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Ultrasound-guided Neuromodulation Percutaneous in Lower Back Pain

Not Applicable
Completed
Conditions
Lower Back Pain
Interventions
Other: NMP
Registration Number
NCT04347265
Lead Sponsor
University of Seville
Brief Summary

In our daily clinical practice, one of the most frequent reasons for consultation physiotherapists is low back pain (LBP). Regardless of the origin of the problem, the approach from physiotherapy contemplates the reduction of pain through different procedures, including neuromodulation.

In the field of Physiotherapy, ultrasound-guided Percutaneous Neuromodulation (PNM) is defined as the application through a needle with ultrasound guidance of an electrical current at low or medium frequency, seeking a sensitive and / or motor response of a peripheral nerve in some point of its trajectory, or of a muscle in a motor point, with a therapeutic objective. The objective of this study is to analyze that the effect of PNM on the sciatic nerve produces statistically significant changes in pain, joint range and functionality in patients with chronic LBP. Thirty subjects will be recruited, which will be divided into 3 groups: group 1 to which PNM will be applied to the sciatic nerve in the gluteus region; group 2 to which PNM will be applied to the sciatic nerve in the middle of the thigh; and group 3 to which PNM will be applied to the sciatic nerve before popliteus region. The PNM intervention with NMP will consist in the single application of an asymmetric rectangular biphasic current (250 microseconds, 3 Hz) during 90 seconds

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Diagnosis of Lower Back Pain
  • Having no other therapy
Exclusion Criteria
  • Other pathology (discal hernia, injured limbs, neurological pathology)
  • Belenophobia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NMP in level 2NMPParticipants in this group received NMP of the sciatic nerve in the middle of the thigh
NMP in level 3NMPParticipants in this group received NMP of the sciatic nerve before popliteus region
NMP in level 1NMPParticipants in this group received NMP of the sciatic nerve in the gluteus region
Primary Outcome Measures
NameTimeMethod
Level of painFrom baseline measurement up to 1 week

Measured by Visual Analogue Scale (0, no pain; 100, max pain)

Y Balance TestFrom baseline measurement up to 1 week

Stability body

Owestry questionnaireFrom baseline measurement up to 1 week

Lower back pain questionnaire

Range of motionFrom baseline measurement up to 1 week

Measured by goniometer. Hip flexion, external and internal rotation range of motion

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Blanca de la Cruz Torres

🇪🇸

Seville, Spain

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