About this trial
The goal of this observational study is to investigate the efficacy of percutaneous electrolysis compared with dry needling on pain sensations and multifidus muscle properties in subjects with low back pain. The main questions it aims to answer are:
The high-intensity and low-intensity percutaneous electrolysis may induce pressure pain threshold (PPT) changes in myofascial trigger points in the low back during the intervention compared with dry needling.
Percutaneous electrolysis interventions may reduce stiffness in the multifidus muscle during the intervention compared with dry needling.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
to report low back pain of at least six months duration,
aged 35 to 50 years,
at least one active trigger point is present in the multifidus muscle.
Disqualifiers
pharmacological (e.g., analgesics) or physiotherapy treatment before or during their participation in the study,
needle fear,
prior lower extremity or spine surgery, absence of pain, any musculoskeletal or neuropathic conditions (e.g., peripheral compressive neuropathy, radiculopathy, sarcopenia, fibromyalgia, muscle ruptures), traumatic injuries (e.g., fractures or fissures), or any medical condition or contraindication for needling treatment (e.g., anticoagulants).
Trial design
Parallel
Treatments tested in this trial
Electrolysis Percutaneous Therapeutic (EPTE)
DeviceEPTE device (Ionclinics, Valencia, Spain)
Dry Needling
Other interventionA dry needle with size 0.30 × 40 (Agupunt, Barcelona, Spain)
Treatment groups
Trial outcomes
Primary outcomes
Pain changes in pain intensity before and after the intervention
A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patient's current level of shoulder pain, and the worst and lowest level of pain experienced in the preceding week in the shoulder area.
Secondary outcomes
Pressure Pain Threshold
Somedic Algometer type 2 was used to measure PPT. The diameter of the contact tip was 10 mm and covered with 2 mm thick rubber. The pressure on point and its rate was standardized (30 kPa s-1 ). The value of the pain threshold equals the value of the pressure at which the examined person reported that the pressure exerted on a certain point causes pain.
Muscle stiffness
An ultrasound machine with shear-wave elastography Canon Aplio A device, using a linear transducer PLT-1005-BT (Canon Medical Corp, 1385 Shimoishigami, Otawara, Tochigi 324-8550, Japan). The console settings will also be standard for all the acquisitions (Frequency=11 MHz, Gain=78 dB, Dynamic Range=75, and Depth=4.5 cm).
Sponsors and contacts
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Wroclaw University of Health and Sport Sciences
Lead sponsor
Universidad Complutense de Madrid
Collaborator
Universidad Rey Juan Carlos
Collaborator
This trial is not recruiting at the moment. You can still explore other options: