Short-term Effects of Exercise Program Versus Electropuncture on Pain, Depression, Range of Motion and Disability, in Patients With Chronic Non-specific Low Back Pain: A Randomized Clinical Trial.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Universidad de Almeria
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- Algometry
Study Overview
Brief Summary
This study evaluate the effectiveness that exists when performing a treatment based on a table of exercises for strengthening the lumbar muscles versus a treatment based on electropuncture in patients with chronic low back pain.
Detailed Description
Low back pain has a high prevalence in all European countries, appearing as the main cause of activity limitation in people under 45 years of age. It has got a high recurrence, which decreases the activities of daily life, facilitates the focus of attention to pain and increases the fear of movement, with the consequent muscular atrophy. A serie cases will be conducted comparing a a table of exercises versus electropuncture.
Objective
Evaluate the effectiveness that exists when performing a tratment based on a table of exercises for strengthening the lumbar muscles versus a treatment based on electropuncture.
Methods: A sample of 12 subjects with chronic low back pain will be assigned to an exercise program or dry electropuncture treatment (EPS), during 4 weeks (2 sessions/week). The measurement variables selected for the study were the followings: Straight Leg Raise, Vasalva, Gaesslen test, algometry (pressure pain threshold), goniometry (measurement of the range of motion), Scale of disability for low back pain of Oswestry, Beck's Depression Inventory (BDI), Visual Analogue Scale (EVA), Mcquade's Test and the Roland-Morrys' Questionnaire, developing a pre-treatment and post-treatment assessment.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
Single-Blind
Eligibility Criteria
- Ages
- 25 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Chronic non-specific low back pain persisting ≥ 3 months.
- •Age between 25 and 60 years.
- •Not currently receiving physical therapy.
Exclusion Criteria
- •Presence of lumbar stenosis.
- •Presence of clinical signs of radiculopathy.
- •Diagnosis of spondylolisthesis.
- •Diagnosis of fibromyalgia.
- •Treatment with corticosteroid or pharmachological medication within the paset 2 weeks.
- •A history of spinal surgery.
- •Central or peripheral nervous system disease
Arms & Interventions
Exercise program
It will be consist in a program of lumbo-pelvic stabilization exercises and strengthening of the core: awareness of breathing, front and side plate abdominal, glute bridge/hip elevations, lift extended leg, pelvic tilt, hamstring stretch, strengthening lower abdominals, cat-camel posture, trunk rotations with flexed knees, rolling in sitting and lumbar extension with hip extensión in prone
Intervention: Percutaneous electrostimulation treatment (EPS) (Other)
Percutaneous electrostimulation treatment (EPS)
Apply dry needles in a tight band of some of the muscles that most affect the appearance of low back pain, such as: paravertebral, lumbar quadrate, gluteus medius and pyramidal, and administer analgesic microcurrents.
Intervention: Exercise program (Other)
Outcomes
Primary Outcomes
Algometry
Time Frame: At baseline and immediate post-treatment
An instrument for measuring the degree of sensitivity to pain.
Secondary Outcomes
- Goniometry(At baseline and immediate post-treatment)
- Beck's Depression Inventory(At baseline and immediate post-treatment)
- Mcquade Test(At baseline and immediate post-treatment)
- Visual Analog Scale(At baseline and immediate post-treatment)
- Oswestry Low Back Pain Disability Index.(At baseline and immediate post-treatment)
- Roland-Morrys' Questionnaire(At baseline and immediate post-treatment)
Investigators
Adelaida María Castro-Sánchez
PhD(Lecturer)
Universidad de Almeria