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Evaluating the effect of one type of Physiotherapy treatment,in patients with Low Back Pain.

Not yet recruiting
Conditions
Low back pain,
Registration Number
CTRI/2019/12/022221
Lead Sponsor
INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES PATNA BIHAR INDIA
Brief Summary

The purpose of this study is to verify, through a randomized controlled trial, theeffectiveness of a three-week program of neurodynamic techniques on pain,disability and changes in NCS, H-Reflex, H:M ratio in individuals with low backpain.

Firstaim is to investigate the effect of two Neurodynamic techniques on pain anddisability in patients with LBP. The two techniques tested in this study are“Slump†Neurodynamic Technique and “Straight Leg Raise†Neurodynamic Technique.

Secondaim is to determine whether this type of physiotherapy treatment (neurodynamictechniques)  for individuals with lowback pain can bring some neurophysiological changes in the nerves which can bequantified in the electrophysiological studies like NCS, H-reflex and H;Mratio, compared to conventional physical therapy treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
90
Inclusion Criteria

1 Patients with Low Back Pain symptoms that referred to buttocks as well as distal to the buttocks, 2 Reproduction of the patient’s symptoms with slump testing, no change in symptoms with lumbar flexion or extension.

Exclusion Criteria

1 Patients with ‘‘red flags’’ for a serious spinal condition (e.g. infection, tumors, osteoporosis, spinal fracture, etc.) 2 Individuals who were pregnant, has a history of spinal surgery, 3 Positive neurologic signs or symptoms suggestive of nerve root involvement (diminished upper or lower extremity reflexes, sensation to sharp and dull, or strength), 4 Osteoporosis, 5 A straight leg raise (SLR) testof less than 45 degree.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Change in Pain using NPRS3 weeks
(Numeric Pain Rating Scale)3 weeks
2. Change in Disability assessed using Modified Oswestry Disability Index (ODI)3 weeks
3.Change in nerve conduction studies : Motor conduction of the tibial nerve and peroneal nerve; Sensory conduction of the sural nerve; H-reflex, H:M ratio (Soleus muscle)3 weeks
Secondary Outcome Measures
NameTimeMethod
Adverse outcome if any3 weeks

Trial Locations

Locations (1)

INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES PATNA BIHAR INDIA

🇮🇳

Patna, BIHAR, India

INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES PATNA BIHAR INDIA
🇮🇳Patna, BIHAR, India
Binay Kumar Pandey
Principal investigator
9334408377
physiobinaypandey@hotmail.com

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