Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis

Not Applicable

Completed

Conditions: Positional Fault of Pelvis
Quadratus Lumborum Syndrome
Myofascial Trigger Point in Quadratus Lumborum
Myofascial Trigger Point Pain

Brief Summary: This project was a Randomized clinical trial conducted to Compare the effects of dry needling and dry cupping in Positional fault of pelvis due to Myofascial trigger points in Quadratus Lumborum so that we can have best treatment option for patients with myofascial trigger points.

Detailed Description: Non Probability Convenient sampling was done. Patients following eligibility criteria from Physiotherapy department of Islam Central hospital, Sialkot were considered. Sample size was calculated with Epitool calculator. 26 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Dry needling technique and Group B was given Dry Cupping along with conventional physiotherapy treatment (hot pack and stretching). Duration of research was almost 6 months. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Recruitment & Eligibility

Inclusion Criteria

On palpation the presence of at least 1 active trigger point in quadratus lumborum. So the patient presents with low back pain.
Patients presents with positional fault of pelvis (lateral tilt)(4).
Patients having chronic Low Back Pain for at least more than 6 months(3).
Patients agree to get treatment sessions for the research work.

Exclusion Criteria

Participants should not have taken any medications like analgesics, anti-coagulants, Non-steroidal anti-inflammatory drugs or muscle relaxants during this study or even 3 days before this study.
Participants should not have received any other treatment for the pain management, because it will affect the results of the study.
Patients with bleeding disorders, local or systemic infection, acute muscle trauma.
Patients with comorbid conditions.
Patients with severe physical disability and true leg length discrepancy(1).
Pregnant females

Arm && Interventions

Group	Intervention	Description
Dry needling	Dry needling	Dry needling, hot pack, stretching exercises.
Dry Cupping	Dry cupping	Dry cupping, hot pack, stretching exercises.

Primary Outcome Measures

Name	Time	Method
Change in Range of Motion of lumbar spine side flexion by 'Goniometer'	Baseline, 6th session(at 3rd week), follow up session after 1 month	Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. A goniometer is a device that measures an angle or permits rotation of an object to a definite position
Change in Pain by 'Pressure Pain Algometer'	Baseline, 6th session(at 3rd week), follow up session after 1 month	Change in Pain from baseline was checked at 6th session by Pressure Pain Algometer. A follow up reading was also taken after 1 month for checking prolonged post treatment effects.

Secondary Outcome Measures

Name	Time	Method
Change in pain by 'Numeric Pain Rating Scale'	Baseline, 6th session(at 3rd week), follow up session after 1 month	Change in pain from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by a patient himself, under the supervision of researcher.
Change in Range of Motion of lumbar side flexion by Measuring tape	Baseline, 6th session(at 3rd week), follow up session after 1 month	Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The method for using a tape measure to examine lateral flexion of the spine has been introduced in the literature.