Chronic Nonspecific Low Back Pain
Conditions
Keywords
negative pressure, vacuum, low back pain, physical therapy modalities, cupping
Brief summary
The term non-specific low back pain refers to the painful symptoms located in the lumbar region, which is delimited between the lower margin of the ribs and the lower limit of the buttocks
Detailed description
This study aimed to investigate the efficacy of a vacuum myofascial therapy device (VT) for improving pressure pain thresholds (PPTs), functionality, range of motion (ROM), low back pain-related disability, pain, and quality of life in patients with non-specific low back pain. Methods: A randomized controlled trial in which participants with non-specific low back pain (NP) were randomly assigned to either an experimental (VT) or a comparison physical therapy program (PTP) group.
Interventions
PROCEDUREVacuum myofascial therapy and physical activity program.
This group will treated five times with the analgesic program of physium therapy. Each maneuver was performed once per session by slow and progressive. The whole procedure lasted no more than 30 minutes. Then they carried out the physical activity program
OTHERPhysical activity program.
Active Comparator: Physical activity The exercise protocol would last 5 weeks, performing 3 exercise sessions per week, with an effective work time of 20 minutes per session. The exercises would be directly focused on activating the core stabilizing muscles.
Sponsors
University of Cadiz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
A specialist physician will be diagnosed chronic nonspecific low back pain
Eligibility
Sex/Gender
ALL
Age
25 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed of Chronic Nonspecific Low Back Pain that do not improve with conventional physiotherapy or pharmacological therapy protocols. * Subjects who are in an active state of pain
Exclusion criteria
* Individuals who have received surgery intervention in the spine * Individuals have received the proposed treatment in one month´s period previously. * Individuals who suffering from fibromialgia síndrome, cardiac patients with pacemakers, cancer, infectious processes, or generalized lymphedema. * Pregnant women can not receive this treatment intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The intensity of pain: 10-point Numerical Pain Rating Scale | Baseline | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of shoulder pain, and the worst and lowest level of pain experienced in the preceding week in the shoulder area. The minimal clinically important difference (MCID) for the NPRS in patients with shoulder pain was 1.1 points (Mintken, Glynn, and Cleland 2009). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Active range of motion of the lumbar spine | Baseline , immediately after treatment, four and twelve weeks | Measured by a two branches goniometer |
| Pressure pain thresholds in trigger points | Baseline, immediately rafter treatment, four and twelve weeks | Pressure pain thresholds (PPTs) will be measured with a pressure algometer (Baseline, Pain TestTM, Wagner Instruments). The clinimetric properties of this instrument have been evaluated previously. The PPT will the point at which pressure elicited pain and will presented as kilograms per square centimeter. All measurements will be conducted by the same well-trained physician. |
| The intensity of pain: 10-point Numerical Pain Rating Scale | Immediately after the intervention , four and twelve weeks | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of lumbar pain, and the worst and lowest level of pain experienced in the preceding week in the lumbar area. |
| OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE | Baseline, immediately after treatment, four and twelve weeks | The Oswestry Low Back Pain Disability Scale is a self-administered questionnaire, specific for low back pain, that measures limitations in daily activities. |
| Roland Morris Disability Questionnaire | Baseline, immediately after treatment, four and twelve weeks | Roland Morris is a 24-item self-report questionnaire about how low-back pain affects functional activities |
| Questionnaire SF 12 | Baseline, immediately after treatment, four and twelve weeks | The multidimensional health related quality of life |
Countries
Spain
Outcome results
None listed