Comparative Effects of Shockwave Therapy Versus Ultrasound Therapy Combined With Conventional Physiotherapy on Pain Intensity, Hamstring Range of Motion, Sleep Quality, and Quality of Life Among Patients With Chronic Sciatica: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
Sciatica is characterized by radiating pain, functional limitations, reduced flexibility, disturbed sleep, and impaired quality of life. Extracorporeal Shockwave Therapy (ESWT) and Therapeutic Ultrasound are commonly used physiotherapy modalities for pain relief and tissue healing; however, evidence directly comparing their effectiveness remains limited. This randomized controlled trial compares the effects of Shockwave Therapy and Ultrasound Therapy, each combined with conventional physiotherapy, on pain intensity, hamstring range of motion, sleep quality, and quality of life in patients with chronic sciatica.
详细描述
This randomized controlled trial compares two physiotherapy interventions for chronic sciatica. Sixty-six participants will be randomly allocated to either Shockwave Therapy plus Conventional Physiotherapy or Ultrasound Therapy plus Conventional Physiotherapy. Both groups will receive identical conventional physiotherapy consisting of heat therapy, myofascial release, stretching, and strengthening exercises. Treatment will be administered four sessions per week for eight weeks. Outcomes including pain intensity, hamstring range of motion, sleep quality, and quality of life will be measured at baseline, Week 4, and Week 8 by a blinded outcome assessor.
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
- Single (Outcomes Assessor)
盲法说明
The outcome assessor will remain blinded to treatment allocation throughout the study. Due to the nature of the interventions, participants and treating physiotherapists cannot be blinded.
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 20-45 years.
- •Clinically diagnosed chronic sciatica.
- •Radiating pain below the knee.
- •Positive Straight Leg Raise test (30°-70°).
- •Pain intensity ≥4/10 on the Numeric Pain Rating Scale.
- •Symptoms persisting for at least 3 months.
- •Presence of tingling, numbness, lumbar radiculopathy, or piriformis syndrome.
排除标准
- •Lumbar disc herniation.
- •Progressive neurological disorders.
- •Ankylosing spondylitis.
- •Paget disease.
- •Tuberculosis.
- •Malignancy.
- •Rheumatoid arthritis or other inflammatory disorders.
- •Previous spinal surgery or fracture.
- •Fever, unexplained weight loss, or systemic illness.
结局指标
主要结局
Pain Intensity
时间窗: Baseline, Week 4, Week 8
Numeric Pain Rating Scale (0-10). Higher scores indicate greater pain.
Hamstring Range of Motion
时间窗: Baseline, Week 4, Week 8
Hip flexion measured with a universal goniometer during the Straight Leg Raise test.
次要结局
- Sleep Quality(Baseline, Week 4, Week 8)
研究者
Rimsha Imtiaz
Doctor of Physical Therapy Student
University of Lahore