Effectiveness of Hamstring Muscle Dry Needling in Patients With Chronic Mechanical Low Back Pain of Non-specific Origin
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 4
- 主要终点
- Low back pain
研究概览
简要总结
This study evaluates the treatment of hamstrings in the management of patients with mechanical low back pain of non-specific origin. Half of the participants will received the application of a dry needle technique in the most hyperalgesic areas of the muscle, while the other half will received the same technique in areas not hyperalgesic.
详细描述
Shortening of the hamstrings could be related to low back pain.Therefore, the treatment of these muscles may improve pain.
The dry needling technique seems to improve the extensibility of the muscles. This technique seems to be more effective when is applied in the most hyperalgesic areas related to the participant's pain.
In order to demonstrate this hypothesis, the investigators will check if the dry needling technique produces the same effects when is applied in other areas of those same muscles
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Nonspecific chronic low back pain lasting ≥ 3 months.
- •Age between 18 and 65 years.
- •History of non-specific lumbar pain not irradiated to lower extremities of at least 1 year of evolution.
- •Those subjects who have not received a physiotherapy session in the last 6 months.
排除标准
- •Specific low back pain (infection, tumor, inflammation, canal stenosis, spondylolisthesis, hernia or disc prolapse, structural deformity, rheumatic disease, radicular pain, cauda equina, previous history of spinal surgery).
- •Fibromyalgia.
- •Treatment with corticosteroids or oral medications in the last 6 months.
- •History of spinal surgery.
- •Contraindications typical of deep dry puncture (needle phobia, coagulation or psychological disorders, varicose regions, cysts, wounds, metal or latex allergy, lymphedema, hypothyroidism, diabetes).
- •Those subjects with a value of 0º in the Active Knee Extension (EAR) test.
- •Pregnancy
结局指标
主要结局
Low back pain
时间窗: Change from Baseline Pressure Pain Threshold at 3 months
The investigators use a Visual Analog Scale (VAS) to determine the intensity of the patient with blowback pain.The VAS is a 100-mm line, oriented horizontally, with one end representing "no pain" and the other end representing "worst pain." Subjects will be asked to rate their current pain with a mark on the scale.
次要结局
- Disability with Oswestry Disability Index(Change from Baseline disability at 3 months)
- The extensibility of the hamstring muscle(Change from Baseline disability at 3 months)
- Pressure Pain Threshold(Change from Baseline Pressure Pain Threshold at 3 months)
研究者
Prof. Dr. Daniel Pecos Martín
Clinical professor
University of Alcala