Efficacy of Manual Therapy Techniques and Electrotherapy Modalities in Individuals With Non-specific Low Back Pain

Medipol Health Group

Status: Completed

Conditions: Back Pain

Treatments: Other: Manual therapy techniques; Other: Electrophysical agents

Study type: Interventional

Funder types: Other

Identifiers

NCT05562648

back pain

Details and patient eligibility

About

Low back pain is the fifth most common reason for doctor visits, affecting about 60-80% of people in their lifetime. Despite this, there are not enough diagnostic and treatment methods in the literature to fully elucidate non-specific low back pain. In this case, the research showed that non-specific low back pain should be handled with a biopsychosocial approach, and its relationship with fascia and myofascial meridians should be investigated.

Full description

According holistic that approach patients with non-specific low back pain. Instead of examining the problem of low back pain in the society only in the form of muscles, joints, ligaments, etc.; should evaluate low back pain over the fascia. It is seen that most studies in the literature only examine the painful area and tissue problems in its immediate vicinity, and therefore they approach low back pain with symptomatic treatment. In recent studies, however, the main problem is not limited to the painful area only; It has been determined that the tissue response caused by the problems in different parts of the body is transmitted to more distant regions via the fascia and myofascial meridians.

Enrollment: 50 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being between the ages of 18-60
• Volunteering to work
• The person has a complaint of low back pain for more than 3 months
• Diagnosis of chronic low back pain by the doctor
• Being able to read and write and be cooperative.
• Not having received treatment for the lumbar region in the last 3 months
• having an MRI in the last 6 months.

Exclusion criteria

• Not having any lumbar surgery or vertebral fracture
• Having neurological, radiculopathy, inflammatory, etc. disease
• Having spinal deformities such as scoliosis, kyphosis
• Having a vestibular or respiratory disorder
• Having auditory or cognitive impairment
• Medication that will affect the balance (sedatives, etc.)
• Patients with lower extremity amputation
• Those who want to quit working during the study period, those who do not attend regularly.
• Conditions such as cancer, infection, etc. in the spinal region

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Manual therapy techniques

Experimental group

Description:

Myofascial release is a soft tissue method that provides removal of adhesions and tissue tension in tissues due to overload and repetitive use. These adhesions and unbalanced tissue tensions in the tissues can cause muscle weakness, numbness, pain, tingling and burning sensation. The soft tissue is palpated by the physiotherapist and pressure is applied directly to the skin until the tissue barrier is felt in the direction of restriction. Once the tissue barrier is present, it is applied for 90-120 seconds, without slipping on the skin or forcing the tissue, until the fascia complex begins to loosen and a softening sensation is achieved.

Treatment:

Other: Manual therapy techniques

Electrophysical agents

Active Comparator group

Description:

Evidence levels for approaches commonly used in the clinic for the treatment of chronic low back pain were generally very low to moderate. TENS (Transcutaneous Electrical Nerve Stimulation) is the most preferred application in the treatment of chronic pain in patients who receive conventional treatment in the clinic. TENS is a physiotherapy modality used to inhibit pain by stimulating the sensory nerves by applying a low frequency electrical current.

Treatment:

Other: Electrophysical agents