The effect of dry needling compared to lumbar spine mobilization in chronic non-specific low back pain

The effect of dry needling compared to lumbar spine mobilization on pain, functional disability, quadratus lumborum and lumbar multifidus function, lumbar range of motion and pain pressure threshold in patients with non-specific chronic low back pain

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20210706051802N1

Enrollment

Registered

2021-11-09

Start date

2022-03-06

Completion date

Unknown

Last updated

2024-05-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic non-specific low back pain. Low back pain

Interventions

Intervention 1: Intervention group: The treatments of this group will include dry needling plus sham mobilization for lumbar spine and routine physiotherapy: A) Dry needling: The method of performing

Eligibility

Sex/Gender

All

Age

18 Years to 45 Years

Inclusion criteria

Inclusion criteria: Patients aged between 18 to 45 years. Moderate pain intensity (between 30 to 60) based on Numerical Pain Rating Scale (0 means no pain and 100 is the most imaginable pain). Patients with trigger points in the quadratus lumborum and lumbar multifidus muscles. The patient's symptoms are provoked with passive accessory intervertebral movements (PAIVM) on at least one level of the lumbar spine vertebrae. Patients are able to read and write Persian.

Exclusion criteria

Exclusion criteria: Complications that affect the treatment process such as systemic diseases, neurological disorders, inflammatory conditions, infectious conditions, structural and degenerative changes, metabolic bone diseases and bleeding disorder. History of lumbar surgery. Fracture. People who have received exercise therapy or manual treatments or dry needling for the lumbar region in past month. Have active cancer. Pregnancy. Needle phobia. Long history of steroid use.

Design outcomes

Primary

Measure	Time frame
Functional disability based on Oswestry Disability Index. Timepoint: Functional disability measurement before intervention and 7 days after intervention. Method of measurement: Oswestry Disability Index.	—

Secondary

Measure	Time frame
Range of motion. Timepoint: Before intervention and 7 days after intervention. Method of measurement: Inclinometer.;Lumbar multifidus and quadratus lumborum muscles functional change (thickness change). Timepoint: Before intervention and 7 days after intervention. Method of measurement: Ultrasound.;Pain pressure threshold. Timepoint: Before intervention and 7 days after intervention. Method of measurement: Algometer.;Pain intensity based on Numerical Pain Rating Scale. Timepoint: Pain intensity measurement before intervention and 7 days after intervention. Method of measurement: Numerical Pain Rating Scale.	—

Measure

Time frame

Range of motion. Timepoint: Before intervention and 7 days after intervention. Method of measurement: Inclinometer.;Lumbar multifidus and quadratus lumborum muscles functional change (thickness change). Timepoint: Before intervention and 7 days after intervention. Method of measurement: Ultrasound.;Pain pressure threshold. Timepoint: Before intervention and 7 days after intervention. Method of measurement: Algometer.;Pain intensity based on Numerical Pain Rating Scale. Timepoint: Pain intensity measurement before intervention and 7 days after intervention. Method of measurement: Numerical Pain Rating Scale.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactHamide Mirzaie

Iran University of Medical Sciences

mirzaie.h@iums.ac.ir+98 31 3345 1972

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026