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Acute and Short-Term Effects of Dry Needling in Patients With Chronic Nonspecific Low Back Pain and Hamstring Tightness: A Pilot Study Publisher Pubmed



Bazzazyamchi M1 ; Naghdi S1, 2 ; Nakhostinansari A3 ; Hadizadeh M4 ; Ansari NN1, 2 ; Moghimi E2 ; Hasson S5
Authors
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Authors Affiliations
  1. 1. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for War-affected People, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Physical Therapy, Augusta University, Augusta, GA, United States

Source: Scientific World Journal Published:2021


Abstract

Background. Chronic nonspecific low back pain (LBP) is one of the common health issues. Hamstring tightness contributes to the development of LBP. This study aimed to investigate the acute and short-term effects of deep dry needling (DN) in patients with chronic nonspecific LBP and hamstring muscle tightness. Methods. A single-group pretest-posttest clinical study design was followed. The outcome measures were the visual analog scale (VAS), passive knee extension (PKE) test, finger-floor distance (FFD) test, and functional rating index (FRI). Patients underwent one session of deep DN of three points on both hamstring muscles, each point for one minute. Patients were assessed before (T0), immediately after (T1), and one week after DN (T2). The FRI was assessed at T0 and T2. Results. Ten women with a mean age of 21.1 years (SD = 1.6) participated in the study. Significant large effect sizes in VAS pain reduction (d = 1.25) and PKE hamstring tightness were obtained (hamstring: right, d = 0.82; left, d = 0.88) at T2. Medium effect sizes were obtained for FFD (d = 0.45) and FRI (d = 0.72) at T2. Conclusion. A single session of deep DN improved pain and function and increased hamstring flexibility. This pilot study supports the use of DN in patients with LBP and hamstring tightness; however, future research with a rigorous study design of randomized controlled trial is required to confirm the findings. This trial is registered with IRCT20180511039612N1. © 2021 Mahnaz Bazzaz-Yamchi et al.