Non-specific Chronic Low Back Pain.
Conditions
Interventions
Intervention 1: Intervention group: Patients in this group receives three treatment sessions with an interval of 72 hours. In the range of minimum 3 to maximum 7 muscles from lumbar multifidus muscle
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: At least three months have passed since the onset of their back pain Have an average age of 18-45 years There are no signs of involvement of nerve roots, disc inflammation and sciatic nerve Have at least 3 to a maximum of 7 active trigger points in the gluteus maximus, gluteus medius, quadratus lumbarum, paravertebral and multifidus muscles The score of the CSI questionnaire is equal to or greater than 40 Numerical evaluation of pain should have at least score of 3 No previous history of dry needling treatment
Exclusion criteria
Exclusion criteria: History of hemophilia and coagulation disorders A patient with lymphedema Pregnancy Cancer, fracture, infection or immunodeficiency diseases such as AIDS and hepatitis Specific back pains including back pains originating from disc involvement and nerve roots, spondylolisthesis and spondylolysis A patient with back pain that is the origin of visceral pain Use of anticoagulants Patients with fear of needles in the form of phobia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Conditioned pain modulation. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: The difference in pressure pain tolerance threshold with algometer before and after the application of conditioned pain by pressure cuff.;Temporal summation of pain. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: The difference in pain report based on numeric rate scale after one stimulation and several repeated painful stimulations.;Pressure pain threshold both in the pain area and in the distal area. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Record the number shown on the algometer display at the moment of pain after applying pressure.;Central sensitization. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Central sensitization inventory. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Numeric rate scale.;Function rate. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Extensor muscle endurance test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNarges Meftahi
Shiraz University of Medical Sciences
Outcome results
None listed