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CTRI Number  CTRI/2025/08/092438 [Registered on: 05/08/2025] Trial Registered Prospectively
Last Modified On: 05/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing the dry needling on the hamstring and quadratus lumborum muscles to reduce pain and improve movement in people with chronic low back pain  
Scientific Title of Study   Effectiveness of Dry Needling for Hamstring and Quadratus Lumborum in Managing Pain and Disability in Chronic Low Back Pain: A Comparative Analysis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tannu 
Designation  MPT (Orthopedics) 
Affiliation  Guru Nanak Dev University 
Address  Department of Physiotherapy, Guru Nanak Dev University, Chheharta Rd, Makka Singh Colony Amritsar

Amritsar
PUNJAB
143005
India 
Phone  08368618697  
Fax    
Email  tannurana060@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sharnpreet KaurPT 
Designation  Assistant Professor 
Affiliation  Guru Nanak Dev University 
Address  Department of Physiotherapy, Guru Nanak Dev University, Chheharta Rd, Makka Singh Colony Amritsar

Amritsar
PUNJAB
143005
India 
Phone  09877781036  
Fax    
Email  shrnpreet.pht@gndu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sharnpreet KaurPT 
Designation  Assistant Professor 
Affiliation  Guru Nanak Dev University 
Address  Department of Physiotherapy, Guru Nanak Dev University, Chheharta Rd, Makka Singh Colony Amritsar

Amritsar
PUNJAB
143005
India 
Phone  09877781036  
Fax    
Email  shrnpreet.pht@gndu.ac.in  
 
Source of Monetary or Material Support  
Department of Physiotherapy, Guru Nanak Dev University, G.T. Road, Amritsar - 143005, Punjab, India 
 
Primary Sponsor  
Name  Tannu 
Address  Department of Physiotherapy, Guru Nanak Dev University, G.T. Road, Amritsar - 143005, Punjab, India 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tannu  Health Centre   Room: Physiotherapy Room, Health Centre, Guru Nanak Dev University, Amritsar
Amritsar
PUNJAB 
08368618697

tannurana060@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Guru Nanak Dev University, Amritsar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M799||Soft tissue disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control group   The patients will perform the Stretching of lumbar extensors, Stretching of hip flexors, abdominal muscle strengthening, trunk mobility and pelvic tilts. The data will be collected at baseline(before the intervention) and after 6 weeks of treatments the post data will be collected.  
Intervention  Dry Needling on Quadratus Lumborum and Hamstring muscle   Position of the patient: Prone Lying, the physiotherapist will thoroughly cleaning the treatment area with an antiseptic. The specific location for dry needling was marked. The stainless-steel needle was directed on myofascial trigger points of quadratus lumborum and hamstring muscle.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  The study will include the patients of specific and non specific chronic back pain which persist more than 3 months. The subjects will not be taken any physiotherapy treatment from last 4 months.  
 
ExclusionCriteria 
Details  The subjects will be excluded who having Red flags indicative of serious spinal pathology with signs and symptoms of nerve root compromise.
Any obvious spinal deformity or neurological diseases. A reported history of cardiovascular diseases contraindicated to exercise; or individuals who were with elevated blood pressure. Chronic low back pain due to rheumatoid arthritis, ankylosing spondylitis, Lumbar scoliosis, radiculopathies, tumors, or chronic rheumatological diseases, including axial spondyloarthritis (axSpA). Fibromyalgia, corticosteroids or other oral medications treatment and history of spinal surgery. Contraindications for dry needle (needle phobia, coagulation or psychological disorders, varicose regions, cysts, wound, metal or latex allergy, lymphedema, hypothyroidism, diabetes. Those participants with hamstring tightness and pregnancy. Subjects who do not meet the age group.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain, Hamstring Flexibility,
Lumbar Flexibility, Disability,
and Quality of life. 
At baseline and after 6 weeks of intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   17/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="15" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Low back pain is a widespread condition that affects many people at some point in their livesChronic Low Back Pain is a recognized public health issue that tends to worsen over time, often leading to the formation of trigger points in the quadratus lumborum (QL) muscle and hamstring tightness, which is commonly associated with chronic low back pain. The available literature stated that needling to hamstring and quadratus lumborum helps to ease the chronic low back pain but till now none of the study compare their effects like which one is better one. The present study analyses the effect of dry needling on hamstring and quadratus lumborum to assess which approach is better one to  improving pain, functionality, mobility, quality of life in patients with chronic low back pain.
 
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