A randomized comparative clinical study to evaluate the effect of Hijama-bil-Nar and Transcutaneous electrical nerve stimulation in the management of Waja-ur-Raqaba (Cervical spondylosis)
试验速览
- 阶段
- 2/3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- 1. VAS (Visual Analog Scale)
研究概览
简要总结
In Modern The term cervical spondylosis denotes the osteoarthritis in the cervical spine characterized by chronic disc degeneration in the cervical vertebrae and osteophytes formation. The most common evidence of degeneration is found at C5-C6 followed by C6-C7 and C4-C5. It is characterized clinically by pain in the neck with or without radiation; tingling, numbness, congestion, compression of nerve and paresthesia, headache may be seen in occipital region and often described as spreading up over the back of the head to the frontal region. Radiological changes of cervical spondylosis are frequently found in apparently healthy individuals above the age of 50.
In Unani Medicine Waja-ur-Raqaba (Cervical spondylosis) as such is not clearly mentioned in the authentic Unani literature, but all the Renowned Unani Scholars described the joint pain under the context of term Waja-ul-Mafasil. It comprises all variety of joint pain like Niqras (Gout), Waja-ul-Warik (Ischial pain), Waja-ul-Aqab (Ankle pain), Irqunnasa (Sciatica), Waja-ul-Rakbah (Knee pain) etc.
Most of the Unani physicians clearly explain the aetiopathogenesis of Waja-ul-Mafasil on the basis of quantitative and qualitative derangement of akhlat (humours).only temperament of humours gets disturbed causing just functional disturbance of articular surfaces, it is of short duration, while in case of Waja-ul-Mafasil maddi, there is qualitative and quantitative changes in the humours (Akhlat) take place in the joint spaces.Hijamah-bil-Nar is one which is commonly prescribed to diversion mawad-e-fasida (morbid humours) and to provide relief to the patient of Waja-ul-Mafasil. It is used for Imala-e-Mawad (Diversion of morbid humours) from affected part and relieves pain, resolves inflammation, alleviated congestion, produces localize heat by increasing local blood circulation and diversion of morbid matter, reduces pain.
TENS is widely used to provide relief in cervical spondylosis, tingling sensation, numbness, neural pain. Hence, keeping the above facts in mind, I plan a study to compare the effect of Hijama-bil-Nar with TENS in the management of Waja-ur-Raqaba entitled as “A randomized comparative clinical study to evaluate the effect of Hijama-bil-Nar and Transcutaneous electrical nerve stimulation in Waja-ur-Raqaba (Cervical spondylosis).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 20.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Willing to participate in the study.
- •Both genders.
- •Age between 20 – 60 years.
- •Clinically or radiologically diagnosed patients of Waja-ur-Raqaba (Cervical spondylosis).
- •Patients having mild to moderate pain (VAS Score = 1-7).
排除标准
- •Age less than 20 years and more than 60 years.
- •Previous history of neck trauma, cervical fracture or surgery.
- •History of congenital spinal abnormality, spinal tumor and cancer.
- •Uncontrolled Diabetes mellitus.
- •Patients taking analgesic drugs, steroidal treatment in past one week.
- •Known cases of Cardiac diseases e.g. Coronary artery diseases, Arrythmias, Cardiac pacemaker etc.
- •Prosthesis e.g. metal rods, screw etc.
- •Sensitive skin.
结局指标
主要结局
1. VAS (Visual Analog Scale)
时间窗: 0,7,14,21 and 28th day.
2. NPQ (Northwick Park Neck Pain Questionnaire)
时间窗: 0,7,14,21 and 28th day.
次要结局
- Assessment of quality of life by Short form-36(SF-36) Questionnaire(0 and 28th day)
研究者
Rubina Saifi
State Unani Medical College and HAHRDM hospital himmatganj Prayagraj, Uttar Pradesh Pin Code 211016