Immediate Effect of Dry Needling of the Lumbar Multifidus on Pain Sensitivity In A Healthy Population

University of Florida

Status: Completed

Conditions: Low Back Pain

Treatments: Other: Trigger point dry needling; Other: Sham dry needling

Study type: Interventional

Funder types: Other

Identifiers

NCT05845697

IRB202202632

Details and patient eligibility

About

The goal of this interventional study is to test the effects of trigger point dry needling to the low back in a healthy population. The main aims are to answer:

• Is there a change in sensitivity to experimental pain after trigger point dry needling
• To determine if there is an association between demographic and psychological factors and immediate changes in pain sensitivity after receiving trigger point dry needling.

Participants will be randomly assigned to one of two groups a dry needling group or a sham dry needling group. The dry needling group will receive trigger point dry needling to the lumbar spine. The sham dry needling group will receive needling to the lumbar spine with a sham needle which does not penetrate the skin.

In other words, researchers will compare an intervention group and a sham group to see if dry needling has an immediate change in pain sensitivity in response to experimentally induced pain.

Full description

The intent of this study is to investigate the effects of trigger point dry needling on pain sensitivity in a healthy population. In this study, the effects of trigger point dry needling will be measured using quantitative sensory testing. This is a method of testing pain sensitivity by providing a painful stimulus and having the participant rate their response to the stimulus on a pain scale. In this way, the researchers will be able to determine changes to participant's response to painful stimuli and changes to the nervous system after trigger point dry needling interventions to the low back. This information will provide important insight as to how dry needling modulates pain.

Enrollment: 34 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Ages 18 - 65
• Be pain-free

Exclusion criteria

• Participants will not be excluded on the basis of race or gender but will be excluded if they meet any of the following exclusion criteria:
• a) Non-English speaker
• b) presence of a medical condition known to affect sensation
• c) history of surgery to the low back
• d) history of blood clotting disorders or medical conditions associated with bleeding disorders
• e) Current use of the medication causing difficulty with clotting (such as blood thinners)
• f) Contraindication to the application of needles including, but not limited to, fear of needles or metal allergy --g) women who are pregnant or planning on becoming pregnant any contraindication to application of ice or cold pack, such as: uncontrolled hypertension, cold urticaria, cryoglobulinemia, paroxysmal cold hemoglobinuria, and circulatory compromise.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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34 participants in 2 patient groups

Actual dry needling group

Experimental group

Description:

Will receive actual dry needling of the lumbar multifidus with a 50-60mm filiform needle

Treatment:

Other: Trigger point dry needling

Sham dry needling group

Sham Comparator group

Description:

Will receive needling from a sham needle that is blunted so it does not pierce the skin but has been shown to be valid for being indistinguishable from receiving an actual needle.

Treatment:

Other: Sham dry needling