Chronic Nonspecific Low-back Pain
Conditions
Keywords
low back pain, high-power laser acupuncture, fatigue, proprioception, Pain self-efficacy
Brief summary
To investigate the effect of high-intensity laser acupuncture on fatigue, proprioception, back pain and Pain self-efficacy in patients with chronic nonspecific low back pain (CNLBP).
Detailed description
Chronic non-specific low back pain (CNSLBP) is a persistent back pain that affects people of all ages and significantly impacts individuals' functional activities. Fatigue and impaired proprioception are common complaints associated with CNSLBP, contributing to diminished physical performance and exacerbation of symptoms. While various treatment modalities exist, there is ongoing interest in exploring novel approaches to manage this condition effectively.Laser photobiomodulation (PBM) therapy is a noninvasive that stimulates cells, pain receptors, and the immune system and can cause analgesic effects. Recently, high-power lasers have been used for managing musculoskeletal dysfunction that allows for more energy deposition in deep tissues, resulting in both biological and thermal effects. High-power laser acupuncture (HPLA) has emerged as a promising intervention that combines the therapeutic effects of high-power laser therapy and the principles of acupuncture point stimulation on the body (acupoints) to induce physiological effect. However, there is limited evidence supporting this combined approach. For that, this study aims to investigate the effect of HPLA on fatigue, proprioception back pain and Pain self-efficacy in patients with CNSLBP. With this current randomized controlled trial, we seek to provide evidence-based insights into the potential effects of this combined approach on measurements of fatigue, proprioception, back pain and Pain self-efficacy.
Interventions
DEVICEhigh-power laser acupuncture and the exercise program
The experimental group will receive high-power 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. Exercises program: The patients will perform this exercise program in the form of: strengthening exercises for abdominal and back muscles; lumbar stabilization exercises; and stretching exercises
The patients will receive a sham laser acupuncture and the exercise program in the form of: strengthening exercises for abdominal and back muscles; lumbar stabilization exercises and stretching exercises.
Sponsors
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-power 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 diagnosis with 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 BMI ranges between 18.5:29.9 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 six weeks | Isokinetic dynamometer will be used for measuring fatigue of back muscles. |
| proprioception | up to six weeks | Isokinetic dynamometer will be used for assessing lumber proprioception |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | up to six weeks | The Visual Analogue Scale (VAS) will be used by the patient to mark his/her level of pain on a 0 to 100 millimeter line. Zero usually represents 'no pain at all,' whereas the upper limit represents 'the worst pain ever possible.' Higher scores represent worse pain intensity, and lower scores represent less pain. |
| Pain-Related Self-Efficacy | up to six weeks | The Arabic version of the Pain Self-Efficacy Questionnaire (PSEQ-A) will be used to assess patients ' confidence in managing pain and performing daily activities. Higher scores reflect greater self-efficacy, indicating stronger confidence in coping with pain. |
Countries
Egypt
Outcome results
None listed