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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Jones Group (Strain Counterstrain) | Experimental | Jones Group consist in 90 seconds in a ralease positioning of no pain in muscle acortation |
|
| Myofascial Induction Group | Active Comparator | Myofascial Induction Group consist in 15 minutes of superficial and deep lumbar fascia maneuvers |
|
| Placebo Group | Placebo Comparator | Placebo Group only have to mantain no pain positioning for 3 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Jones Group (Strain Counterstrain) | Other | No pain positioning technique with diaphragmatic breathing |
|
| 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 |
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad Católica de Murcia | Murcia | 30107 | Spain |
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| Myofascial Induction Group | Other | Myofascial Induction technique on the lumbar fascia |
|
| Placebo Group | Other | No pain positioning of participants |
|
Measured with Baiobit software counter movement jump test wich consist a velocity, height and accuracy evaluation of a vertical jump
| 20 minutes |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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