Lumbal Disk Herniasyonunda Farklı Tedavi Yöntemlerinin Karşılaştırılması
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 主要终点
- magnetic resonance imaging changes
研究概览
简要总结
The aim of this study is to determine the effectiveness of three different treatment methods which consists spinal decompression, deep friction massage and exercise. The patients were separated three groups Group one received non-surgical spinal decompression therapy, group two received non-surgical spinal decompression, lumbar stabilization exercises and manual therapy, group three received manual therapy and lumbar stabilization exercises. All groups completed 15 sessions of therapy. In each session, pain severity was assessed with numeric analog scale, straight leg raise test applied and the degree of the hip flexion where the patient reported pain were recorded, respectively. Static, dynamic muscle strength-endurance tests were applied before the treatment sessions started, after the treatment sessions ended, six weeks after and three months after the study. Oswestry Disability Scale (ODI), Back Performance Scale (BPS), Lanss Neuropathic pain Questionnaire, Fear-Avoidance-Beliefs Questionnaire (FABQ) and McGill Pain Questionnaire were applied before the treatment sessions started, after the treatment sessions ended and three months after the study. Gradient of disc height and thickness of the herniation were assessed segmentally with magnetic resonance imagination (MRI) before the study and three months after the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •clinical diagnosis of lumbar disc herniation without strengthening loss
排除标准
- •clinical diagnosis of osteoporosis
- •have scoliosis and spondylolisthesis
- •any surgery related spine
- •any neurological diseases causes sensory loss
研究组 & 干预措施
exercise group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and last two weeks electrotherapy and exercise totally 15 session of treatment were applied whi
干预措施: deep friction massage, (Other)
exercise group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and last two weeks electrotherapy and exercise totally 15 session of treatment were applied whi
干预措施: electrotherapy (Other)
exercise group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and last two weeks electrotherapy and exercise totally 15 session of treatment were applied whi
干预措施: exercise (Other)
spinal decompression group
only 15 sessions of spinal decompression therapy were applied.
干预措施: non -surgical spinal decompression therapy (Other)
combine group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and traction and last two weeks electrotherapy and exercise totally 15 session of treatment were applied.
干预措施: non -surgical spinal decompression therapy (Other)
combine group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and traction and last two weeks electrotherapy and exercise totally 15 session of treatment were applied.
干预措施: deep friction massage, (Other)
combine group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and traction and last two weeks electrotherapy and exercise totally 15 session of treatment were applied.
干预措施: electrotherapy (Other)
combine group
10 patients participated in this group. for two weeks electrotherapy, deep friction massage and traction and last two weeks electrotherapy and exercise totally 15 session of treatment were applied.
干预措施: exercise (Other)
结局指标
主要结局
magnetic resonance imaging changes
时间窗: change from baseline in disc height and size of herniation at 3 months.
changes recorded in micrometrical measurements.
次要结局
- disability(up to 3 months.)
- performance(up to 3 months.)
- pain(up to 3 months.)
- straight leg raise test for mobility(up to 3 months)
- neuropathic pain(up to 3 months.)
- fear avoidance beliefs(up to 3 months.)
研究者
Aynur Demirel
research assistant Aynur Demirel
Hacettepe University