Effect of High-power Laser Acupuncture on Fatigue and Proprioception in Low Back Pain

Cairo University (CU)

Status: Not yet enrolling

Conditions: Chronic Nonspecific Low-back Pain

Treatments: Device: high-power laser acupuncture and the exercise program; Device: sham laser acupuncture and the exercises program

Study type: Interventional

Funder types: Other

Identifiers

NCT07196709

P.T.REC/012/005223

Details and patient eligibility

About

To investigate the effect of high-intensity laser acupuncture on fatigue, proprioception, back pain and Pain self-efficacy in patients with chronic nonspecific low back pain (CNLBP).

Full description

Chronic non-specific low back pain (CNSLBP) is a persistent back pain that affects people of all ages and significantly impacts individuals' functional activities. Fatigue and impaired proprioception are common complaints associated with CNSLBP, contributing to diminished physical performance and exacerbation of symptoms. While various treatment modalities exist, there is ongoing interest in exploring novel approaches to manage this condition effectively.Laser photobiomodulation (PBM) therapy is a noninvasive that stimulates cells, pain receptors, and the immune system and can cause analgesic effects. Recently, high-power lasers have been used for managing musculoskeletal dysfunction that allows for more energy deposition in deep tissues, resulting in both biological and thermal effects. High-power laser acupuncture (HPLA) has emerged as a promising intervention that combines the therapeutic effects of high-power laser therapy and the principles of acupuncture point stimulation on the body (acupoints) to induce physiological effect. However, there is limited evidence supporting this combined approach. For that, this study aims to investigate the effect of HPLA on fatigue, proprioception back pain and Pain self-efficacy in patients with CNSLBP. With this current randomized controlled trial, we seek to provide evidence-based insights into the potential effects of this combined approach on measurements of fatigue, proprioception, back pain and Pain self-efficacy.

Enrollment: 60 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1. The patients had CNSLBP with age from 20 to 40 years from both genders.

  2. Patients diagnosis with chronic low back pain without underlying pathological causes.

  3. The patients with chronic nonspecific low back pain more than 3months. Minimum pain intensity of 30 mm on the visual analogue scale (VAS) for pain, which ranges from 0 to 100 mm.

  4. Patients with BMI ranges between 18.5:29.9 kg/m2.

  5. The study populations must be willing to participate in the study

Exclusion criteria

1. Neurological, infectious diseases and systemic illness such as rheumatologic diseases,systemic lupus erythematosus, diabetes mellitus type I or II.
2. Psychiatric/mental deficit.
3. Patients who had a previous surgical history (within 6 months) will also excluded
4. participation in other treatment within the previous 3 month.
5. Pregnancy.
6. History of spinal fracture, tumor, osteoporosis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

high-power laser acupuncture and the exercise program

Experimental group

Description:

The patients will receive high-power laser acupuncture and the exercise program three times a week for 4 weeks.

Treatment:

Device: high-power laser acupuncture and the exercise program

sham laser acupuncture and exercises program

Sham Comparator group

Description:

The patients will receive sham acupuncture laser and the exercise program three times a week for four weeks.

Treatment:

Device: sham laser acupuncture and the exercises program