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Completed

NCT Number: NCT05279794

Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain

Non-specific low back pain can be caused by the presence of active trigger points in the muscles of the lumbopelvic region. Trigger points are defined as hypersensitive points within a taut band of a musculoskeletal system that cause pain during contraction, stretching, or stimulation of said muscle. If these points are active, they can trigger referred pain, local tenderness, and vegetative responses. There is scientific evidence of the improvement of the treatment of these points through non-invasive manual techniques. The objective of this study will be to determine the effect of Strain Counterstrain and Myofascial Induction techniques in subjects with low back pain secondary to the presence of active trigger points in the lumbopelvic region. Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Strain Counterstrain technique and Myofascial Induction in participants with the presence of an active trigger point in the erector spinae muscle.

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Key information

Conditions

Low Back Pain Back Pain Muscular Diseases Musculoskeletal Diseases Myofascial Pain Syndromes Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Trigger Point Pain, Myofascial

Age range

19 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Universidad Católica de Murcia

Murcia, 30107, Spain

About this study

The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 2 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of low back pain and disability caused by low back pain, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when representing reliable results in differences between techniques.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Presence of low back pain
  • Presence of active trigger point in the erector spinae as described by Lawrence H. Jones

Exclusion criteria

  • Participants who present dizziness, vertigo;
  • Previous or scheduled surgeries in the lumbar spine and/or lower extremities;
  • Suspicion of serious fractures or pathologies (tumor, inflammation, infection, rheumatological disorder, systemic disease, presence of fever);
  • Diagnosis of radiculopathy or neuropathy;
  • Structural deformity in the spine; spondyloarthropathy, disabling pain and physical disability;
  • Use of pain relievers or anti-inflammatory drugs in the last 48 hours;
  • Neurological or psychiatric disorder;
  • Presence or suspicion of pregnancy

Treatment and study plan

Jones Group (Strain Counterstrain)

Other

No pain positioning technique with diaphragmatic breathing

Myofascial Induction Group

Other

Myofascial Induction technique on the lumbar fascia

Placebo Group

Other

No pain positioning of participants

Primary outcomes

  1. Pain intensity

    Time frame: 20 minutes

    Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10

  2. Pression algometer

    Time frame: 20 minutes

    Measures pressure pain thresholds

Secondary outcomes

  1. Spinal test

    Time frame: 20 minutes

    Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination

  2. Countermovement jump test

    Time frame: 20 minutes

    Measured with Baiobit software counter movement jump test wich consist a velocity, height and accuracy evaluation of a vertical jump

Sponsors and collaborators

Lead sponsor

Universidad Católica San Antonio de Murcia

Other

Registry information

Official study title

Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain: A Randomized Clinical Trial

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Mar 15, 2022
Registry last updated
May 20, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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