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The use of the dry needling technique has become widespread in recent years for the treatment of musculoskeletal pain. Although dry needling has been shown to be effective in the treatment of shoulder pain, elbow pain, headache, etc., we do not yet have a clear understanding of the mechanisms of action that justify its beneficial effects.
In this study, we propose to analyse the biochemical markers of pain generated by the application of a dry needling technique on the lumbar musculature in patients with mechanical lumbar pain of non-specific origin.
The aim of this study will be to evaluate the effects of dry needling technique on the plasmatic concentration of biochemical markers.Furthermore, the test subjects will be randomly distributed into two groups.
An experimental group where the subjects will receive a real dry needling technique.
Another group will be treated with a sham technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Real dry needling | Experimental | Subjects included in this group will receive a session with dry needling in the quadratus lumborum muscle. |
|
| Sham dry needling | Sham Comparator | Subjects included in this group will receive a session with sham dry needling in the quadratus lumborum muscle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry needling of lumbar iliocostalis muscle | Other | Subjects will be treated with dry needling to the quadratus lumborum muscle. To do this, the subject will be lying laterally on the contralateral side and with the hip in an adducted position. Ten incisions will be made in the muscle. The head will rest comfortably on a pillow |
| Measure | Description | Time Frame |
|---|---|---|
| Extracting Blood Samples and Obtaining Serum/Plasma | Serum samples will be extracted by venipuncture at the cubital fossa, according to a standardized protocol. Blood will be collected in a tube for serum (Vacutainer SST II Advance, model 367953) and a tube for plasma (Vacutainer PST II Advance, model 367374) separation. Substances related to antinociception will be determined later: Dopamine, adrenaline, norepinephrine, cortisol. | Change from Baseline concentration at 2 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tomas Gallego-Izquierdo, PhD | Centro de Investigación Fisioterapia y Dolor | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centro Investigación Fisioterapia y Dolor | Alcalá de Henares | Madrid | 28805 | Spain |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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|
| Sham dry needling lumbar iliocostalis muscle | Other | Subjects will be treated with dry needling to the quadratus lumborum muscle. To do this, the subject will be lying laterally on the contralateral side and with the hip in an adducted position. The placebo needle will move 10 times imitating the real procedure. The head will rest comfortably on a pillow |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |