High-intensity Versus Low-intensity Laser Acupuncture in Chronic, Non-specific Low Back Pain

Cairo University (CU)

Status: Completed

Conditions: Chronic Nonspecific Low-back Pain

Treatments: Device: low-intensity laser acupuncture and Exercise therapy program; Device: Sham laser acupuncture; Device: high-intensity laser acupuncture and Exercise therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT06280846

P.T.REC/012/004878

Details and patient eligibility

About

The purpose of this study is to investigate the efficacy of high-intensity laser acupuncture versus low intensity laser acupuncture on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and function in patients with chronic nonspecific low back pain (CNLBP).

Full description

Chronic nonspecific low back pain is a type of persistent back pain that affects people of all ages and contributes to the global disease burden (CNLBP). The major objective of treatment is to lessen pain and its aftereffects. One noninvasive, targeted light therapy for treating musculoskeletal disorders is low-intensity laser therapy (LLLT). It has analgesic, anti-inflammatory, muscle-relaxant, and tissue-repair properties. Additionally, LILT has been demonstrated to relieve generalized lower back pain. Another light therapy that is painless and noninvasive, high-intensity laser therapy (HILT), stimulates tissue while delivering analgesic, anti-inflammatory, and anti-edematous benefits. It has been demonstrated that acupuncture, a popular complementary therapy, can relieve musculoskeletal pain and increase muscle strength.To date, however, there has been limited investigation into the effects of high- versus low-intensity laser acupuncture on CNLBP. Thus, the current study will be conducted to explore the efficacy of HILT versus LILL on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and functional disability in patients with chronic, nonspecific low back pain.

Enrollment: 60 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 will be referred from an orthopedist with diagnosis of 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 normal BMI ranges between 18.5:24.9 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 3 patient groups

Experimental high-intensity laser acupuncture and an exercise therapy program.

Experimental group

Description:

The patients will receive high-intensity laser acupuncture and an exercise therapy program.three times a week for four weeks.

Treatment:

Device: high-intensity laser acupuncture and Exercise therapy program

Experimental low-intensity laser acupuncture and an exercise therapy program.

Experimental group

Description:

The patients will receive low-intensity laser acupuncture and an exercise therapy program.three times a week for four weeks.

Treatment:

Device: low-intensity laser acupuncture and Exercise therapy program

sham laser acupuncture and an exercise therapy program.

Sham Comparator group

Description:

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

Treatment:

Device: Sham laser acupuncture