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Niloofar Roghangar1 
, Hakimeh Adigozali *2 , Zahra Salahzadeh2 , Amin Momenzadeh1 , Amir Masood Arab3 , Mohammad Hosseinifar4
, Hakimeh Adigozali *2 , Zahra Salahzadeh2 , Amin Momenzadeh1 , Amir Masood Arab3 , Mohammad Hosseinifar4
1- Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Physical Therapy Department, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Physical Therapy Department, Faculty of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran.
4- Department of Physiotherapy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
2- Physical Therapy Department, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Physical Therapy Department, Faculty of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran.
4- Department of Physiotherapy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Abstract: (123 Views)
Background: Non-specific chronic low back pain (CLBP) is a prevalent musculoskeletal dysfunction. The development of myofascial trigger points (MTrPs) in the lumbopelvic muscles could exacerbate the symptoms of patients with CLBP and releasing the iliopsoas muscle is often overlooked by clinicians. Dry needling (DN) could be beneficial in releasing the MTrPs. Due to the scarcity of evidence on this issue, this study protocol aims to examine the impact of iliopsoas DN on pain severity and clinical symptoms in patients with CLBP.
Methods: A single blinded randomized controlled trial will be conducted to include 40 patients with CLBP aged 35-60 years who will be assigned into control and intervention groups, with ratio of 1:1. Both groups will receive 10 sessions of conventional physiotherapy, with the intervention group also receiving iliopsoas DN. The primary hypothesis is that the treatment provided to the intervention group will lead to a more significant improvement in pain intensity compared to the control group. The primary outcomes are low back pain intensity and pain intensity of the MTrP in the iliopsoas muscle. Secondary outcome measures will be pain pressure threshold, functional disability, and anxiety and depression scale. Data will be collected at baseline and after the completion of the treatment procedure.
Results and conclusion: To help make better decisions about managing symptoms related to CLBP, this study will evaluate the effects of iliopsoas DN and physiotherapy compared with physiotherapy alone on the symptoms of patients with CLBP. DN could be presented as an adjunct treatment for such patients provided that the deactivation of MTrPs in the iliopsoas muscle using DN would bear beneficial impact.
Methods: A single blinded randomized controlled trial will be conducted to include 40 patients with CLBP aged 35-60 years who will be assigned into control and intervention groups, with ratio of 1:1. Both groups will receive 10 sessions of conventional physiotherapy, with the intervention group also receiving iliopsoas DN. The primary hypothesis is that the treatment provided to the intervention group will lead to a more significant improvement in pain intensity compared to the control group. The primary outcomes are low back pain intensity and pain intensity of the MTrP in the iliopsoas muscle. Secondary outcome measures will be pain pressure threshold, functional disability, and anxiety and depression scale. Data will be collected at baseline and after the completion of the treatment procedure.
Results and conclusion: To help make better decisions about managing symptoms related to CLBP, this study will evaluate the effects of iliopsoas DN and physiotherapy compared with physiotherapy alone on the symptoms of patients with CLBP. DN could be presented as an adjunct treatment for such patients provided that the deactivation of MTrPs in the iliopsoas muscle using DN would bear beneficial impact.
Keywords: Dry Needling, Iliopsoas muscle, Low Back Pain, Physical Therapy Modalities, Trigger Points
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