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IRCT20210221050441N1 IRCT 2022-08-30 Esfahan University of Medical Sciences Comparison of the effect of conventional physiotherapy and conventional physiotherapy with lumbar multifidus dry needling on pain, disability and pressure pain threshold in patients with chronic non specific low back pain Comparison of the effect of conventional physiotherapy and conventional physiotherapy with lumbar multifidus dry needling on pain, disability and pressure pain threshold in patients with chronic non specific low back pain 2022-08-23 anticipated 40 Complete https://irct.ir/trial/64414 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: It is done by randomization secretary and permuted-block method with blocks of volume 4 . In this method, there are ten blocks of 4 in the form of a list, each block has 4 numbers that are randomly designed by the statistical analyzer. In each block, 2 smaller numbers are allocated to the conventional physiotherapy group and 2 larger numbers are assigned to the conventional physiotherapy group with dry needling. When referring to these groups, the samples are randomly placed from the first to the last list and two people in the intervention group and two people in the control group in each block, Blinding description: To blind the statistician, he analyzes the results without knowing the groups. To blinding patients, patient placed in the prone position and shows the patient the real needle, but when the needle is inserted, a false needle (through the tooth) is struck on the skin and after that the patient does not see the false needle. N/A chronic non specific low back pain. Intervention 1: Control group: 20 people are included in this group and 8 conventional physiotherapy sessions include: 20 minutes TENS, 4 minutes US and 15 minutes Hot pack, in addition conventional exercises including knee to chest , raising the trunk in prone position,heel slide in supine position , bridging and bicycle training. Each exercise will be repeated 10 times and each repetition will be done for 10 seconds. Intervention 2: Intervention group: 20 people are included in this group and 8 conventional physiotherapy sessions in addition dry needling of the multifidus muscle includes: 20 minutes of TENS, 4 minutes of US and 15 minutes of Hot pack, in addition conventional exercises including knee to chest , raising the trunk in prone position,heel slide in supine position , bridging and bicycle training, as well as three sessions of dry needling in the second, fourth, sixth session and inserting and removing the needle into the muscle for 10 seconds. Each exercise will be repeated 10 times and each repetition will be done for 10 seconds. Yes - There is a plan to make this available What will be shared: The personal information of the persons and the results of the treatment and their relationship cannot be shared with each other, only the analyzed information without mentioning the names of the persons is accessible to other researchers. When: Since the publication of the results To whom: Researchers and other physiotherapists Conditions: In order to access for the design of other studies by researchers and to increase the quality of treatment by colleagues and other physiotherapists Where to obtain: Author How to obtain: If the request is registered in the email, it will be answered as soon as possible Comments:
public Mojtaba Heshmatipour
Faculty of Rehabilitation Sciences , Isfahan University of Medical Sciences , Hazar Jarib Street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 5024 heshmatipour@rehab.mui.ac.ir Esfahan University of Medical Sciences scientific Mojtaba Heshmatipour
Faculty of Rehabilitation Sciences , Isfahan University of Medical Sciences , Hazar Jarib Street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3792 5024 heshmatipour@rehab.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Back pain between the 12th rib and the buttock area Age between 18 and 50 years active trigger point in the lumbar multifidus muscle At least three months of low back pain BMI<40 kg/m2 18 years 50 years Both Rheumatic and systemic diseases Contraindications of dry needling such as: trauma, taking anticoagulants, infections, immune and heart diseases fibromyalgia syndrome and neurological problems Pregnancy, mental disorders, previous lumbar surgery Uncontrolled endocrine disorders M54.5 Low back pain Rehabilitation Rehabilitation Control group: 20 people are included in this group and 8 conventional physiotherapy sessions include: 20 minutes TENS, 4 minutes US and 15 minutes Hot pack, in addition conventional exercises including knee to chest , raising the trunk in prone position,heel slide in supine position , bridging and bicycle training. Each exercise will be repeated 10 times and each repetition will be done for 10 seconds. Intervention group: 20 people are included in this group and 8 conventional physiotherapy sessions in addition dry needling of the multifidus muscle includes: 20 minutes of TENS, 4 minutes of US and 15 minutes of Hot pack, in addition conventional exercises including knee to chest , raising the trunk in prone position,heel slide in supine position , bridging and bicycle training, as well as three sessions of dry needling in the second, fourth, sixth session and inserting and removing the needle into the muscle for 10 seconds. Each exercise will be repeated 10 times and each repetition will be done for 10 seconds. Pain. Timepoint: Before, after and one month after treatment. Method of measurement: Visual Analogue Scale. Pressure pain Threshold. Timepoint: Before, after and one month after treatment. Method of measurement: Algometer. Disability. Timepoint: Before, after and one month after treatment. Method of measurement: oswestry disability index. Esfahan University of Medical Sciences Approved 2022-08-06 Ethics committee of Isfahan university of medical science Isfahan University of Medical Sciences , Hezar Jerib street Isfahan Isfehan Iran (Islamic Republic of)