Effects of Physical Therapy on Improving Disc Height, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain

Low Back Pain Clinical Trial

Official title:

Effects of Physical Therapy on Improving Disc Height Index, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05326594
• Other study ID #: FUI/CTR/2022/5
• Status: Completed
• Phase: N/A
• Start date: May 1, 2022
• Est. completion date: June 30, 2023

Study information

• Verified date: February 2024
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition, however there is no conclusive evidence regarding the positive effects of conservative physical therapy management in terms of radiological changes and improvement in disc height. For this reason, the current study will not only look into the positive effects of conservative physical therapy on postural stability, pain and function, but also in terms of disc height in persons with discogenic low back pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: June 30, 2023
• Est. primary completion date: June 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Months to 50 Years

Eligibility

Inclusion Criteria:

• Both male and female participants
• Aged 18-50 years old
• low back pain intensity less than 80/100mm on visual analogue scale
• positive centralization phenomenon
• low signal intensity of IV disc on T2 - weighted MRI
• high intensity zone towards the posterior aspect of the disc on MRI

Exclusion Criteria:

• Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.

Related Conditions & MeSH terms

• Back Pain
• Disk Prolapse
• Intervertebral Disc Displacement
• Low Back Pain
• Prolapse

Intervention

Procedure:
• Mckenzie Extension Protocol
Mckenzie Extension Exercise Protocol will be performed by participants in prone position
• Lumbar SNAGs
Lumbar SNAGs will be performed in lumbar flexion and extension in standing Position

Device:
• Inferential therapy
4 pole inferential therapy in combination with superficial heating for 20 minutes

Procedure:
• Heat Therapy
superficial heating for 20 minutes

Locations

Country	Name	City	State
Pakistan	Foundation University Islamabad	Islamabad

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Back Pain	Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.	2 weeks
Primary	Lumbar Range of Motion	Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome.	2 weeks
Primary	Postural Stability	Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.	2 weeks
Primary	Lumbar Disability	Disability will be measured via Oswestry Disability Index.	2 weeks
Primary	Step length	Step length during gait will be analyzed using observational gait analysis. A greater step length signifies better outcome	2 weeks
Primary	Stride length	Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome	2 weeks
Primary	Gait velocity	Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome	2 weeks
Primary	Disc Height	Disc will be analyzed using Magnetic Resonance Imaging	2 weeks