Dry Needling Versus Percutaneous Electrolysis in Lumbar Multifidus Muscles in Patients With Chronic Low Back Pain.
NCT ID: NCT06505161
Last Updated: 2024-07-17
Study Results
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Basic Information
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NOT_YET_RECRUITING
NA
40 participants
INTERVENTIONAL
2024-09-01
2025-07-01
Brief Summary
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Detailed Description
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Aim: To evaluate whether the reduction of pain after the application of PE is superior to the one obtained with DN.
Methods: A single-blind randomized clinical trial will be conducted in patients with chronic low back pain. The subjects will be divided into two groups. The control group will receive DN treatment, and the experimental group will receive PE, both in the lumbar multifidus muscles. The study variables will be: pain (VAS), disability index (Oswestry Scale), fear of movement (TSK-11SV) and quality of life (SF-12). The measurements will be assessed before, right after and 7 days after a single intervention.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Dry needling group
The dry needling group will recibe a dry needling treatment with the Hong technique.
Dry needling
It consists in application of dry needling on active and/or latent TPs in low back multifidus muscles
Percutaneous electrolysis group
The percutaneous electrolysis grupos will recibe a tratement of galvanic current at 1.5mA, with 3-5 impacts, for 3-5 seconds in the low back multifiud muscles.
Percutaneous electrolysis
It consists in the application of intratissue percutaneous electrolysis with galvanic current as a cathodic flow electrode in the low back multifidus muscles. The intervention will be guided by ultrasound equipment medically certified.
Interventions
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Dry needling
It consists in application of dry needling on active and/or latent TPs in low back multifidus muscles
Percutaneous electrolysis
It consists in the application of intratissue percutaneous electrolysis with galvanic current as a cathodic flow electrode in the low back multifidus muscles. The intervention will be guided by ultrasound equipment medically certified.
Eligibility Criteria
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Inclusion Criteria
* Age between 30 and 60 years old.
* Not being receiving other physical therapy
Exclusion Criteria
* History of previous lumbar surgery.
* Treatment with corticosteroids, anti-inflammatory or antibiotic medication in recent weeks.
* Oncological processes, febrile symptoms or thrombophlebitis.
* Skin conditions.
* Belonephobia.
* Pacemaker.
* Pregnancy.
* Patients with neurological pathology
30 Years
60 Years
ALL
No
Sponsors
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University of Alcala
OTHER
Responsible Party
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Leire López de Calle Sánchez
Leire López de Calle Sánchez
Principal Investigators
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Leire Lopez de Calle Sánchez, Grade
Role: PRINCIPAL_INVESTIGATOR
University of Alcala
Samuel Fernandez Carnero, PhD
Role: STUDY_DIRECTOR
University of Alcala
Locations
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Campus Científico-Tecnológico UAH. Av. de León, 3A
Alcalá de Henares, Madrid, Spain
Countries
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Central Contacts
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Facility Contacts
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References
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Ng SK, Urquhart DM, Fitzgerald PB, Cicuttini FM, Hussain SM, Fitzgibbon BM. The Relationship Between Structural and Functional Brain Changes and Altered Emotion and Cognition in Chronic Low Back Pain Brain Changes: A Systematic Review of MRI and fMRI Studies. Clin J Pain. 2018 Mar;34(3):237-261. doi: 10.1097/AJP.0000000000000534.
Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK; Clinical Efficacy Assessment Subcommittee of the American College of Physicians; American College of Physicians; American Pain Society Low Back Pain Guidelines Panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007 Oct 2;147(7):478-91. doi: 10.7326/0003-4819-147-7-200710020-00006.
Matheve T, Hodges P, Danneels L. The Role of Back Muscle Dysfunctions in Chronic Low Back Pain: State-of-the-Art and Clinical Implications. J Clin Med. 2023 Aug 24;12(17):5510. doi: 10.3390/jcm12175510.
Hodges PW, Danneels L. Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. J Orthop Sports Phys Ther. 2019 Jun;49(6):464-476. doi: 10.2519/jospt.2019.8827.
Hu HT, Gao H, Ma RJ, Zhao XF, Tian HF, Li L. Is dry needling effective for low back pain?: A systematic review and PRISMA-compliant meta-analysis. Medicine (Baltimore). 2018 Jun;97(26):e11225. doi: 10.1097/MD.0000000000011225.
Fakontis C, Iakovidis P, Lytras D, Kasimis K, Koutras G, Ntinou SR, Kottaras A, Chatziprodromidou IP, Chatzikonstantinou P, Apostolou T. Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2023;36(5):1033-1046. doi: 10.3233/BMR-220408.
Valera-Calero JA, Sanchez-Mayoral-Martin A, Varol U. Short-term effectiveness of high- and low-intensity percutaneous electrolysis in patients with patellofemoral pain syndrome: A pilot study. World J Orthop. 2021 Oct 18;12(10):781-790. doi: 10.5312/wjo.v12.i10.781. eCollection 2021 Oct 18.
Other Identifiers
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Dry needling Electrolysis
Identifier Type: -
Identifier Source: org_study_id
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