Effects of Spinal Manipulation Compared with Spinal Mobilization for Lumbar Disc Herniation with Radiculopathy: A Randomized Clinical Trial with 1 Year Follow-up

未提供0 个研究点目标入组 40 人开始时间: 2018年12月19日最近更新: 2023年5月29日

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•Criteria for inclusion will be; patients with age of 18-65 years having unilateral radiculopathy and pain in distribution of sciatic nerve. Pain will be accepted as evidence of L5 root compression when distributed to anterolateral aspect of calf and to dorsum of foot and as evidence to S1 root compression when distributed to posterior aspect of calf extending to the heel and lateral aspect of the foot. If pain did not extend below the ankle, at least one additional neurological sign will be demanded for the patient to be included. These signs are; painful passive knee flexion, weakness of resisted hip flexion and resisted knee extension and absence or sluggishness of knee jerk reflex for L2/L3 nerve roots, hypoesthesia in the dorsum of the foot, weakness of dorsiflexion of foot or first toe and impaired medial hamstring reflex for the L4/L5 nerve roots, hypoesthesia at the lateral aspect of the foot, weakness of the plantar flexion of the foot or first toe, impaired Achilles tendon reflex and painless weakness on resisted eversion for the L5/S1 verve roots, gluteal mass wasting and weakness on tip toeing on the affected leg for the S1/S2 verve roots.

•The exclusion criteria will be; subjects diagnosed with dementia or other cognitive impairment, subjects diagnosed with claudication, inflammatory or other specific disorders of spine such as ankylosing spondylitis, vertebral collapse, rheumatoid arthritis, stenosis, spondylolisthesis, osteoporosis, previous spinal surgery, a known pregnancy, bilateral radiculopathy, and presence of red flags (History of significant trauma, cancer, constitutional symptoms; fever, malaise, weight loss, recent infection, bladder and/or bowel dysfunction).

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