Effect of the Dry Needling and Kinesio Taping in Management of Mechanical Low Back Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- comparison of dry needling and kinesio taping in management of mechanical low back pain.
研究概览
简要总结
Low back pain (LBP) is an extremely common problem that most people experience at some point in their life. It is the leading cause of activity limitation and work absence throughout much of the world. In India, occurrence of LBP is also alarming. Nearly 60% of the population has significant back pain at some time in their life. In Brazil, spinal pain (cervical, thoracic and lumbar) was considered the second most prevalent complaint, affecting approximately 13.5% of the population. It is estimated that globally 39% of the population will have at least one episode of back pain throughout their lives. In episodes of pain greater than 12 weeks (classified as chronic lower back pain), the prognosis is unfavorable and is highly associated with high treatment costs and work absenteeism.
Non-specific low back pain" [NSLBP] is defined as, low back pain that is not attributable to a recognizable or known specific pathology - bone disorder in the spine [fracture], radicular nerve compression, slipped intervertebral disk, stenosis in lumbar spine, inflammatory disorder of spine [ankylosing spondylitis], cauda equine syndrome, congenital back disorder, infection in the spine [discitis], tumour in lumbar area, osteoporosis, meningitis, Cancer, HIV, autoimmune disorder [RA].
详细描述
HYPOTHESIS:
Null hypothesis: There is significant effects of dry needling with conventional physiotherapy treatment as compared to Kinesio Taping with conventional physiotherapy treatment.
Alternate hypothesis: There is no significant effects of dry needling with conventional physiotherapy treatment as compared to Kinesio Taping with conventional physiotherapy treatment.
OBJECTIVES:
The aim of this study is:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Researcher and participants both are familiar with the procedure of interventions.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient with age of 18 and above with non-specific chronic low back pain.
- •Back pain of mechanical origin, apparently without a defined cause, for at least 12 weeks duration.
- •Participants had not had any physical therapy treatment in the past six months and had never used Kinesio Taping and dry needling technique.
- •Being asymptomatic, latent MTrPs in the muscle of lumbar region (pain during examination).
- •The absence of skin allergies, Palpable taut bands (if muscle accessible).
- •Recognition of usual local pain suffered by the patient pressing on the sensitive nodule on the taut bands (focally). (identification of active MTPs).
- •Painful restriction of the full range of motion on passive stretching.
- •The consent to physical examination, dry needling and kinesio taping application.
排除标准
- •• Severe injury in the last 12 months.
- •Previous spinal surgical intervention, neurological diseases or musculoskeletal dis-orders, pharmacological treatment at present.
- •infection, open wound, rash, decreased blood circulation in the treatment area
- •A pacemaker, or epilepsy, presence of skin diseases and pregnancy
- •Serious spinal pathologies such as a tumor, an inflammatory disease or former fracture of L1-S1, symptoms of spinal stenosis, disc protrusion or nerve root compromise and degeneration established in more than two levels
- •Subjects who had used or had prior knowledge of the Kinesio Taping and dry needling method.
- •generalized chronic pain, fibromyalgia, clinical sign of radiculopathy and peripheral nervous system diseases
- •spondylolysis with or without spondylolisthesis, arthritis or osteoporosis and Congenital or acquired deformity
- •ongoing psychiatric or somatic disease that excluded either one or both treatment alternatives
结局指标
主要结局
comparison of dry needling and kinesio taping in management of mechanical low back pain.
时间窗: 6 months
mechanical low back pain will be measured using Roland Morris low back questionnaire and Pain Numeric Rating scale calculated as mean score.
次要结局
- Quality of life in patient with mechanical low back pain(6 months)
研究者
Dr.Adeela Asad
PRINICIPAL INVESTIGATOR
Shaheed Zulfiqar Ali Bhutto Medical University