Condition 1: Fibromyalgia. Condition 2: Chronic Nonspecific Low Back Pain. Fibromyalgia Low back pain
Conditions
Interventions
Intervention 1: Intervention group: Performing dry needling technique for lumbar multifidus, quadratus lumborum and gluteus medius. In order to apply dry needling to the lumbar multifidus muscle, the
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: People aged 18 to 65 Fibromyalgia diagnosed by a rheumatologist The pain should be between the edge of the 12th rib and the lower gluteal fold The duration of pain is more than three months The minimum Visual analogue scale at the time of visit should be 3 out of 10 Patients have trigger points in the multifidus, quadratus lumborum and gluteus medius muscles Have a minimum Oswestry Disability Index score of 20 out of 100 The participants should be able to understand and read Persian language in order to fill the questionnaire
Exclusion criteria
Exclusion criteria: Spinal and pelvic pathologies such as fracture, infection and tumor Presence of systemic infection Coagulation and bleeding disorders Presence of lymphedema or removal of lymph nodes pregnancy The presence of a pacemaker Severe respiratory and cardiovascular disorders epilepsy History of trauma to the lumbopelvic region History of surgery in the lumbopelvic region Lumbar radiculopathy Dry needling treatment in the last 6 months Cognitive impairment Needle phobia Uncontrolled diabetes Systemic joint disease such as rheumatoid arthritis Symptoms of radiculopathy and pressure on the nerve root Cauda equina? syndrome Spondyloarthropathies Metal pins or prosthetic joints Inability to communicate with the patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: The first session before treatment, the fourth session before the start of the treatment, the sixth session before the start of the treatment, one month after the last treatment session, three months after the last treatment session. Method of measurement: Visual Analogue Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle performance. Timepoint: The first session before treatment, the sixth session before the start of the treatment, one month after the last treatment session. Method of measurement: dynamometer and Isometric test of neck flexor muscles.;Pressure pain threshold. Timepoint: The first session before treatment, the sixth session before the start of the treatment, one month after the last treatment session. Method of measurement: Algometer.;Functional disability. Timepoint: The first session before treatment, the sixth session before the start of the treatment, one month after the last treatment session. Method of measurement: Oswestry disability index.;Central sensitization. Timepoint: The first session before treatment, the sixth session before the start of the treatment, one month after the last treatment session. Method of measurement: fibromyalgia 2011 questionnaire, Algometer. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMasoume Matin
Iran University of Medical Sciences
Outcome results
None listed