Effects of Physical Therapy on Low Back Pain, Disc Height Index, Postural Stability, Disability, Gait and Function in Persons With Postero-lateral Disc Herniation

Not Applicable

• Conditions: Herniation, Disc; Low Back Pain
• Interventions: Other: Standard medical treatment; Device: Lumbar Traction; Other: Mckenzie Extension Protocol; Device: Interferential Therapy; Device: Heat Therapy; Other: Sustained Natural Apophyseal Glides (SNAGs)

• Registration Number: NCT06534593
• Lead Sponsor: Foundation University Islamabad

Brief Summary

The current study aims to determine if physical therapy is significantly superior in improving postural stability, pain and function and disc height index in persons with discogenic low back pain, as compared to the standardized medical treatment.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-07
• Study First Submitted: 2024-07-30
• Study First Submitted QC: 2024-08-01
• Last Update Submitted: 2024-08-01
• Study First Posted: 2024-08-02
• Last Update Posted: 2024-08-02
• Study Start: 2024-08-07
• Primary Completion: 2025-02-07
• Study Completion: 2025-02-07

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Both male and female participants
• Postero-lateral lumbar disc herniation
• Aged 18-50 years old
• Low back pain intensity less than 80/100mm on visual analogue scale or 8/10 on numeric pain rating scale
• Positive peripheralization and centralization phenomenon

Exclusion Criteria

• Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Heat Therapy	The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain.
Experimental Group	Sustained Natural Apophyseal Glides (SNAGs)	The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain.
Control Group	Standard medical treatment	The Control group will receive standard treatment for the management of discogenic low back pain.
Experimental Group	Mckenzie Extension Protocol	The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain.
Experimental Group	Interferential Therapy	The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain.
Experimental Group	Lumbar Traction	The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain.

Primary Outcome Measures

Name	Time	Method
Postural Stability	2 weeks	Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.
Lumbar Disability	2 weeks	Lumbar Disability will be measured via Oswestry Disability Index.
Back Pain	2 weeks	Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.
Lumbar Range of Motion	2 weeks	Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome.
Stride length	2 weeks	Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome
Gait Velocity	2 weeks	Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome
Cadence	2 weeks	Cadence during gait will be analyzed using observational gait analysis, which is number of steps per minute.
Disc height index	2 weeks	Disc height index will be analyzed using Magnetic Resonance Imaging. A greater disc height index signifies better outcome

Trial Locations

Locations (1)

Foundation University Islamabad; 🇵🇰 Islamabad, Federal, Pakistan