Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain

Efficacy of Two Types of Non-invasive Erector Spinae Muscle Taut Band Therapy in University Students With Low Back Pain: A Randomized Clinical Trial

Non-specific low back pain can be caused by the presence of active trigger points in the muscles of the lumbopelvic region. Trigger points are defined as hypersensitive points within a taut band of a musculoskeletal system that cause pain during contraction, stretching, or stimulation of said muscle. If these points are active, they can trigger referred pain, local tenderness, and vegetative responses. There is scientific evidence of the improvement of the treatment of these points through non-invasive manual techniques. The objective of this study will be to determine the effect of Strain Counterstrain and Myofascial Induction techniques in subjects with low back pain secondary to the presence of active trigger points in the lumbopelvic region. Hyperexcitable myofascial trigger points located within a taut band of skeletal muscle or fascia cause referred pain, local tenderness, and autonomic changes. The scientific data refer to an immediate improvement in the symptoms of these active points treated with manual therapy. Based on these factors, the objective of the study is to determine the effect of the combined therapy of the Strain Counterstrain technique and Myofascial Induction in participants with the presence of an active trigger point in the erector spinae muscle.

Study Overview

• Status: Completed
• Conditions: Low Back Pain; Trigger Point Pain, Myofascial
• Intervention / Treatment: Other: Jones Group (Strain Counterstrain); Other: Myofascial Induction Group; Other: Placebo Group

Detailed Description

The treatment will last a total of 15 minutes accompanied by a baseline assessment and after 10 minutes of the intervention in 2 experimental groups and a placebo group, of no-pain positioning. In addition to basic indices and scales of low back pain and disability caused by low back pain, it is intended to measure flexibility, range of motion, proprioception and cognition through software with sensors of the latest technology when representing reliable results in differences between techniques.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Murcia, Spain, 30107
    • Universidad Católica de Murcia

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Presence of low back pain
• Presence of active trigger point in the erector spinae as described by Lawrence H. Jones

Exclusion Criteria:

• Participants who present dizziness, vertigo;
• Previous or scheduled surgeries in the lumbar spine and/or lower extremities;
• Suspicion of serious fractures or pathologies (tumor, inflammation, infection, rheumatological disorder, systemic disease, presence of fever);
• Diagnosis of radiculopathy or neuropathy;
• Structural deformity in the spine; spondyloarthropathy, disabling pain and physical disability;
• Use of pain relievers or anti-inflammatory drugs in the last 48 hours;
• Neurological or psychiatric disorder;
• Presence or suspicion of pregnancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Jones Group (Strain Counterstrain); Jones Group consist in 90 seconds in a ralease positioning of no pain in muscle acortation	Other: Jones Group (Strain Counterstrain); No pain positioning technique with diaphragmatic breathing
Active Comparator: Myofascial Induction Group; Myofascial Induction Group consist in 15 minutes of superficial and deep lumbar fascia maneuvers	Other: Myofascial Induction Group; Myofascial Induction technique on the lumbar fascia
Placebo Comparator: Placebo Group; Placebo Group only have to mantain no pain positioning for 3 minutes	Other: Placebo Group; No pain positioning of participants

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	Measured with Numeric Rating Scale wich consist in measure pain intensity with a score of 0-10	20 minutes
Pression algometer	Measures pressure pain thresholds	20 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Spinal test	Measured with Baiobit Software. The range of movement will be measured in grades as per: flexion/extension; right/left rotation; and right/left inclination	20 minutes
Countermovement jump test	Measured with Baiobit software counter movement jump test wich consist a velocity, height and accuracy evaluation of a vertical jump	20 minutes

Collaborators and Investigators

• Sponsor: Universidad Católica San Antonio de Murcia

Study record dates

Study Major Dates

• Study Start (Actual): March 21, 2022
• Primary Completion (Actual): March 23, 2022
• Study Completion (Actual): May 19, 2022

Study Registration Dates

• First Submitted: February 7, 2022
• First Submitted That Met QC Criteria: March 14, 2022
• First Posted (Actual): March 15, 2022

Study Record Updates

• Last Update Posted (Actual): May 20, 2022
• Last Update Submitted That Met QC Criteria: May 19, 2022
• Last Verified: May 1, 2022

More Information

Terms related to this study

• Keywords: Rehabilitation; Treatment; Physiotherapy; Active Trigger Point
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Musculoskeletal Diseases; Muscular Diseases; Back Pain; Low Back Pain; Myofascial Pain Syndromes
• Other Study ID Numbers: CE012207

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No