The Immediate Effect Of Shockwave Therapy On the Quadratus Lumborum (QL) Muscle Trigger Points vs Regular Back Exercises in Chronic Nonspecific Low Back Pain

Not Applicable

• Conditions: Low Back Pain, Mechanical
• Interventions: Combination Product: shockwave and exercises; Device: shockwave machine; Other: leg and back exercises

• Registration Number: NCT05257421
• Lead Sponsor: University of Sharjah

Brief Summary

the study aims to compare the effect of regular back exercises with shockwave therapy by treating male patients with non-specific low back pain between the age of (20-40). Who will be devided into 3 groups, and will be treated by shockwave therapy , exercises or both combined. After signing a consent form, patients will be assigned to the groups blindly, so the patients will not know if they are in the experimental or control group.

Hypothesis:

The hypothesis of this study states that:

o Research hypothesis: there will be a significant difference between the radial ESWT and back exercises in reducing LBP

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-02
• Study First Submitted: 2022-02-16
• Study First Submitted QC: 2022-02-16
• Study First Posted: 2022-02-25
• Last Update Submitted: 2022-02-25
• Last Update Posted: 2022-03-14
• Study Start: 2022-05
• Primary Completion: 2022-07
• Study Completion: 2022-08

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Male
• Target Recruitment: 78

Inclusion Criteria

• Only male patients will be included.
• Age 20-40 years old.
• Non-specific LBP for at least 3 months.
• At least one local tenderness or active trigger point in the anatomical region of the QL muscle.
• Pain intensity on numerical pain scale should be more than 4

Exclusion Criteria

• LBP due to a pathology or trauma.
• Below 20 years of age.
• Previous lumbar surgeries.
• Malignancy.
• Patients under medications or painkillers.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
combined group	shockwave and exercises	-
shockwave group	shockwave machine	-
exercise group	leg and back exercises	-

Primary Outcome Measures

Name	Time	Method
The Oswestry Disability Index	45 minutes session	is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability, scoring from 0 to 50, the lower score the better
Numerical pain scale	45 minutes session	0-10 the lower the better
pressure-pain threshold	45 hour session	Algometry device will be used to measure three thresholds' values: * Tenderness threshold.; * Referred pain threshold.; * Pain tolerance threshold.

Secondary Outcome Measures

Name	Time	Method
ROM of the back	45 minutes session	an electrical goniometer will be used to measure the change in the back ROM