Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-sarcal Radiculopathy

Lumbosacral Radiculopathy Clinical Trial

Official title:

Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-Sarcal Radiculopathy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05654428
• Other study ID #: 337
• Status: Completed
• Phase: N/A
• Start date: September 22, 2022
• Est. completion date: February 1, 2023

Study information

• Verified date: February 2023
• Source: Neuro Counsel Hospital, Pakistan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Lumbosacral radiculopathy (LR) is among most common disorder caused due to irritation or compression of nerve pathway leading to symptoms of pain, numbness and tingling sensations along the nerve root. Lumbosacral radiculopathy consists at any lumbar region including L1-S1. Occurrence rate of Lumbosacral radiculopathy is 3-5% distributed equally in men and women affecting more men than women. It commonly occurs in late 40s in men and late 50s-60s in females. Men are more prone to develop lumbosacral radiculopathy due to mechanical disturbance during routine work.

Description:

• William flexion exercises: Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).

• Mckenzie extension exercises: The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone

A randomized controlled trial.

Group 1 Group 2 55 patients 55 patients

Standard treatment:

TENS (4-pole) + Hot pack for 15 minutes Standard treatment:

TENS (4-pole) + Hot pack for 15 minutes

New Intervention:

Mckenzie Extension

• Prone press-ups

• Head life in prone

• Prone on elbow

• Prone on hands

• Prone on pillow New Intervention:

William Flexion

• Single knee to chest

• Double knee to chest

• Straight Leg Raise

• Bridging

• Pelvic tilt

Each exercise will be repeated 5 minutes with 10 seconds hold and 5 sec rest. The duration of intervention will be four weeks, 3 sessions a week on alternate days and total of 12 sessions will be given. Data will be collected in three phases Pre-Treatment at end of second week and at the completion of treatment time i.e end of 4th week.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 110
• Est. completion date: February 1, 2023
• Est. primary completion date: January 21, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• • Males and females with age between 40-60 years

• Patients referred from neuro and orthopedic departments with diagnosed lumbosacral radiculopathy.

• Complaint of low back pain on walk, bending and after long sitting with positive slump test.

• Complaint of low back pain, and numbness and tingling in leg with positive SLR test

Exclusion Criteria:

• • Lumbar Trauma

• Any other orthopedic and neurological conditions of hip and lumbosacral spine.

• Hip Fracture

• Malignancy

Related Conditions & MeSH terms

• Lumbosacral Radiculopathy
• Radiculopathy

Intervention

Other:
• Mckenzie Extension Exercises
The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone.
• William Flexion Exercises
Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).

Locations

Country	Name	City	State
Pakistan	Isra niversity	Islamabad	Federal

Sponsors (2)

Lead Sponsor	Collaborator
Neuro Counsel Hospital, Pakistan	National Institute of Rehabilitation Medicine, Islamabad, Pakistan

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain Rating Scale	0 means no pain and 10 means worst pain ever felt	4 weeks
Primary	Flexi curve ruler	to measure the lumber cure	4 weeks
Primary	Bubble inclinometer	Measure the cure	4 weeks
Primary	King Health Questionnaire quality of life	lesser score means low quality of life and higher score means better quality of life	4 weeks