Effects of Physical Therapy on Improving Disc Height Index, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- Foundation University Islamabad
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Gait velocity
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Gait velocity
Time Frame: 2 weeks
Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome
Lumbar Disability
Time Frame: 2 weeks
Disability will be measured via Oswestry Disability Index.
Back Pain
Time Frame: 2 weeks
Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.
Lumbar Range of Motion
Time Frame: 2 weeks
Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome.
Postural Stability
Time Frame: 2 weeks
Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.
Disc Height
Time Frame: 2 weeks
Disc will be analyzed using Magnetic Resonance Imaging
Step length
Time Frame: 2 weeks
Step length during gait will be analyzed using observational gait analysis. A greater step length signifies better outcome
Stride length
Time Frame: 2 weeks
Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome