Treatment of Hamstring Muscle in Patients With Low-back Pain

NCT ID: NCT04090502

Last Updated: 2023-10-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-10-01
• Study Completion Date: 2023-10-24

Brief Summary

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.

Detailed Description

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

Conditions

Low Back Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

Grupo A. Dry needling in Trigger point

Participants will be treated in the most hyperalgesic foci within the hamstring musculature.

Group Type: EXPERIMENTAL

Dry needling in hamstring muscle trigger points

Intervention Type: OTHER

Participants with nonspecific mechanical low back pain will be assessed for the hamstring muscle. Subsequently, the most sensitive areas associated with the shortening of the muscle will be located and the technique will be applied to this area.

Grupo B. Dry needling in non-hyperalgesic areas

Participants will be treated in non-hyperalgesic areas within the hamstring muscles.

Group Type: PLACEBO_COMPARATOR

Dry needling in hamstring muscle not trigger points

Intervention Type: OTHER

Participants with nonspecific mechanical low back pain will be assessed for the hamstring muscle. Subsequently, the most sensitive areas associated with the shortening of the muscle will be located and the technique will be applied out of this area.

Interventions

Dry needling in hamstring muscle trigger points

Participants with nonspecific mechanical low back pain will be assessed for the hamstring muscle. Subsequently, the most sensitive areas associated with the shortening of the muscle will be located and the technique will be applied to this area.

Intervention Type: OTHER

Dry needling in hamstring muscle not trigger points

Participants with nonspecific mechanical low back pain will be assessed for the hamstring muscle. Subsequently, the most sensitive areas associated with the shortening of the muscle will be located and the technique will be applied out of this area.

Intervention Type: OTHER

Other Intervention Names

intramuscular stimulation of muscle

Eligibility Criteria

Inclusion Criteria

• 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.

Exclusion Criteria

• 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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Alcala

OTHER

Sponsor Role: lead

Responsible Party

Prof. Dr. Daniel Pecos Martín

Clinical professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Tomas Gallego-Izquierdo, PhD

Role: STUDY_CHAIR

Alcala University

Locations

Centro Investigación Fisioterapia y Dolor

Alcalá de Henares, Madrid, Spain

Instituto Fisioterapia y Dolor

Alcalá de Henares, Madrid, Spain

Countries

Spain

Other Identifiers

CEIM/HU2019/18

Identifier Type: -

Identifier Source: org_study_id