About this trial
Low back pain is a major health problem that affects psychosocial, economical, functional and physical aspects of the patients' life. The aim of this study will be to investigate the effectiveness of dry needling on pain, functional disability, postural control and pain pressure threshold in patients with chronic nonspecific low back pain using a randomized controlled trial design.
Patients with chronic nonspecific low back pain will be randomly divided into two groups: Experimental group (dry needling and routine physical therapy) and control group (sham dry needling and routine physical therapy). Primary outcomes will be pain intensity and functional disability. Postural control and pain pressure threshold will be considered as secondary outcomes.
Eligibility criteria
Qualifiers
Patients age between 18 to 45 years.
Moderate pain at rest (between 30 and 60 in NPRS).
Patients with trigger points in the lumbar multifidus muscle.
Patients have the ability to speak and read Persian.
Disqualifiers
Currently taking anticoagulant medications
Specific low back pain (Neurogenic low back pain, Spinal stenosis, cauda equina syndrome, spondylolisthesis, and Presence of any signs or symptoms of non-musculoskeletal pathology e.g. cancer, infection and fracture in low back and lower extremities based on paraclinical findings)
Prior surgery to the lumbosacral spine
Inability to obtain prone lying
Trial design
Treatments tested in this trial
- dry needling
- sham (placebo) dry needling