Effect of Elongation Longitudinaux Avec Decoaption Osteo-Articulaire Exercises in Lumbar Disc Protrusion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 29
- 试验地点
- 2
- 主要终点
- Range of Motion (ROM) Lumbar Spine (Flexion)
研究概览
简要总结
The aim of this randomized controlled trial will be to determine the effectiveness of ELDOA for treating lumbar disc protrusion. Two randomized groups of patients with lumbar disc protrusion will be treated with conservative physical therapy and the experimental group will be given ELDOA, in addition. Both, male and female patients meeting the inclusion criteria will be included. Patients having concurrent malignancy, infection, trauma or any bony deformity will be excluded
详细描述
The study is aimed at determining the effects of ELDOA in treating disc protrusion at lumbar region and is being conducted in Max Rehab & Physical Therapy Centre Islamabad and Pakistan Railway General Hospital, Rawalpindi (March 2019-June 2019). Sample size of the study is 34 with confidence interval of 95% and power of 0.8. 30 patients were screened and 29 were included in the study on the basis of inclusion criteria. Sealed envelope contained total 34 questionnaires, 17 for each group. Patients were allocated randomly on the basis of group mentioned on the Performa. Similar conservative rehabilitation protocol was designed for both control and experimental group except for experimental group had ELDOA Exercises in addition. Patients were examined at 1st visit before administration of any treatment and at 4th visit which was also the last one (after completing 4 sessions at alternate days). Baseline evaluation for demographics and symptomatology was taken. Self-reported questionnaire, ODI, NPRS, lumbar ROM and SLR were recorded at first and fourth visit for comparison. 26 patients completed the study while 1 patient from control group and 2 patients from experiment group were lost to follow up and were considered drop outs.
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
- None
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Limited ROM (hip/lumbar spine)
- •Pain more than 3 on NPRS
- •Pain ≥ 3 months
排除标准
- •Recurrent disc protrusion
- •Spondylolisthesis
- •Spondylosis
- •Malignancy
- •Infection
- •Marked bony deformities
研究组 & 干预措施
ELDOA
Conservative physical therapy management + ELDOA positions
干预措施: ELDOA (Other)
Conservative physical therapy management
Tens and hot pack , Soft tissue mobilization , Maitland's Lumbar segmental mobilization, Traction, Neurodynamics, Active Stretching, McKenzie Prone Extension Exercises
干预措施: Conservative physical therapy management (Other)
结局指标
主要结局
Range of Motion (ROM) Lumbar Spine (Flexion)
时间窗: 4th day
Changes from the Baseline, ROM of lumbar spine flexion was taken with the help of inclinometer
ROM Lumbar Spine (extension)
时间窗: 4th day
ROM of Lumbar spine extension was taken with the help of inclinometer
Straight Leg Raising (SLR)
时间窗: 4th day
Straight Leg Raising range was taken with the help of inclinometer
Oswestry disability index
时间窗: 4th day
Changes from the Baseline, Oswestry disability index (ODI) was developed in order to assess disability related to pain in individuals with acute, sub-acute, or chronic LBP. The total score of ODI range from 0 (no disability) to 100 (maximum disability). Scores from 0-20 to indicate "minimal disability," 20-40 to indicate "moderate disability," 40-60 to indicate "severe disability," 60-80 to indicate "housebound," and 80-100 to indicate "bedbound". The ODI score is recommended as a back pain-specific measure of disability.
Numeric Pain rating scale
时间窗: 4th day
Changes from the Baseline, Numeric Pain rating scale (NPRS) is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain.
ROM Lumbar Spine (Right side flexion)
时间窗: 4th day
ROM of Lumbar spine right side flexion was taken with the help of inclinometer
ROM Lumbar Spine (left side Flexion)
时间窗: 4th day
ROM of Lumbar spine left side flexion was taken with the help of inclinometer
次要结局
未报告次要终点