Chronic Widespread Myofascial Low Back and Cervical Pain Syndrome. Chronic pain syndrome
Conditions
Interventions
Intervention group: The intervention group is assigned 10 sessions of percutaneous auricular vagus nerve stimulation (biphasic rectangular with 250 microseconds pulse and 25 Hz) is applied for 30 min
Sponsors
University of social welfare and rehabilitation sciences
Eligibility
Sex/Gender
All
Age
25 Years to 55 Years
Inclusion criteria
Inclusion criteria: Patients in age 25 to 55 years Body mass index less than 30 kg/m2 Having the criteria of lumbar and neck myofascial syndromes based on the criteria provided by Travell and Simon in the muscles of the back and neck the patient have pain for at least 3 months. The presence of at least 3 trigger points in the muscles of the back and neck, where one of these two areas involves the muscles bilaterally (by using an algometer, as well as by touch) Intensity of pain of at least 3 out of 10 on the Visual Analog Scale (VAS) Patients whose Wide Spread Pain Index (WPI) is equal to or greater than 7
Exclusion criteria
Exclusion criteria: Neurological diseases Metabolic and endocrine diseases Systemic diseases such as lupus, scleroderma Infectious diseases Inflammatory diseases Thyroid diseases History of malignancy Diabetes Pregnancy Menopause Use of painkillers in the last 24 hours Long-term use of corticosteroids Drug addiction Cognitive and psychotic diseases Myopathies Cardiovascular diseases Taking drugs that affect the autonomic system, such as cholinergic and anticholinergic drugs, alpha and beta blockers, antipsychotics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Heart Rate Variability (HRV). Timepoint: Before and after 10 sessions. Method of measurement: PowerLab data acquisition system. | — |
Secondary
| Measure | Time frame |
|---|---|
| Low Back Pain Disability. Timepoint: Before and after 10 sessions. Method of measurement: Oswestry Low Back Pain Disability (ODI).;Low Back Pain Diability. Timepoint: Before and after 10 sessions. Method of measurement: Roland-Morris Disability Questionnaire (RMQ).;Neck Disability. Timepoint: Before and after 10 sessions. Method of measurement: Neck Disability Index (NDI).;Kinesiophobia. Timepoint: Before and after 10 sessions. Method of measurement: Tampa Scale of Kinesiophobia (TSK).;Anxiety. Timepoint: Before and after 10 sessions. Method of measurement: Beck Anxiety Inventory (BAI).;Heart Rate Variability. Timepoint: Before and after 10 sessions. Method of measurement: PowerLab data acquisition system.;Pain Pressure Threshold (PPT). Timepoint: before and after 10 sessions. Method of measurement: algometer.;Pain. Timepoint: before and after 10 sessions. Method of measurement: Visual Analog Scale (VAS). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahboobeh Abdolalizadeh
University of social welfare and rehabilitation sciences
Outcome results
None listed