Lumbosacral Radiculopathy Clinical Trial
Official title:
The Effects of Combined Lumbar Traction and Repeated Back Extension Exercise on H-Reflex, Pain, and Disability in Patients With Lumbosacral Radiculopathy
The aim of the study is to investigate the effect of performing combined lumbar traction and repeated back extension exercise (McKenzie) on soleus H-reflex, pain, and disability in patients with lumbosacral radiculopathy. The main question that it aims to answer is: Does the combination of lumbar traction and back extension exercise (McKenzie) improves soleus H-reflex, pain, and function in patient with lumbosacral radiculopathy? participants will be randomized into 2 groups: one group will include repeated back extension exercise (McKenzie Approach) without mechanical traction and the other group will include the same but in combination with mechanical traction.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | August 2024 |
Est. primary completion date | July 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 35 Years to 60 Years |
Eligibility | Inclusion Criteria: 1. Patient with chronic unilateral lumbosacral radiculopathy (more than 3 months duration) 2. Age:35- 60 years 3. Both male and female 4. People with L5-S1 postero-lateral disc herniation or protrusion. 5. people with positive straight leg raise Exclusion Criteria: 1. Subjects with lumbosacral Surgery. 2. Subjects with stenosis or scoliosis. 3. Subjects with cardiac problem or cancer. 4. Subjects with peripheral neuropathy. 5. Subjects with upper motor neuron injury. |
Country | Name | City | State |
---|---|---|---|
Egypt | Ahmed ElMelhat [aelmelhat] | Cairo |
Lead Sponsor | Collaborator |
---|---|
Cairo University |
Egypt,
Al-Abdulwahab S. Back extension exercises decompress the spinal root and improve standing mobility in patients with sub-acute lumbosacral radiculopathy. Somatosens Mot Res. 2016 Sep-Dec;33(3-4):196-199. doi: 10.1080/08990220.2016.1251895. Epub 2016 Nov 13. — View Citation
Thackeray A, Fritz JM, Childs JD, Brennan GP. The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back Pain and Leg Pain: A Randomized Trial. J Orthop Sports Phys Ther. 2016 Mar;46(3):144-54. doi: 10.2519/jospt.2016.6238. Epub 2016 Jan 26. — View Citation
Vanti C, Saccardo K, Panizzolo A, Turone L, Guccione AA, Pillastrini P. The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis. Acta Orthop Traumatol Turc. 2023 Jan;57(1):3-16. doi: 10.5152/j.aott.2023.21323. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Soleus H-reflex amplitude | amplitude in millivolts (mV) | At baseline and 6 weeks | |
Primary | Soleus H-reflex latency | latency in milliseconds (ms) | At baseline and 6 weeks | |
Secondary | Numerical Pain Intensity Scale | in numbers, the score ranges from 0 to10. | At baseline and 6 weeks | |
Secondary | Oswestry Disability Index (ODI) | in numbers, the score ranges from 0 to 100. | At baseline and 6 weeks |
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