Effects of Physical Therapy on Improving Disc Height, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain

Not Applicable

Completed

• Conditions: Disk Prolapse; Low Back Pain
• Interventions: Procedure: Mckenzie Extension Protocol; Procedure: Lumbar SNAGs; Device: Inferential therapy; Procedure: Heat Therapy

• Registration Number: NCT05326594
• Lead Sponsor: Foundation University Islamabad

Brief Summary

Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition, however there is no conclusive evidence regarding the positive effects of conservative physical therapy management in terms of radiological changes and improvement in disc height. For this reason, the current study will not only look into the positive effects of conservative physical therapy on postural stability, pain and function, but also in terms of disc height in persons with discogenic low back pain.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-29
• Study First Submitted QC: 2022-04-06
• Study First Posted: 2022-04-13
• Study Start: 2022-05-01
• Primary Completion: 2023-06-30
• Study Completion: 2023-06-30
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-26
• Last Update Posted: 2024-02-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Both male and female participants
• Aged 18-50 years old
• low back pain intensity less than 80/100mm on visual analogue scale
• positive centralization phenomenon
• low signal intensity of IV disc on T2 - weighted MRI
• high intensity zone towards the posterior aspect of the disc on MRI

Exclusion Criteria

• Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Physical Therapy	Lumbar SNAGs	-
Physical Therapy	Inferential therapy	-
Physical Therapy	Mckenzie Extension Protocol	-
Physical Therapy	Heat Therapy	-

Primary Outcome Measures

Name	Time	Method
Gait velocity	2 weeks	Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome
Lumbar Disability	2 weeks	Disability will be measured via Oswestry Disability Index.
Back Pain	2 weeks	Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.
Lumbar Range of Motion	2 weeks	Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome.
Postural Stability	2 weeks	Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.
Disc Height	2 weeks	Disc will be analyzed using Magnetic Resonance Imaging
Step length	2 weeks	Step length during gait will be analyzed using observational gait analysis. A greater step length signifies better outcome
Stride length	2 weeks	Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome

Trial Locations

Locations (1)

Foundation University Islamabad; 🇵🇰 Islamabad, Pakistan