.mehy.2005.03.005.
citation: Saiz-Llamosas JR, Fernandez-Perez AM, Fajardo-Rodriguez MF, Pilat A, Valenza-Demet G, Fernandez-de-Las-Penas C. Changes in neck mobility and pressure pain threshold levels following a cervical myofascial induction technique in pain-free healthy subjects. J Manipulative Physiol Ther. 2009 Jun;32(5):352-7. doi: 10.1016/j.jmpt.2009.04.009.
citation: Ritvanen T, Zaproudina N, Nissen M, Leinonen V, Hanninen O. Dynamic surface electromyographic responses in chronic low back pain treated by traditional bone setting and conventional physical therapy. J Manipulative Physiol Ther. 2007 Jan;30(1):31-7. doi: 10.1016/j.jmpt.2006.11.010.