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| Name | Class |
|---|---|
| King Khalid University | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental high-intensity laser acupuncture and an exercise therapy program. | Experimental | The patients will receive high-intensity laser acupuncture and an exercise therapy program.three times a week for four weeks. |
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| Experimental low-intensity laser acupuncture and an exercise therapy program. | Experimental | The patients will receive low-intensity laser acupuncture and an exercise therapy program.three times a week for four weeks. |
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| sham laser acupuncture and an exercise therapy program. | Sham Comparator | The patients will receive a sham laser acupuncture and an exercise therapy program three times a week for four weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| high-intensity laser acupuncture and Exercise therapy program | Device | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| peak torque | Isokinetic dynamometer will be used for measuring peak torque of back extensors. | up to four weeks |
| peak torque | Isokinetic dynamometer will be used for measuring peak torque of back extensors. | follow up after 1 month |
| Fatigue | Isokinetic dynamometer will be used for measuring fatigue of back extensors. | up to four weeks |
| Fatigue | Isokinetic dynamometer will be used for measuring fatigue of back extensors. | follow up after 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| 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'. | up to four weeks |
| Pain Intensity |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Doaa Ayoub Elimy | Giza | 11251 | Egypt |
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high-intensity laser acupuncture, low-intensity laser acupuncture and exercise therapy program
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random generator
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| low-intensity laser acupuncture and Exercise therapy program | Device | 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 |
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| Sham laser acupuncture | Device | Sham laser acupuncture and exercise therapy program. The patients will receive a sham laser.acupuncture and an exercise therapy program in the form of: - strengthening exercises for abdominal and back muscles, - lumbar stabilization exercises. - stretching exercises |
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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'. |
| follow up after 1 month |
| lumbar flexion ROM assessment | Modified Schober test will be used to assess ROM of lumbar flexion. | up to four weeks |
| lumbar flexion ROM assessment | Modified Schober test will be used to assess ROM of lumbar flexion. | follow up after 1 month |
| Disability | Arabic version of Oswestry Disability Index (ODI) will be used for assessment of functional disability | up to four weeks |
| Disability | Arabic version of Oswestry Disability Index (ODI) will be used for assessment of functional disability | follow up after 1 month |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D028022 | Low-Level Light Therapy |
| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D013812 | Therapeutics |
| D010789 | Phototherapy |
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