Investigating the effect of dry needling compared to sham dry needling on the sensitization of the nervous system at peripheral, spinal and cerebral levels in patients with Non-specific Chronic Low Back Pain(NSCLBP)
- Conditions
- on-specific Chronic Low Back Pain.
- Registration Number
- IRCT20230205057336N2
- Lead Sponsor
- Shiraz University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 56
At least three months have passed since the onset of their back pain
Have an average age of 18-45 years
There are no signs of involvement of nerve roots, disc inflammation and sciatic nerve
Have at least 3 to a maximum of 7 active trigger points in the gluteus maximus, gluteus medius, quadratus lumbarum, paravertebral and multifidus muscles
The score of the CSI questionnaire is equal to or greater than 40
Numerical evaluation of pain should have at least score of 3
No previous history of dry needling treatment
History of hemophilia and coagulation disorders
A patient with lymphedema
Pregnancy
Cancer, fracture, infection or immunodeficiency diseases such as AIDS and hepatitis
Specific back pains including back pains originating from disc involvement and nerve roots, spondylolisthesis and spondylolysis
A patient with back pain that is the origin of visceral pain
Use of anticoagulants
Patients with fear of needles in the form of phobia
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Conditioned pain modulation. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: The difference in pressure pain tolerance threshold with algometer before and after the application of conditioned pain by pressure cuff.;Temporal summation of pain. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: The difference in pain report based on numeric rate scale after one stimulation and several repeated painful stimulations.;Pressure pain threshold both in the pain area and in the distal area. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Record the number shown on the algometer display at the moment of pain after applying pressure.;Central sensitization. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Central sensitization inventory.
- Secondary Outcome Measures
Name Time Method Pain. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Numeric rate scale.;Function rate. Timepoint: Before, immediately and six weeks after the intervention. Method of measurement: Extensor muscle endurance test.