Effect of Shock Wave Therapy on Low Back Pain and Sciatica in Patients With Post-laminectomy Fibrosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Primary Endpoint
- Visual Analogue Scale (VAS)
Study Overview
Brief Summary
The aim of this study is clinical trial to investigate the effect of Radial Extracorporeal Shock wave therapy in patients with sciatica and low back pain caused by post laminectomy scarring. the study will answer the following question:
- what is the effect of Shock Wave Therapy on low back pain and sciatica caused by post-laminectomy fibrosis? patients in the study group will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Masking Description
The selected patients will be allocated by computerized block randomization.
Eligibility Criteria
- Ages
- 30 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Recruited patients will be diagnosed by neurosurgeon as sciatic pain and low back pain caused by post laminectomy scarring.
- •Both genders will be recruited.
- •Their age will range from: 30-50 years (Sharaf, et al., 2022).
- •Recruited patients will be randomly assigned in to two equal groups.
- •Unilateral radicular sciatica.
- •Constant back pain OR aggravated by movement,
- •Restricted lumbar range of motion.
- •Tenderness at the site of incision.
- •Duration of symptoms: three weeks to six months postoperatively
Exclusion Criteria
- •Past history of vertebral fracture.
- •Spinal cord compression.
- •Vertebral tuberculosis.
- •Polyneuropathy.
- •Diabetic peripheral neuropathy.
- •Spinal tumor.
- •Recurrent disc herniation after surgery.
- •Spondylolisthesis.
- •Vascular diseases, e.g., peripheral vascular diseases, coronary artery bypass graft and coagulation diseases.
- •Potential pregnancy.
Arms & Interventions
controlled
thirty patients will receive conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: Transcutaneous Electrical Nerve Stimulation (TENS) (Device)
controlled
thirty patients will receive conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: McKenzie Back exercises (Procedure)
controlled
thirty patients will receive conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: electric heating pads (Device)
shock wave therapy
thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: Radial Extracorporeal Shock wave Therapy (Device)
shock wave therapy
thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: Transcutaneous Electrical Nerve Stimulation (TENS) (Device)
shock wave therapy
thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: McKenzie Back exercises (Procedure)
shock wave therapy
thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Intervention: electric heating pads (Device)
Outcomes
Primary Outcomes
Visual Analogue Scale (VAS)
Time Frame: 4 weeks
The VAS consisted of a 10 cm horizontal line with the description "no pain" on the far left and "worst possible pain" on the far right
Secondary Outcomes
- Lumbar Range Of Motion(4 weeks)
- Sensory Nerve Conduction Study (NCS)(4 weeks)
- Pain algometry(4 weeks)
- The Oswestry Disability Index: (ODI)(4 weeks)
Investigators
Marwa Mohamed Hany Sedeek Abousenna
physiotherapist Marwa Mohamed Hany Sedeek Abousenna
Cairo University