Spondylosis Lumbar Clinical Trial
Official title:
Comparison Between Segmental Mobilization And Entire Spine Mobilization In Lumbar Spondylosis
This study will compare the effect of segmental spine mobilization and entire spine
mobilization in the patients with lumber spondylosis.
There will be two groups ; experimental and control. Half of study group will receive
segmental mobilization along with conventional treatment such as moist heat , soft tissue
mobilization and traditional stretching exercises and half of study group will receive entire
spine mobilization along with the same conventional treatment given to other group.
This is a randomized controlled trial which is being conducted in Pakistan Railway hospital
enrolled total 40 participants diagnosed with lumbar spondylosis who fulfilled the inclusion
criteria through sealed envelope method using purposive sampling technique into two groups
I-e experimental (n=21) and control group(n=19).The treatment protocol administered to
experimental group was Maitland entire spine mobilization along with other conventional
treatments such as hot pack, soft tissue mobilization.
and home-based exercises (Bridging, knee to chest, Hamstrings stretching and TA stretching).
While the control group received segmental spine mobilization along with same conventional
treatment as mentioned above for 8 sessions. Physical therapy along with pharmaceutical
management is effective in improving pain on NPRS, ODI values in patients with lumbar
stenosis. Based on evidence that manual therapy interventions when used in combination with
exercise therapy in clinical practice has beneficial effect in the treatment of degenerated
lumbar spinal stenosis.
effects of 'specific segmental level 'spinal joint mobilization techniques in creating
positive outcomes on pain NPRS measures and range of motion concluded that a single session
of segmental joint mobilization can lead to pain reduction at both rest and with most painful
offending movement.
Manual therapy approaches such as Maitland mobilizations are more productive in the
management of chronic low back pain, quality of function and lumbar spine range of motion in
patients of lumbar spondylosis than traditional physical therapy interventions such as muscle
stretching and spinal traction.
Osteophytes were the most numerous radiographic feature detected in patients with lumbar
spondylosis, with greater occurrence in men. Intervertebral disc space narrowing was more
prevalent in women than men. Both distinctive radiographic features presence increased with
increasing age. Disc space reduction seemed more strongly related with chronic low back pain
than osteophytosis, especially in men and disc space narrowing at 2 or more segments appeared
more powerfully associated with low back pain than disc space reduction at only 1
intervertebral segment.
Maitland posteroanterior spinal mobilizations are performed by a therapist on symptomatic
segments after assessment compared with mobilization treatment given on any random spinal
segment in patients suffering with chronic low back pain. The results were greater degree of
immediate reduction of pain in patients receiving posteroanterior mobilization on symptomatic
segment rather than any random segments in offending movement direction.
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