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IRCT20180925041138N3 IRCT 2026-10-26 Tabriz University of Medical Sciences Dry Needling and Neurodynamic Techniques in Nonspecific Low Back Pain Comparison of the effects of dry needling of the Medius and Hamstring muscles with the sciatic nerve neurodynamic technique on pain and nervous system mobility in people with chronic non-specific low back pain: A randomized (controlled) clinical trial 2026-11-22 anticipated 30 Pending https://irct.ir/trial/94131 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: In this study, 30 eligible patients will be randomly allocated to three groups of 10 participants each: a neurodynamic technique group, a dry needling group, and a combined neurodynamic technique and dry needling group, using block randomization with an allocation ratio of 1:1:1. The individual participant will be the unit of randomization. The random allocation sequence will be generated using statistical software with variable block sizes to maintain balance in the number of participants across the three groups. The generated random allocation sequence will serve as the basis for assigning each participant to an intervention group. To ensure allocation concealment, the allocation sequence will be placed in sequentially numbered, opaque, sealed envelopes. The envelopes will be opened in numerical order only after each participant's eligibility has been confirmed and their enrollment has been finalized, thereby preventing the group allocation from being anticipated in advance, Blinding description: In this study, both the outcome assessor and the data analyst will be blinded to group allocation. N/A Chronic non-specific Low Back Pain. Intervention 1: Intervention group: Including routine physiotherapy treatment and dry needling. Intervention 2: Intervention group: Including routine physiotherapy treatment, neurodynamic techniques, and dry needling. Intervention 3: Control group: Including routine physiotherapy treatment, neurodynamic techniques. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Bahram Amirshakeri
Golgasht Ave.
Tabriz Iran (Islamic Republic of) 5165665813 +98 41 3337 5359 Amirshakerib@tbzmed.ac.ir Tabriz University of Medical Sciences scientific Bahram Amirshakeri
Golgasht Ave
Tabriz Iran (Islamic Republic of) 5165665813 +98 41 3337 5359 Amirshakerib@tbzmrd.ac.ir Tabriz University of Medical Sciences Iran (Islamic Republic of) Chronic Nonspecific Low Back Pain with Referred Pain to the Posterior Lower Limb Lasting More Than 3 Months Pain intensity ranging from 3 to 7 on a 10-cm Visual Analog Scale (VAS) An Oswestry Disability Index (ODI) score of >20% A positive Straight Leg Raise (SLR) test between 40° and 70° Presence of active myofascial trigger points in the gluteus medius and hamstring muscles 18 years 65 years Both Presence of myopathy, neuropathy, or myelopathy Presence of systemic, inflammatory, or degenerative diseases History of trauma to the lumbopelvic region, lumbar surgery, or surgery involving the symptomatic lower limb History of arthroplasty or fracture involving the symptomatic lower limb Diagnosis of fibromyalgia Cognitive impairment affecting the ability to understand instructions or participate in the study History of physiotherapy, dry needling or injection targeting the gluteus medius and hamstring muscles within the previous 6 months Presence of serious medical conditions, including severe cardiopulmonary diseases or malignancies Severe needle phobia or any contraindication to dry needling History of substance abuse or current use of corticosteroid medications Pregnancy M54.5 Low back pain Rehabilitation Rehabilitation Rehabilitation Intervention group: Including routine physiotherapy treatment and dry needling Intervention group: Including routine physiotherapy treatment, neurodynamic techniques, and dry needling Control group: Including routine physiotherapy treatment, neurodynamic techniques Referred pain intensity in the posterior thigh. Timepoint: Pain intensity will be measured at baseline, after the 10th session (immediately after completion of the intervention), and one month after completion of the intervention. Method of measurement: Pain intensity will be assessed using the Visual Analogue Scale for Pain. This instrument consists of a 10-centimeter line, with one endpoint representing no pain and the other representing the worst imaginable pain. Low back pain-related functional disability. Timepoint: At baseline, after tenth session (completion of the treatment) , and one month after completion of the intervention. Method of measurement: using the Oswestry Disability Index questionnaire and expressed as a percentage of the total score. Passive range of motion during the straight leg raise test. Timepoint: َAt baseline and after tenth session (completion of the treatment). Method of measurement: using a goniometer. Tabriz University of Medical Sciences Approved 2026-10-05 Ethics committee of Tabriz University of Medical Sciences Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Golgasht Street Tabriz East Azarbaijan Iran (Islamic Republic of)