Non - specific Low back pain with active myofascial trigger points NSLBP, MTrPs
Conditions
Interventions
firstly, The active MTrPs were identified by participants pointing out the most painful area, after which the physical therapist confirmed the location. Secondly, the participants will receive Major S
Experimental Other,No Intervention Other
Major signal point of thai traditional massage,Waiting list control
Sponsors
Faculty of Associated medical sciences
Eligibility
Sex/Gender
All
Age
30 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Male or female, aged between 30 and 50 years. 2. Ability to lie on either the left or the right side during ultrasound elastography examination. 3. Ability to communicate effectively and follow instructions. 4. Office Work-Related Sedentary Behavior: Sitting for at least 30 consecutive minutes without standing in a single day.; Working greater than 6 hours per day and greater than 30 hours per week continuously for at least 3 months.; Standing or walking less than 4 hours per day. 5. Diagnosis of Myofascial Pain Syndrome: Confirmed by a physiotherapist, involving: Presence of taut bands in the QL muscles.; Identification of tender points within the muscles.; Reproduction of familiar pain upon palpation. 6. Lower Back Pain Symptoms: Pain located between the lower ribs and gluteal fold, either unilaterally or bilaterally. 7. Pain intensity rated at least 3 cm on a VAS scale (10cm). 8. Presenting with lasting longer than 3 months (chronic stage) without absence of radiating numbness or leg pain. 9. Functional Disability Level: Oswestry Disability Index (ODI) score greater or equal 10% (5 score).
Exclusion criteria
Exclusion criteria: 1. Athletic Training: Participants with training hours exceeding 20 hours per week. 2. Serious Conditions (Red Flags): a. Nighttime back pain without an apparent cause. b. Unexplained weight loss. 3. Medical History: Spinal Health History: spinal fractures, lumbar spine surgeries, osteoporosis, or neurological abnormalities. 4. Obesity: Body Mass Index (BMI) greater than 30 kg/m2. 5. Pregnancy: Pregnant or suspected pregnancy. 6. Specific Pathological Causes of Low Back Pain: Conditions such as tumors, infections, inflammatory disorders, herniated discs, scoliosis, or prolapsed discs. 7. Nerve Compression Signs: a. Positive Straight Leg Raise (SLR) test (less than 45 degrees). b. Muscle weakness in one leg. c. Reduced reflexes (less than 2 plus). 8. Positional Limitation: Inability to lie on the side for 30 minutes. 9. The QL muscle is located deeper than 7 cm, as measured using US B-mode. 10. Participants with respiratory conditions (e.g., asthma, COPD), who have difficulty holding their breath for at least 10 second, and their inability to follow the instruction. 11. Contraindications of TTM include uncontrolled systolic and diastolic blood pressure of more than 140 mmHg and 90 mmHg, respectively, a body temperature of more than 37.5 C, inflammation, muscle injuries and bone fractures, joint dislocation, skin diseases (wounds and fungus), venous problems (varicose veins, thrombosis, and others), severe osteoporosis, heart conditions (unstable hypertension, pacemaker), and cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| muscle stiffness 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session Shear wave elastography | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analog scale (VAS) 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session 10-cm VAS with label anchors on either end,Pressure pain threshold (PPT) 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session OE-220 devide,Lumbar Range of Motion 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session inclinometer,Oswestry Disability Index 1) Base line , 2) Short term effect after one day of the last treatment session The Thai version of the Oswestry disability questionnaire ,Perceived Stiffness 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session a 10-cm visual analog scale with label anchors on either end,Five-Time Sit-to-Stand Test 1) Base line , 2) Immediately after the first treatment session, 3) Short term effect after one day of the last treatment session a straight back and timer | — |
Countries
Thailand
Contacts
Public ContactLINH PHAM
Faculty of Associated medical sciences, Khon Kaen University
Outcome results
None listed