Effectiveness of core muscle strengthening exercises and scar tissue release in concomitant low back pain after lumbar spine fusion
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 102
- 试验地点
- 1
- 主要终点
- 6 minute walk test,Lumbar Range of motion,Oswestry disability scale,Visual analogue scale
研究概览
简要总结
Degenerative disc and facet joint disease of the lumbar spine is common in the ageing population and is one of the most frequent causes of disability.Lumbar spondylosis may result in mechanical back pain,radicular and claudication
symptoms,reduced mobility and poor quality of life.Surgical interbody fusion of degerative levels is an effective treatment option to stabilize the painful motion segment ,and may provide indirect decompression of neural elements,restore lordosis and correct deformity.The surgical options for interbody fusion of lumbar spine include -posterior lumbar interbody fusion,transformaminal lumbar interbody fusion,minimally Invasive transforaminal interbody fusion,oblique lumbar interbody fusion,lateral lumbar interbody fusion.In gereral traditional posterior approaches are frequently used with acceptable fusion rates and low complication risk.
Despite the significant rise in Lumbar spine fusion(LSF) surgery rates in the last few decades,some 15 to 40% of lumbar fusion patients cannot except significant improvement postoperatively according o functional ability.
postoperative rehabilitation strategy is one of the main factors affecting the outcome.
Need of study-Post surgical pain syndrome is becoming an increasing common challenge for clinicians who deals with spine disorders owing to the expanding indications for spine surgery and aging world population.
A multidisplinary approach is most appropriate for patients who are unlikely to benefit from further formal surgical intervention.with the growth in popularity of scar tissue release over last two decades.It is time to critically examine many of the concept behind it.
Therefore,the purpose of this study is to find out the effectiveness of core muscle strengthening exercises and scar tissue release in concomitant low back pain after lumbar fusion surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 45.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Participants included will be: Post operative lumbar fusion after 3 weeks of surgery Age between 45 and 70 years both male and female patients.
- •The absence of non –communicable diseases i.e.cancer,heart disease,stroke.
排除标准
- •Previous lumbar fusion surgery Degenerative or Idiopathic Scoliosis And Inflammatory disease like autoimmune diseases such as rheumatoid arthritis ,heart disease,COPD and history of malignancy (Risk of cancer after lumbar fusion surgery with recombinant human bone morphogenic protein-2).
结局指标
主要结局
6 minute walk test,Lumbar Range of motion,Oswestry disability scale,Visual analogue scale
时间窗: 6 minute walk test,Lumbar Range of motion,Oswestry disability scale,Visual analogue scale
次要结局
- 1. 6 minute walk test(2.Oswestry disability index)
研究者
DrShraddha Prataprao Kothawale
Sir Dr.M.S.Gosavi College of Physiotherapy and HCM,Nashik