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Effect of Pulsed Magnetic Therapy Versus Phonophoresis in Discogenic Lumbar Radiculopathy Patients

Not Applicable
Not yet recruiting
Conditions
Lumbar Radiculopathy
Interventions
Other: Pulsed electromagnetic therapy
Other: Ultrasound phonophoresis
Other: Conventional physical therapy
Registration Number
NCT06296303
Lead Sponsor
Cairo University
Brief Summary

Purposes of the study

To investigate the effect of pulsed magnetic therapy versus phonophoresis in discogenic lumbar radiculopathy patients

Detailed Description

Patients will be randomized into either pulsed magnetic therapy group or phonophoresis group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patient age ranges from 20 -45

  • Unilateral chronic lumbosacral radiculopathy

  • Intervertebral disc herniation confirmed by MRI

  • one of the following :

    1. H- reflex amplitude side to side difference 0.67 in absence of latency difference.
    2. H- reflex amplitude side to side difference smaller than 0.5 in p of latency difference.

    3 - Side to side H- reflex latency difference more than 1 msec. 4- Prolonged H-reflex latency more than 30 msec.

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Exclusion Criteria
  • Systematic disease
  • Lumbar canal stenosis
  • Pervious surgeries
  • Scoliosis
  • Kyphosis
  • Spinal fracture
  • Bilateral symptoms
  • Steroid injection
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pulsed electromagnetic therapy groupPulsed electromagnetic therapyPatients in this group will receive Pulsed electromagnetic therapy + Conventional physical therapy
Pulsed electromagnetic therapy groupConventional physical therapyPatients in this group will receive Pulsed electromagnetic therapy + Conventional physical therapy
Ultrasound phonophoresis groupUltrasound phonophoresisPatients in this group will receive Ultrasound phonophoresis + Conventional physical therapy
Ultrasound phonophoresis groupConventional physical therapyPatients in this group will receive Ultrasound phonophoresis + Conventional physical therapy
Control groupConventional physical therapyPatients in this group will receive Conventional physical therapy
Primary Outcome Measures
NameTimeMethod
PainChange from Baseline pain and function at 6 weeks

Visual analogue scale

DisabilityChange from Baseline pain and function at 6 weeks

Oswestry disability index

Sciatic nerve cross sectional areaChange from Baseline pain and function at 6 weeks

Diagnostic Ultrasound

Secondary Outcome Measures
NameTimeMethod
H-reflex amplitudeChange from Baseline pain and function at 6 weeks

by EMG unit

H-reflex side-to-side amplitude (H/H) ratioChange from Baseline pain and function at 6 weeks

by EMG unit

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