High-intensity Versus Low-intensity Laser Acupuncture in Chronic, Non-specific Low Back Pain

Cairo University60 enrolled

Overview

The purpose of this study is to investigate the efficacy of high-intensity laser acupuncture versus low intensity laser acupuncture on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and function in patients with chronic nonspecific low back pain (CNLBP).

Chronic nonspecific low back pain is a type of persistent back pain that affects people of all ages and contributes to the global disease burden (CNLBP). The major objective of treatment is to lessen pain and its aftereffects. One noninvasive, targeted light therapy for treating musculoskeletal disorders is low-intensity laser therapy (LLLT). It has analgesic, anti-inflammatory, muscle-relaxant, and tissue-repair properties. Additionally, LILT has been demonstrated to relieve generalized lower back pain. Another light therapy that is painless and noninvasive, high-intensity laser therapy (HILT), stimulates tissue while delivering analgesic, anti-inflammatory, and anti-edematous benefits. It has been demonstrated that acupuncture, a popular complementary therapy, can relieve musculoskeletal pain and increase muscle strength.To date, however, there has been limited investigation into the effects of high- versus low-intensity laser acupuncture on CNLBP. Thus, the current study will be conducted to explore the efficacy of HILT versus LILL on peak torque of trunk extensors, fatigue of trunk extensors, back pain, ROM and functional disability in patients with chronic, nonspecific low back pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Chronic Nonspecific Low-back Pain

Interventions

high-intensity laser acupuncture and Exercise therapy programDEVICE

The patients will receive high-intensity lasers and the treatment will be performed at 15 acupuncture points: unilateral GV3, GV4, and GV5, and bilateral BL 20, BL23, BL24, BL25, BL40 and GB30. Exercise therapy program: The patients will perform an exercise therapy program in the form of: \- strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises

low-intensity laser acupuncture and Exercise therapy programDEVICE

The patients will receive low-intensity lasers and the treatment will be performed at 15 acupuncture points: unilateral GV3, GV4, and GV5, and bilateral BL 20, BL23, BL24, BL25, BL40 and GB30. Exercise therapy program: The patients will perform an exercise therapy program in the form of: \- strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. The patients had CNSLBP with age from 20 to 40 years from both genders. 2. Patients will be referred from an orthopedist with diagnosis of chronic low back pain without underlying pathological causes. 3. The patients with chronic nonspecific low back pain more than 3months. Minimum pain intensity of 30 mm on the visual analogue scale (VAS) for pain, which ranges from 0 to 100 mm. 4. Patients with normal BMI ranges between 18.5:24.9 kg/m2. 5. The study populations must be willing to participate in the study Exclusion Criteria: 1. Neurological, infectious diseases and systemic illness such as rheumatologic diseases,systemic lupus erythematosus, diabetes mellitus type I or II. 2. Psychiatric/mental deficit. 3. Patients who had a previous surgical history (within 6 months) will also excluded. 4. participation in other treatment within the previous 3 month. 5. Pregnancy. 6. History of spinal fracture, tumor, osteoporosis

Locations (1)

Doaa Ayoub Elimy

Giza, Egypt

Outcomes

Primary Outcomes

peak torque

Isokinetic dynamometer will be used for measuring peak torque of back extensors.

Time frame: up to four weeks

peak torque

Isokinetic dynamometer will be used for measuring peak torque of back extensors.

Time frame: follow up after 1 month

Fatigue

Isokinetic dynamometer will be used for measuring fatigue of back extensors.

Time frame: up to four weeks

Fatigue

Isokinetic dynamometer will be used for measuring fatigue of back extensors.

Time frame: follow up after 1 month

Secondary Outcomes

Pain Intensity

Visual Analogue Scale (VAS) will be used by the patient to mark his/her level of pain between 0 to100 milliliters line. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible'.

Time frame: up to four weeks

Pain Intensity

Time frame: follow up after 1 month

lumbar flexion ROM assessment

Modified Schober test will be used to assess ROM of lumbar flexion.

Time frame: up to four weeks

lumbar flexion ROM assessment

Data from ClinicalTrials.gov

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