Effect of Hip Extension Mobilization on Functional Disability in Patients With Spondylolisthesis
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 32
- 主要终点
- low back disability
研究概览
简要总结
this study will be conducted to investigate the effect of hip extension mobilization on lumber disability, pain and flexion range of motion in patients with spondylolisthesis
详细描述
Spondylolisthesis is a kind of low back pain (LBP) that involves displacement of one vertebral body relative to the vertebra below it. Spondylolisthesis is derived from the Greek words spondylosis, which means vertebra, and olisthisis, which means slippage. The displacement of the cranial vertebra can be anterior (also known as anterolisthesis), lateral, or posterior (retrolisthesis) to the more caudal vertebra., most commonly occurring as an anterior slippage at the lumbosacral junction(L5-S1). The condition can result from several etiologies including congenital, isthmic, degenerative, traumatic, or pathologic causes. The clinical presentation of spondylolisthesis encompasses a broad spectrum, ranging from asymptomatic cases to those involving debilitating pain, neural compromise, and functional limitations. Degenerative spondylolisthesis (DS) predominantly affects older adults, with a marked predilection for females. A cross-sectional epidemiological survey involving over 4,000 patients reported a prevalence of 2.7% in men and 8.4% in women, underscoring a significant sex disparity.The most common site for degenerative spondylolisthesis is the L5 to S1 level. Mobilization increases hip range of motion, decreases pain and improves hip function more than non-weight bearing exercises.
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)
盲法说明
opaque sealed envelope
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Chronic female Patients diagnosed as grade 1 lumbar degenerative spondylolisthesis (anterolisthesis) referred from Orthopedists was confirmed by lumbosacral x-ray
- •Patients age ranged from 40 to 60 years.
- •BMI(25:35)
- •Ambulant patient with or without cane.
- •Cooperative patients with ability to understand instructions and follow simple verbal commands.
排除标准
- •Osteoporosis.
- •Pregnancy.
- •Signs consistent with nerve root compression (reproduction of low-back or leg pain with a straight leg raise at less than 45°, muscle weakness involving a major muscle group of the lower extremity, diminished lower extremity muscle stretch reflex, or diminished or absent sensation to pinprick in any lower extremity dermatome).
- •General tumors, spinal tumor, fracture, cauda equina syndrome, and previous surgery.
- •Other causes of spondylolisthesis.
- •Patients with (BMI ≥ 35)
- •Severe or life-threatening psychiatric illness.
研究组 & 干预措施
hip extension mobilization
Sixteen patients received hip extension mobilization with conventional treatment (William spinal flexion exercises and TENS) three times per week for one month.
干预措施: hip extension mobilization (Other)
hip extension mobilization
Sixteen patients received hip extension mobilization with conventional treatment (William spinal flexion exercises and TENS) three times per week for one month.
干预措施: conventional treatment (Other)
conventional treatment
Sixteen patients received conventional treatment in the form of William's spinal flexion exercises and TENS three times per week for one month.
干预措施: conventional treatment (Other)
结局指标
主要结局
low back disability
时间窗: up to four weeks
Arabic version of Roland Morris Disability will be used to assess low back disability. it is a valid, reliable 24-item tool used to assess physical disability in patients with low back pain (LBP). It has been culturally adapted to Modern Standard Arabic, with a score ranging from 0 to 24, where higher scores indicate greater functional disability.
次要结局
- pain intensity(up to four weeks)
- lumbar flexion range of motion(up to four weeks)
研究者
Alaa Ahmed Kazamel
principle investigator : Alaa Ahmed Kazamel
Cairo University