Trigger Point Incidence After Lumbar Disc Herniation Surgery

Istanbul University - Cerrahpasa110 enrolled

Overview

Our purpose is to determine the incidence of trigger points in patients who remain in a fixed position for a long time during lumbar disc herniation surgery.

The 110 participants between 30-70 years are chosen from patients who had lumbar disc herniation surgery. The trigger points are determined by manually palpating quadratus lumborum, iliocostalis lumborum, gluteus Maximus, gluteus minimus, gluteus medius, ve piriformis muscles before and after surgery. Data will be recorded on the patient assessment file and transferred to the computer and analyzed. Data analysis will be performed with SPSS.20.

Study Type

OBSERVATIONAL

Enrollment

110

Conditions

Trigger Point Pain, Myofascial

Interventions

Manual palpation for incidence determinationDIAGNOSTIC_TEST

The patients are positioned in a sitting and prone lying posture. Trigger points are discrete, local, hypersensitive spots located in a taut band of muscles. Palpation of the trigger point will cause elicitation pain over the affected area and radiation of pain toward a zone of reference and a local twitch response.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * To be between 30-70 years * To have low back pain during minimum 6 weeks * To be voluntary participation for this study * To approve the informed consent form * To have the trigger point causing low back pain on muscles including quadratus lumborum, iliocostalis lumborum, gluteus maximus, gluteus minimus, gluteus medius, ve piriformis muscles. Exclusion Criteria: * To be diagnosed with spinal stenosis or spondylolisthesis * To have any skin problem affecting lower extremity evaluation * To have tumor on spinal region * To have rheumatological or any systemic problem that may interfere with trigger point diagnose

Locations (1)

Istanbul University-Cerrahpasa

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Manual Palpation

The patients are positioned in a sitting and prone lying posture.Trigger points are discrete, local, hypersensitive spots located in a taut band of muscles. Palpation of the trigger point will cause elicitation pain over the affected area and radiation of pain toward a zone of reference and a local twitch response.

Time frame: Change from baseline (preoperative state) to postoperative first and third day

Visual Analog Scale

Pain will be assessed with Visual Analog Scale (VAS).The VAS is usually a horizontal line, 10 cm in length, anchored by word descriptors at each end with "No Pain" (score of zero) on the left side up to "pain as bad as it could be" or the "worst imaginable pain" (Score of 100 \[100-mm scale\]) on the right side.The patient was asked to mark the line point that represented his or her current pain.

Time frame: Change from baseline (preoperative state) to postoperative first and third day

Data from ClinicalTrials.gov

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