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Effect of Combined Lumbar Traction and Repetitive Back Extension Exercise on H-reflex in Lumbosacral Radiculopathy

Not Applicable
Recruiting
Conditions
Lumbosacral Radiculopathy
McKenzie Derangement Syndrome
Registration Number
NCT06216288
Lead Sponsor
Cairo University
Brief Summary

The aim of the study is to investigate the effect of performing combined lumbar traction and repeated back extension exercise (McKenzie) on soleus H-reflex, pain, and disability in patients with lumbosacral radiculopathy. The main question that it aims to answer is:

Does the combination of lumbar traction and back extension exercise (McKenzie) improves soleus H-reflex, pain, and function in patient with lumbosacral radiculopathy? participants will be randomized into 2 groups: one group will include repeated back extension exercise (McKenzie Approach) without mechanical traction and the other group will include the same but in combination with mechanical traction.

Detailed Description

Repeated back extension exercises as described by McKenzie from prone position has been widely suggested for patients with lumbosacral radiculopathy (LSR). It has been reported to decrease radicular symptoms which could be due to the decompression effect of this exercise on the compromised nerve root. Moreover, mechanical traction have a debatable effect on lumbosacral patients with little evidence that supports its effectiveness. Thus, the investigators hypothesize that performing a combination of lumbar traction and repeated back extension exercise will improve the soleus H-reflex, pain, and function of lumbosacral radiculopathy patients.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Patient with chronic unilateral lumbosacral radiculopathy (more than 3 months duration)
  2. Age:35- 60 years
  3. Both male and female
  4. People with L5-S1 postero-lateral disc herniation or protrusion.
  5. people with positive straight leg raise
Exclusion Criteria
  1. Subjects with lumbosacral Surgery.
  2. Subjects with stenosis or scoliosis.
  3. Subjects with cardiac problem or cancer.
  4. Subjects with peripheral neuropathy.
  5. Subjects with upper motor neuron injury.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Soleus H-reflex amplitudeAt baseline and 6 weeks

amplitude in millivolts (mV)

Soleus H-reflex latencyAt baseline and 6 weeks

latency in milliseconds (ms)

Secondary Outcome Measures
NameTimeMethod
Numerical Pain Intensity ScaleAt baseline and 6 weeks

in numbers, the score ranges from 0 to10.

Oswestry Disability Index (ODI)At baseline and 6 weeks

in numbers, the score ranges from 0 to 100.

Trial Locations

Locations (1)

Ahmed ElMelhat [aelmelhat]

🇪🇬

Cairo, Egypt

Ahmed ElMelhat [aelmelhat]
🇪🇬Cairo, Egypt
Ahmed E [Elmelhat]
Contact
01112595022
ahmed.elmelhat@cu.edu.eg

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