Effect of Thoracic Mobilization on Lumbar Radiculopathy

Lumbosacral Radiculopathy Clinical Trial

Official title:

Effect of Thoracic Spine Mobilization on Pain, Functional Disability and Proprioception in Patients With Lumbosacral Radiculopathy.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06167044
• Other study ID #: thoracic mobilization in LR
• Status: Recruiting
• Phase: N/A
• Start date: July 19, 2023
• Est. completion date: February 2024

Study information

• Verified date: December 2023
• Source: Cairo University
• Contact: aya abd elmohsen, Bachelor's
• Phone: 01122935258
• Email: ayamohsen214[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the study will be to:

• To investigate the effect of thoracic mobilization on back and leg pain in patients with lumbosacral radiculopathy.

• To investigate the effect of thoracic mobilization on functional disability in patients with lumbosacral radiculopathy.

• To investigate the effect of thoracic mobilization on proprioception in patients with lumbosacral radiculopathy.

Description:

To investigate the effect of thoracic mobilization on back and leg pain, functional disability and proprioception in patients with lumbosacral radiculopathy.

1-Thirty four patients of both sexes with unilateral chronic lumbar radiculopathy at L4-L5 or/ and L5-S1 levels will participate in this study. The patients will be diagnosed as having lumbar radiculopathy based on careful clinical examination by neurologist . The diagnosis will be confirmed by CT scan or MRI.

Patients will be recruited from the outpatient clinic of Faculty of Physical Therapy, Cairo University and private clinics. Patients in this study will be randomly divided into two groups.

• Group (I) which will include 17 patients who will receive manual mobilization exercises in addition to selected physical therapy .

• Group (II) which will include 17 patients who will receive selected physical therapy.

The treatment will conducted 3 sessions per week for 6 weeks.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 34
• Est. completion date: February 2024
• Est. primary completion date: January 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 45 Years

Eligibility

Inclusion Criteria:

1. Patients with unilateral chronic lumbosacral radiculopathy at L4- L5 or / and L5-S1 levels confirmed by MRI.

2. The age of patients will be ranged from 30 to 45 years.

3. Duration of pain will be more than 12 weeks.

4. Patients with a positive straight leg raising (SLR) test.

5. Patients with sufficient cognitive abilities that enables them to understand and follow instructions .

6. Patients had to report an average pain level of more than five on the Visual Analogue Scale (VAS) and a lumbar spine range of motion (ROM) of at least 50% of the accepted normal range.

7. Patients with body mass index< 30kg/m2

Exclusion Criteria:

1. Cauda equina syndrome.

2. Ankylosing spondylitis, thoracic deformities (pectus carinatum, excavatum), spina bifida, fractures, postoperative spinal conditions, diabetes, inflammatory processes.

3. Previous inner ear infection or vestibular disorder with unresolved balance disturbance, history of head trauma with residual neurological deficits.

4. Spinal tumor.

5. Previous lumbar surgery.

6. Sever musculoskeletal disease.

7. Peripheral mononeuropathies or polyneuropathy.

8. Obesity .

9. Pregnancy.

Related Conditions & MeSH terms

• Lumbosacral Radiculopathy
• Radiculopathy

Intervention

Other:
• thoracic mobilization
Thoracic mobilization will be performed for the thoracic spine mobilization group, thoracic mobilization therapy will be performed for five minutes.

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy Cairo University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	functional disability	we will use Oswestry Disability Index (ODI)	baseline
Primary	pain level	we will use Visual analogue scale (VAS)	baseline
Primary	lumbar proprioception	we will use The Biodex System 3 pro isokinetic dynamometer	baseline