Effect of Proprioceptive Neuromuscular Facilitation With and Without Electrical Stimulation on Pain and Functional Disability in Patients With Chronic Lumbar Radiculopathy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- pain numeric rating scale
Study Overview
Brief Summary
Numerous researches have shown how PNF is been used to treat non specific low back pain, subacromial impingement, cervical radiculopathy and many others. In some studies different techniques like Mckenzie method, spinal mobilization and Mulligan traction other than PNF were being used to treat lumbar radiculopathy. According to researchers knowledge little literature available to see the effectiveness of PNF with electrical stimulation in patients with chronic lumbar radiculopathy. Therefore, the purpose of the current study is to examine the effects of PNF with electrical stimulation in patients with chronic lumbar radiculopathy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 40 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •• Diagnosed cases of lumbar radiculopathy
- •Either one or both legs affected by radiating pain
- •Signs of nerve root compression like paresthesia, numbness, tingling, sharp pain
- •Impaired deep tendon reflex(knee jerk, ankle jerk)
- •Both male and female
- •Radiological evidence of lumbar spondylosis with radiculopathy
- •Age group between 40 to 70 years
- •Positive SLR test between 45° to 70°
- •All subjects with symptoms for duration of more than 6 weeks
- •Increase leg pain by coughing and sneezing
Exclusion Criteria
- •Serious spinal conditions e.g infection, tumor, osteoporosis
- •Uncontrolled hypertension
- •Severe cognitive impairment
- •Other neurological conditions and systemic illness like kidney and visceral diseases
- •Vertebral fracture and spondylolisthesis
- •Pregnant women
- •History of spinal surgery in previous 6 months
- •Clinical conditions such as oversensitive skin, patients with cardiac pacemakers where application of TENS is contraindicated
Arms & Interventions
PNF with electrical stimulation
participants in this arm receive PNF with electrical stimulation to reduce pain and functional disability in patients with chronic lumbar radiculopathy
Intervention: PNF with electrical stimulation (Other)
PNF without electrical stimulation
participants in this arm receive PNF without electrical stimulation to reduce pain and functional disability in patients with chronic lumbar radiculopathy
Intervention: PNF without electrical stimulation (Other)
Outcomes
Primary Outcomes
pain numeric rating scale
Time Frame: 6th week
The pain numeric rating scale is a segmented numeric version of visual analog scale in which a respondent selects a whole number 0 to 10 that reflects the intensity of pain. The 11 point numeric scale ranges from 0 representing no pain and 10 representing extreme pain. Higher scores indicating greater pain intensity. e.g. as bad as you can imagine or worst pain. NPRS takes less than 1 minute to complete and easy to administer and score.
Modified Oswestry disability index
Time Frame: 6th week
MODI also known as the Oswestry Low Back Pain Disability Questionnaire, as a very crucial instrument to assess a patient's functional disability over the long term. MODI is a patient completed questionnaire included 10 sections of questions. This tool is effective for persistent severe disability. The MODI domains are the following: pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, travelling and employment/home making. Each section has six statements that are scored from 0 means minimum degree of difficulties in that activity to 5 means maximum degree of difficulty.
Secondary Outcomes
No secondary outcomes reported