Effectiveness of Mulligans Segmental Lumbar Traction on Pain and Disability in Lumbar Radiculopathy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Pain score using Visual Analog Scale
研究概览
简要总结
Lumbar radiculopathy (LR) is a clinical syndrome characterized by radicular pain, sensory disturbances, and motor weakness in the distribution of a single lumbar or sacral nerve root. This pain typically radiates along a dermatomal pattern corresponding to the affected nerve root and is often accompanied by dermatomal sensory abnormalities, such as paresthesia and hypoesthesia, and/or tendon reflex changes with prevalence of LR documented as high as 25% of all lower back pain (LBP) cases.
Referred symptoms, including pain, cause more significant disability when compared to local pain alone hence, LR directly affects the functional ability and quality of life of an individual.
Existing research suggests, the potential of Mulligan manual therapy in managing and improving the functional ability in radicular pain, both alone and in conjunction with conventional therapies. While studies have demonstrated its effectiveness in decreasing pain for cervical radiculopathy through the application of segmental manual traction, its efficacy for lumbar radiculopathy remains largely unexplored, warranting further investigation.
Patients will be selected on the basis of inclusion and exclusion criteria. They will be divided into 2 groups with the help of randomization software. One group will receive Manual Traction on the lumbar region based on Mulligan’s Mobilization along with Conventional Therapy for 6 sessions over 1 week. The other group which is the control, will receive conventional therapy only.
The outcome measurements will be done by Visual Analog Scale (VAS), Oswestry Disability Index (ODI) version 2.1a, Body Diagram by Werneke and SLR test ranges. Variation in the pre and post outcome measure will help us to find out the effectiveness of mulligan’s segmental lumbar traction on pain and disability in lumbar radiculopathy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients diagnosed with unilateral lumbar radiculopathy
- •Duration of symptoms – less than 1 year from onset.
- •Straight leg raise test positive.
- •BMI: between 18.5 to 34.9.
排除标准
- •Patients diagnosed with any of the following: Systemic conditions like Tumor, rheumatoid arthritis, osteoporosis, spondylolisthesis.
- •Neurological conditions like dementia, cognitive impairments.
- •Acute trauma and unhealed fractures.
- •Severe pain on VAS score more than 74mm.
- •Prolonged steroid use.
- •Any surgical intervention of the spine.
- •Subjects unwilling to participate.
结局指标
主要结局
Pain score using Visual Analog Scale
时间窗: Day 0 (Baseline, Pre-test), at 1 week (Post-test) and follow up after 1 week.
次要结局
- Centralization phenomenon using Werneke body grid chart
- Straight leg raise range(Day 0 (Baseline, Pre-test) and at 1 week (Post-test))
- Disability using Oswestry Disability Index(Day 0 (Baseline, Pre-test), at 1 week (Post-test) and follow up after 1 week.)
研究者
Devesh Mandhyan
Indian Spinal Injuries Centre - Institute of Rehabilitation Sciences