Low Back Pain
Conditions
Keywords
low back pain, chronic low back pain, shockwave
Brief summary
This study aims to examine the effects of shockwave therapy on myofascial tissue (muscles, fascia, and connective tissue), focusing on pain reduction and improvement of mobility. The results will be compared with those of conventional manual physiotherapy. Myofascial tissue can be a source of back pain, as it may contain painful spots known as myofascial trigger points (MTrPs). Shockwave therapy can stimulate these trigger points, potentially leading to muscle and fascia relaxation and, as a result, a decrease in pain. The study investigates how focused shockwave trigger point therapy influences back function and pain perception compared to traditional physiotherapeutic treatment. Participation is voluntary. The examinations will only be carried out if you provide written informed consent. You may refuse participation or withdraw your consent at any time without any disadvantages.
Interventions
Shockwave therapy can stimulate these trigger points, potentially leading to muscle and fascia relaxation and, as a result, a decrease in pain.
Conventional physiotherapy to treat low back pain
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic low back pain (LBP) of the lumbar spine lasting more than 12 weeks * age between 18 and 70 years * pain stage 1 or 2 according to Gerbershagen * female, male or diverse * capable of giving informed consent
Exclusion criteria
* Severe neurological * vascular * neoplastic or bony disorders, as well as cognitive impairments * according to the judgment and assessment of the examiner * flexisting radicular symptoms (e.g., foot drop).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale for Pain | 3 months | Pain intensity measured using the Visual Analog Scale (VAS) ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. Higher scores indicate worse pain. |
| Oswestry Disability Index | 3 months | Disability related to low back pain measured using the Oswestry Disability Index (ODI). Scores range from 0 to 100, where higher scores indicate greater disability and worse functional outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quebec Back Pain Disability Scale | 3 Months | Functional disability measured using the Quebec Back Pain Disability Scale (QBPDS). Scores range from 0 to 100, where higher scores indicate greater disability and a worse outcome. |
| SF-12 Health Survey | 3 months | Health-related quality of life measured using the 12-Item Short Form Health Survey (SF-12). Scores range from 0 to 100 for the Physical Component Summary (PCS) and Mental Component Summary (MCS), where higher scores indicate better health-related quality of life and a better outcome. |
| Roland-Morris Disability Questionnaire (RMDQ) | 3 months | Physical disability measured using the Roland-Morris Disability Questionnaire (RMDQ). Scores range from 0 to 24, with higher scores indicating greater disability and a worse outcome. |
Countries
Germany
Contacts
Institut für Muskuloskelettale Medizin (IMM) Abteilung für Muskuloskelettale Regenerative Medizin