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CompletedNCT04719689Updated Aug 30, 2021

Comparison of Dry Needling and Dry Cupping in Positional Fault of Pelvis

An interventional study of Dry needling and Dry cupping in Myofascial Trigger Point Pain, Quadratus Lumborum Syndrome and Positional Fault of Pelvis, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2021-08-30.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Oct 2019, registered Jan 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

This project was a Randomized clinical trial conducted to Compare the effects of dry needling and dry cupping in Positional fault of pelvis due to Myofascial trigger points in Quadratus Lumborum so that we can have best treatment option for patients with myofascial trigger points.

Read the detailed description

Non Probability Convenient sampling was done. Patients following eligibility criteria from Physiotherapy department of Islam Central hospital, Sialkot were considered. Sample size was calculated with Epitool calculator. 26 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Dry needling technique and Group B was given Dry Cupping along with conventional physiotherapy treatment (hot pack and stretching). Duration of research was almost 6 months. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

02

Conditions studied

  • Myofascial Trigger Point Pain
  • Quadratus Lumborum Syndrome
  • Positional Fault of Pelvis
  • Myofascial Trigger Point in Quadratus Lumborum

Keywords

  • Dry needling
  • Dry cupping
  • Quadratus lumborum
03

In context

Myofascial Pain Syndromes

1,136 studies on the registry are indexed under Myofascial Pain Syndromes; 137 are open to participants now.

This study's enrollment of 26 is below the median of 60 across 931 interventional studies indexed under Myofascial Pain Syndromes.

Browse Myofascial Pain Syndromes studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • On palpation the presence of at least 1 active trigger point in quadratus lumborum. So the patient presents with low back pain.
  • Patients presents with positional fault of pelvis (lateral tilt)(4).
  • Patients having chronic Low Back Pain for at least more than 6 months(3).
  • Patients agree to get treatment sessions for the research work.

Exclusion criteria

Exclusion Criteria:

  • Participants should not have taken any medications like analgesics, anti-coagulants, Non-steroidal anti-inflammatory drugs or muscle relaxants during this study or even 3 days before this study.
  • Participants should not have received any other treatment for the pain management, because it will affect the results of the study.
  • Patients with bleeding disorders, local or systemic infection, acute muscle trauma.
  • Patients with comorbid conditions.
  • Patients with severe physical disability and true leg length discrepancy(1).
  • Pregnant females
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    Dry needling

    Dry needling, hot pack, stretching exercises.

    Other: Dry needling

  • Experimental
    Dry Cupping

    Dry cupping, hot pack, stretching exercises.

    Other: Dry cupping

Interventions

  • OtherDry needling

    Experimental group 1 got this intervention containing Dry needling for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus lumborum

  • OtherDry cupping

    Experimental group 2 got this intervention containing Dry cupping for 10 mins, followed by conventional physiotherapy treatment (hot pack and stretching) for 15 mins. Participants were treated 6 times over a 3 week period with 2 treatment sessions per week per patient. Pre and Post treatment readings were taken in 1st and 6th session over a 3 week period respectively. A follow up reading was also taken after 1 month for checking prolonged post treatment effects. Assessment was done via Pressure pain threshold Scale, Pelvic goniometer and Measuring tape for assessing functional positional fault of pelvis and muscle length of Quadratus Lumborum

06

What researchers measure

Primary outcomes

  1. Change in Pain by 'Pressure Pain Algometer'

    Change in Pain from baseline was checked at 6th session by Pressure Pain Algometer. A follow up reading was also taken after 1 month for checking prolonged post treatment effects.

    Time frame: Baseline, 6th session(at 3rd week), follow up session after 1 month

  2. Change in Range of Motion of lumbar spine side flexion by 'Goniometer'

    Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. A goniometer is a device that measures an angle or permits rotation of an object to a definite position

    Time frame: Baseline, 6th session(at 3rd week), follow up session after 1 month

Secondary outcomes

  1. Change in pain by 'Numeric Pain Rating Scale'

    Change in pain from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by a patient himself, under the supervision of researcher.

    Time frame: Baseline, 6th session(at 3rd week), follow up session after 1 month

  2. Change in Range of Motion of lumbar side flexion by Measuring tape

    Change in ROM from baseline was measured at 6th session. A follow up reading was taken after 1 month for checking prolonged post treatment effects. The method for using a tape measure to examine lateral flexion of the spine has been introduced in the literature.

    Time frame: Baseline, 6th session(at 3rd week), follow up session after 1 month

07

Study locations

1 site
  • Riphah IU
    Lahore, 54000, Pakistan
08

References and documents

Publications

  • Pavkovich R. EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug;10(4):540-51. PubMed 26347305 ↗
  • Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010 Sep-Oct;23(5):640-6. doi: 10.3122/jabfm.2010.05.090296. PubMed 20823359 ↗
  • Haake M, Muller HH, Schade-Brittinger C, Basler HD, Schafer H, Maier C, Endres HG, Trampisch HJ, Molsberger A. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med. 2007 Sep 24;167(17):1892-8. doi: 10.1001/archinte.167.17.1892. Erratum In: Arch Intern Med. 2007 Oct 22;167(19):2072. PubMed 17893311 ↗
  • Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc. 2004 Jun;36(6):926-34. doi: 10.1249/01.mss.0000128145.75199.c3. PubMed 15179160 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04719689
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Jan 22, 2021
Start date
Oct 15, 2019
Primary completion
Jul 1, 2021
Completion
Jul 1, 2021
Last update
Aug 30, 2021

Study contacts

Rabiya Noor, PhD
principal investigator · Riphah International University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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