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

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

Study Description

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.

Study Design

• 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

Arms and Interventions

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

Outcome Measures

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.

Eligibility Criteria

• 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

Contacts and Locations

Locations

Pakistan

Riphah IU

Lahore, Pakistan, 54000

Sponsors and Collaborators

Riphah International University

Investigators

• Principal Investigator: Rabiya Noor, PhD; Riphah International University

More Information

Publications:

Pavkovich R. EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug;10(4):540-51.

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296. Review.

Haake M, Müller HH, Schade-Brittinger C, Basler HD, Schäfer H, Maier C, Endres HG, Trampisch HJ, Molsberger A. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med. 2007 Sep 24;167(17):1892-8. Erratum in: Arch Intern Med. 2007 Oct 22;167(19):2072.

Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004 Jun;36(6):926-34.

• Responsible Party: Riphah International University
• ClinicalTrials.gov Identifier: NCT04719689
• Other Study ID Numbers: REC/Lhr/20/0101 Huma Akhtar
• First Posted: January 22, 2021
• Last Update Posted: August 30, 2021
• Last Verified: August 2021

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• 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:

Myofascial Pain Syndromes; Muscular Diseases; Musculoskeletal Diseases