Effect of Capacitive and Resistive Energy Transfer on Pain, Functional Outcome and Electrophysiological Parameters in Patients With Chronic Discogenic Sciatica
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
The goal of this clinical trial is to evaluate the effect of TECAR therapy on pain, functional disability and electrophysiological parameters in adults with chronic discogenic sciatica . The main questions it aims to answer are:
• Is there significant effect of TECAR therapy on pain, functional disability and Electrophysiological parameters (H-reflex latency and amplitude) ? Researchers will compare effect of adding TECAR therapy to conventional physical therapy program (TENS, hot pack, stretching exercises and core stability exercises) Vs conventional physical therapy program alone to see if there is a beneficial effect of adding TECAR therapy to physical therapy program Participants in study group will receive TECAR therapy in addition to conventional PT program while participants in control group will receive conventional PT program
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)
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Age between 30-50 years
- •Unilateral chronic discogenic sciatica at L5-S1, MRI confirmed
- •Symptom duration more than 3 months
- •Pain score ≥ 4 on the Visual Analogue Scale (VAS)
- •Ability to participate in outpatient physiotherapy
排除标准
- •Previous lumbar spine surgery
- •Pacemaker or metallic implants
- •Peripheral neuropathy or systemic neurological disorders
- •Severe sensory loss
- •Skin lesions at the treatment site
- •Recent corticosteroid injection (< 3 weeks)
研究组 & 干预措施
study group
干预措施: Transfer of Energy Capacitive and Resistive (TECAR) therapy (Device)
study group
干预措施: conventional physical therapy program (Other)
control group
干预措施: conventional physical therapy program (Other)
结局指标
主要结局
Pain intensity
时间窗: from enrollment to the end of treatment at 4 weeks
lower back pain will be assessed though Visual Analogue Scale (VAS) which is used to measure the severity of pain. It is a straight line with one end representing no pain and the other end representing the worst imaginable pain. The subject will mark a point on the line that corresponds to the current level of pain he or she experiences. Higher values indicate higher levels of pain while lower values indicate lower levels of pain
functional disability
时间窗: from enrollment to the end of treatment at 4 weeks
Functional disability will be evaluated using the Oswestry Disability Index (ODI), which is considered the gold standard for assessing disability in low back pain and radiculopathy. The ODI consists of 10 sections evaluating daily activities such as lifting, walking, sitting, and personal care. It is scored from 0% to 100%, where higher percentages represent more severe functional impairment
Hoffmann reflex (H-reflex)
时间窗: from enrollment to the end of treatment at 4 weeks
H-reflex has been measured in the soleus muscle by stimulating the tibial nerve with a one-millisecond pulse at 0.2pps of H-max. The peak-to-peak amplitude of the highest recorded H-reflex and the latencies of four spaced traces for both lower extremities will be averaged for each participant. lower amplitudes and delayed latencies indicate more damage to nerve root, while higher amplitudes and short latency indicates less damage
次要结局
未报告次要终点
研究者
Omar Abdelaziz
physical therapist at Kasr Al Ainy hospitals
Cairo University