Dry Needling With And Without Kinesio Taping® in The Non-Specific Chronic Low Back Pain

Not Applicable

• Conditions: Non-Spesific Chronic Low Back Pain
• Interventions: Device: Dry needling

• Registration Number: NCT04170816
• Lead Sponsor: Kars State Hospital

Brief Summary

We wiil evaluate the efficiency of adding kinesio taping (KT) therapy to dry needling (DN) therapy on pain, functionality and depression parameters in 60 patients with nonspecific chronic low back pain (nCLBP).

Detailed Description

A total of 60 patients will be included in the study. 30 patients will be in the treatment group and 30 patients will be in the control group. Both groups will be underwent 3 sessions with 1-week intervals on active myofascial trigger points in lumbar multifidus, quadratus lumborum and gluteus medius muscles in DN therapy. KT application will be performed after every DN session in the study group. Pain will evaluate with visual analog scale, functionality was evaluated with Oswestry Disability Index and the status of depression will be evaluated with Beck Depression Index before the treatment and at the first month.

Study Timeline

• Study First Submitted: 2019-09-15
• Status Verified: 2019-11
• Study First Submitted QC: 2019-11-18
• Last Update Submitted: 2019-11-18
• Study First Posted: 2019-11-20
• Last Update Posted: 2019-11-20
• Study Start: 2019-12-01
• Primary Completion: 2020-03-01
• Study Completion: 2020-03-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• having no abnormal results in routine blood tests
• having no known acute or chronic inflammatory disease
• an education level required for understanding the applied treatment, interventions

Exclusion Criteria

• malignancies
• active infection
• history of common inflammatory rheumatic disease
• trauma in spinal area, skin lesion, presence of infection or open wounds
• radiculopathy
• peripheral circulation disorder
• use of warfarin due to coagulopathy
• arthropathy
• congenital or acquired spinal pathology
• pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
DN group	Dry needling	DN will be applied 3 sessions in 1-week intervals. Dry Needling Theraphy: DN therapy was applied on active myofascial trigger points (MTrP) in quadratus lumborum, gluteus medius and lumbar multifidus muscles.
DN plus KT group	Dry needling	DN plus KT therapy is going to be applied 3 sessions in 1-week intervals. Dry Needling Theraphy: DN therapy is going to be applied on active myofascial trigger points (MTrP) in quadratus lumborum, gluteus medius and lumbar multifidus muscles. Kinesio Taping Application: Tapes is going to be left on the patient's body for 5 days.

Primary Outcome Measures

Name	Time	Method
Pain by visual analog scale (VAS)	3 week	Visual analog scale (VAS,0-10) will be used to assess resting, activity and night pain.
Beck Depression Inventory	3 week	This is a 21-item standard assessment used to measure clinical depression. Scores on this assessment range from 0 to 63, where higher scores indicate higher levels of depression.
Pain pressure threshold	3 week	Amount of pressure (Kg/cm2) applied at the lomber multifidus muscle, quadratus lumborum and gluteus medius muscle myofascial trigger point site that elicit pain for the patient will be reported
Oswestry disability Index (ODI)	3 week	Changes from the Baseline, ODI is an effective tool to provide information on the extent of backache affecting the patient ability to cope with tasks of everyday life. Ten sections are included in the ODI tool with a total possible score of 5 for each section. The first statement carries a score of 0, and the last has a score of 5.