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Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis

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ClinicalTrials.gov Identifier: NCT04719689
Recruitment Status : Completed
First Posted : January 22, 2021
Last Update Posted : August 30, 2021
Sponsor:
Information provided by (Responsible Party):
Riphah International University

Brief Summary:
This project was a Randomized clinical trial conducted to Compare the effects of dry needling and dry cupping in Positional fault of pelvis due to Myofascial trigger points in Quadratus Lumborum so that we can have best treatment option for patients with myofascial trigger points.

Condition or disease Intervention/treatment Phase
Myofascial Trigger Point Pain Quadratus Lumborum Syndrome Positional Fault of Pelvis Myofascial Trigger Point in Quadratus Lumborum Other: Dry needling Other: Dry cupping Not Applicable

Detailed Description:
Non Probability Convenient sampling was done. Patients following eligibility criteria from Physiotherapy department of Islam Central hospital, Sialkot were considered. Sample size was calculated with Epitool calculator. 26 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Dry needling technique and Group B was given Dry Cupping along with conventional physiotherapy treatment (hot pack and stretching). Duration of research was almost 6 months. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 26 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis Due to Myofascial Trigger Points in Quadratus Lumborum
Actual Study Start Date : October 15, 2019
Actual Primary Completion Date : July 1, 2021
Actual Study Completion Date : July 1, 2021

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Dry needling
Dry needling, hot pack, stretching exercises.
Other: Dry needling
Experimental group 1 got this intervention containing Dry needling for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus lumborum

Experimental: Dry Cupping
Dry cupping, hot pack, stretching exercises.
Other: Dry cupping
Experimental group 2 got this intervention containing Dry cupping for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum




Primary Outcome Measures :
  1. Change in Pain by 'Pressure Pain Algometer' [ Time Frame: Baseline, 6th session(at 3rd week), follow up session after 1 month ]
    Change in Pain from baseline was checked at 6th session by Pressure Pain Algometer. A follow up reading was also taken after 1 month for checking prolonged post treatment effects.

  2. Change in Range of Motion of lumbar spine side flexion by 'Goniometer' [ Time Frame: Baseline, 6th session(at 3rd week), follow up session after 1 month ]
    Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. A goniometer is a device that measures an angle or permits rotation of an object to a definite position


Secondary Outcome Measures :
  1. Change in pain by 'Numeric Pain Rating Scale' [ Time Frame: Baseline, 6th session(at 3rd week), follow up session after 1 month ]
    Change in pain from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by a patient himself, under the supervision of researcher.

  2. Change in Range of Motion of lumbar side flexion by Measuring tape [ Time Frame: Baseline, 6th session(at 3rd week), follow up session after 1 month ]
    Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The method for using a tape measure to examine lateral flexion of the spine has been introduced in the literature.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • On palpation the presence of at least 1 active trigger point in quadratus lumborum. So the patient presents with low back pain.
  • Patients presents with positional fault of pelvis (lateral tilt)(4).
  • Patients having chronic Low Back Pain for at least more than 6 months(3).
  • Patients agree to get treatment sessions for the research work.

Exclusion Criteria:

  • Participants should not have taken any medications like analgesics, anti-coagulants, Non-steroidal anti-inflammatory drugs or muscle relaxants during this study or even 3 days before this study.
  • Participants should not have received any other treatment for the pain management, because it will affect the results of the study.
  • Patients with bleeding disorders, local or systemic infection, acute muscle trauma.
  • Patients with comorbid conditions.
  • Patients with severe physical disability and true leg length discrepancy(1).
  • Pregnant females

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04719689


Locations
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Pakistan
Riphah IU
Lahore, Pakistan, 54000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Rabiya Noor, PhD Riphah International University
Publications:
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Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT04719689    
Other Study ID Numbers: REC/Lhr/20/0101 Huma Akhtar
First Posted: January 22, 2021    Key Record Dates
Last Update Posted: August 30, 2021
Last Verified: August 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Riphah International University:
Dry needling
Dry cupping
Quadratus lumborum
Additional relevant MeSH terms:
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Myofascial Pain Syndromes
Muscular Diseases
Musculoskeletal Diseases