Dry needling and exercise program in the treatment of patients with low back pain.

• Register: ANZCTR
• Last refreshed on: 15 July 2019
• Main ID: ACTRN12617000074392
• Date of registration: 13/01/2017
• Prospective Registration: Yes
• Primary sponsor: Daniel Pecos Martin
• Public title: Dry needling and exercise program in the treatment of patients with low back pain.
• Scientific title: Effectiveness of dry needling and a specific exercise program in gluteus medius as treatment of patients with nonspecific mechanical low back pain.
• Date of first enrolment: 25/05/2017
• Target sample size: 36
• Recruitment status: Completed
• URL: https://anzctr.org.au/ACTRN12617000074392.aspx
• Study type: Interventional
• Study design: Purpose: Treatment; Allocation: Randomised controlled trial; Masking: Blinded (masking used);Assignment: Parallel;

Countries of recruitment

Spain

Contacts

• Name: Mr Jose Enrique Mendez Mera

• Name: Mr Jose Enrique Mendez Mera

Key inclusion & exclusion criteria

Inclusion criteria: - Nonspecific low back mechanical pain
- Adults between 18 and 65 years old.
- Presence of nonspecific low back mechanical pain in the last year

Exclusion criteria: - Patients who underwent surgery in the lumbopelvic or hip región
- Patients who are following a physiotherapist treatment to solve their low back pain.
- Diabetic patients
- Pregnant patients
- Anticoagulated patients
- Patients with belenofobia


Age minimum: 18 Years
Age maximum: 65 Years
Gender: Both males and females

Health Condition(s) or Problem(s) studied

Musculoskeletal - Other muscular and skeletal disorders

Nonspecific mechanical low back pain;
Nonspecific mechanical low back pain

Physical Medicine / Rehabilitation - Physiotherapy

Intervention(s)

In the first session, in addition of all we´ve explained, the physiotherapy group will valorate the patients according to their kind of low back pattern. In next lines, we will explain the main characteristics of each kind of patron:

- Flexion:
-Pain during flexion-rotation activities, sedestation (like driving), and in semiflexion and complete flexion activities.
-In standing position: loss of low lumbar lordosis, muscular tone of high lumbar back and low dorsal back raised, "flatted ass", high lumbar lordosis, central surcus and prominence of spinal erectors and hip in extenction and external rotation.
-Flexion-relajation phenomenon: patients flex their back and then the erector relaxes
-Sedestation with no pain except when patients make brusquely rotation.
-During prolonged sedestation there is an increase in flexion of low back and pelvis retroversion
-During low back flexion, patients use just 1/2 of the movement of the hip and appearance of great low back kyphosis. They don´t reach the floor with their fingers.

-Active extenction
-Central pain due to prolonged low back extenction and positions of extenction and rotation
-Pain get worst with different activities: running, jumping, swimming and activities that require upper limbs above head
-In standing position: pelvis posterior to thorax, great low lumbar lordosis with central surcus, very curved ass, muscular tone of low back raised, pelvis anteversion (posterosuperior iliac spine above anterosuperior iliac spine) and loss of high lumbar lordosis
-Psoas and spinal erector very active
-Low protruding abdomen
-Hip flexors developed (anterior quadriceps rectum, iliac, tensor fasciae latae…) which generates anterior convexity in the thigh.
-Presence of dimples on sacrum skin
-Inability to maintain semiflexion posture (patients support this by putting their hands on their knees)

-Pasive

Primary Outcome(s)

nonspecific low back mechanical pain, measured with 100 mm visual analogue scale.[It will be assessed before and after the dry needling procedure in the first session of the intervention, and 1 month, 3 months after the first session of intervention. ]

Secondary Outcome(s)

disability caused by nonspecific low back mechanical pain, measured with the Roland Morris Questionnaire.[It will be assessed before and after the dry needling procedure in the first session of the intervention, and 1 month, 3 months after the first session of intervention.]

Secondary ID(s)

None

Source(s) of Monetary Support

Universidad de Alcala

Ethics review

Status: Approved
Approval date:
Contact:

Comite de etica de la investigacion y de experimentacion animal de la Universidad de Alcala