Effectiveness of Structured Systematic Exercise Program on Physical Activity Level for Subjects with Chronic Lumbar Disc Herniatio

Not Applicable

Conditions: Health Condition 1: M518- Other thoracic, thoracolumbar andlumbosacral intervertebral disc disorders

Registration Number: CTRI/2024/08/071787

Lead Sponsor: VINOD BABU K

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

1. Age group between 30 to 50 years.

2. Gender- both male and female.

3. Subjects referred by Orthopaedic surgeons, and neurosurgeons who initially have diagnosed the pathological condition involvement of LDH at the level of L4-L5, L5-S1, or L4-L5+L5-S1 based on correlation with MRI.

4. Chronic Lumbar disc herniation pain with duration of more than 3 months of onset.

5. Lower back pain without referred pain to limbs or with referred pain to the legs/buttock region, or manifest as a combination of both.

6. Clinical factors at baseline with any of the findings: a. Visual Analog scale legs/buttock region pain less than 7.0. b. Visual Analog scale back pain less than 7.0, c. Oswestry Disability Index score of at least 30 out of 100 points, d. Positive straight leg rises above 60 degree.

Exclusion Criteria

1. Subjects with having neurological impairments (red flags signs) like Muscle weakness, loss of sensation, impaired reflexes, Cauda equina syndrome or progressive motor deficit.

2. Subjects with history of having fracture of lumbar spine or Spondylolisthesis.

3. Subjects having spinal tumour or malignancy or TB in their spine.

4. Subjects with history lumbar spine surgery.

5. Subjects having spinal deformity like Scoliosis, Kyphosis or Spina bifida etc.

6. Subjects with Neurogenic claudication reduced walking distance and neurologic signs.

7. Subjects with neuropathic pain, shows positive tests of hypersensitivity to non-noxious (allodynia) and noxious stimuli (hyperalgesia).

8. Subjects with Inflammatory disease, Vestibular condition.

9. Subjects present with any Musculoskeletal condition that limit mobility like severe arthritis, trauma, fracture, surgery etc

10. Subjects who are unwilling to participate.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Physical activity measurement.Timepoint: Baseline and after 6 weeks of intervention.

Secondary Outcome Measures

Name	Time	Method
2.Low back pain intensity will be measured using visual analogue scale <br/ ><br>3.Mobility: Neural tension using straight-leg-raising test in degrees & Lumbo-pelvic-hip complex motion using in centimetre.Timepoint: Baseline & after 6 weeks of intervention