The effect of radial extracorporeal shock wave therapy addition on routine physiotherapy treatment on the balance& pain & disability of patients with chronic non-specific low back pain caused by gluteal muscle trigger points

Effects of Shockwave Addition on Physiotherapy Treatment on Balance, Pain and Disability in Patients with Chronic Nonspecific Low Back Pain Due to Gluteal Muscle Trigger Point in Intervention and Control Groups

Control grouptwo days of weekly physiotherapy routine treatment for 5 weeks, including a hot water bag for 20 minutes and an Ultrasound with a Frequency of 1 MHz for 5 minutes and TENS 5 Hz for 15 minutes with the shockwave off and the other group receive routine physiotherapy treatment with the shockwave. In addition to routine shock therapy, people in the intervention group also receive shockwave physiotherapy, in which the patient is placed in a prone position and the shockwave applicator is placed directly on the tender area.

After meeting the inclusion and exclusion criteria, the patients are invited to participate in the project voluntarily to the physiotherapy centers of Semnan University of Medical Sciences. Patients with chronic non-specific low back pain caused by trigger point of gluteal muscles. The sharp and radicular pain are evaluated based on the anatomical position of the muscle and the pattern of pain. Patients are randomly divided into intervention and control groups through lottery

Cnclusion VAS 3-7 Questionnaire Exclusion ‏Cauda equina

Control groups through the control group is divided into two groups of physiotherapy treatment for 5 weeks, including a Hot pack for 20 minutes and Ultrasound with a of Frequency 1 MHz for 5 minutes and TENS 5 Hz for 15 minutes with the shockwave off and the other group receive physiotherapy treatment with the shockwave.

The effect of adding shockwave on routine physiotherapy treatment on dynamic balance of patients with chronic nonspecific low back pain in both intervention and control groups

In this study, we use the randomized permutation block method for random assignment. The procedure will be such that two and six blocks with a combination of A (intervention group) and B (control group) will be the criteria for operation.Depending on the different combinations, each of the blocks is assigned a number as follows: Block 1: BBABAA Block 2: BA Block 3: BBAABA Block 4: BABBAA Block 5: AB Block 6: AB Block 7: BA Block 8: AB Block 9: BAAABB Using a table of random numbers, considering the numbers 1 to 9 and deleting the number zero, the blocks are selected respectively and the method of assigning patients to one of the groups A and B is done according to the selected blocks. After preparing a randomization list for each patient, they will have a number in the order of enrollment (from 1 to 34) A sealed envelope is provided with A or B written inside the envelope based on the compiled list. The researcher who does not know the main list, after registering the person entered to study and check the number of the person, opens the relevant envelope and realizes the type of intervention based on the contents of the envelope. In this way, the researcher realizes the type of intervention only after the patient enters the study and determines his eligibility, by opening the envelope, and finally we will have two balanced groups.

The person doing the assessment is different from the person doing the intervention