Chronic Nonspecific Low-back Pain
Conditions
Keywords
low back pain, high-intensity laser acupuncture, Low-intensity laser acupuncture, peak torque, fatigue, functional disability
Brief summary
The purpose of this study is to investigate the efficacy of high-intensity laser acupuncture versus low intensity laser acupuncture on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and function in patients with chronic nonspecific low back pain (CNLBP).
Detailed description
Chronic nonspecific low back pain is a type of persistent back pain that affects people of all ages and contributes to the global disease burden (CNLBP). The major objective of treatment is to lessen pain and its aftereffects. One noninvasive, targeted light therapy for treating musculoskeletal disorders is low-intensity laser therapy (LLLT). It has analgesic, anti-inflammatory, muscle-relaxant, and tissue-repair properties. Additionally, LILT has been demonstrated to relieve generalized lower back pain. Another light therapy that is painless and noninvasive, high-intensity laser therapy (HILT), stimulates tissue while delivering analgesic, anti-inflammatory, and anti-edematous benefits. It has been demonstrated that acupuncture, a popular complementary therapy, can relieve musculoskeletal pain and increase muscle strength.To date, however, there has been limited investigation into the effects of high- versus low-intensity laser acupuncture on CNLBP. Thus, the current study will be conducted to explore the efficacy of HILT versus LILL on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and functional disability in patients with chronic, nonspecific low back pain.
Interventions
The patients will receive high-intensity lasers and the treatment will be performed at 15 acupuncture points: unilateral GV3, GV4, and GV5, and bilateral BL 20, BL23, BL24, BL25, BL40 and GB30. Exercise therapy program: The patients will perform an exercise therapy program in the form of: \- strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises
DEVICElow-intensity laser acupuncture and Exercise therapy program
The patients will receive low-intensity lasers and the treatment will be performed at 15 acupuncture points: unilateral GV3, GV4, and GV5, and bilateral BL 20, BL23, BL24, BL25, BL40 and GB30. Exercise therapy program: The patients will perform an exercise therapy program in the form of: \- strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises
DEVICESham laser acupuncture
Sham laser acupuncture and exercise therapy program. The patients will receive a sham laser.acupuncture and an exercise therapy program in the form of: - strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises
Sponsors
King Khalid University
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
random generator
Intervention model description
high-intensity laser acupuncture, low-intensity laser acupuncture and exercise therapy program
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. The patients had CNSLBP with age from 20 to 40 years from both genders. 2. Patients will be referred from an orthopedist with diagnosis of chronic low back pain without underlying pathological causes. 3. The patients with chronic nonspecific low back pain more than 3months. Minimum pain intensity of 30 mm on the visual analogue scale (VAS) for pain, which ranges from 0 to 100 mm. 4. Patients with normal BMI ranges between 18.5:24.9 kg/m2. 5. The study populations must be willing to participate in the study
Exclusion criteria
1. Neurological, infectious diseases and systemic illness such as rheumatologic diseases,systemic lupus erythematosus, diabetes mellitus type I or II. 2. Psychiatric/mental deficit. 3. Patients who had a previous surgical history (within 6 months) will also excluded. 4. participation in other treatment within the previous 3 month. 5. Pregnancy. 6. History of spinal fracture, tumor, osteoporosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue | up to four weeks | Isokinetic dynamometer will be used for measuring fatigue of back extensors. |
| peak torque | up to four weeks | Isokinetic dynamometer will be used for measuring peak torque of back extensors. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | up to four weeks | Visual Analogue Scale (VAS) will be used by the patient to mark his/her level of pain between 0 to100 milliliters line. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible'. |
| lumbar flexion ROM assessment | up to four weeks | Modified Schober test will be used to assess ROM of lumbar flexion. |
| Disability | up to four weeks | Arabic version of Oswestry Disability Index (ODI) will be used for assessment of functional disability |
Countries
Egypt
Outcome results
None listed