Augmented Posterior Oblique Sling Activation on Lumbopelvic Recruitment Pattern and Functional Outcomes in Lumbosacral Radiculopathy Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- surface EMG unit
研究概览
简要总结
The current study aims to determine the impact of augmented posterior oblique sling activation on lumbopelvic recruitment pattern and functional outcomes in patients with unilateral lumbosacral radiculopathy.
详细描述
Low back pain is now the leading cause of disability worldwide. Back pain and its related disability have a huge impact on individuals, communities, and healthcare systems. It reduces an individual's ability to participate in work which in turn negatively affects their quality of life. Also, it has major economic consequences through increasing the cost of health care and work absenteeism. Among the many differentials of low back pain, the most common cause is lumbosacral radiculopathy. Patients with low back pain showed uncontrolled lumbopelvic mobility while performing hip extension movement in functional activities. In patients with back pain, there is over-activation of the hamstrings and erector spinae and delayed or absent contraction of the gluteus maximus. Clinically, this pattern is observed as an anterior pelvic tilt with increased extension in the lumbar spine as the patient lifts the leg into extension. So, repetition of this abnormal pattern in patients with lumbosacral radiculopathy may result in mechanical and compressive stresses in the lumbar spine and magnify the patient's symptoms. Despite the role of POSM in improving spinal mobility and stability. And stabilizing the lumbopelvic joint, there are no previous studies investigating the impact of activation posterior oblique activation on this abnormal lumbopelvic recruitment and functional outcomes in patients with lumbosacral radiculopathy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 46 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age ranges from 30 to 46
- •L5/S1 disc herniation.
- •Duration of pain is more than three months.
- •body mass index less than 30 kg/cm2
- •ability to perform prone hip extension task with no pain
- •impaired lumbopelvic stability (<5 mmHg pressure difference from baseline to end prone hip extension task)
- •moderate to severe lumbosacral radicular pain
排除标准
- •Red flags: spinal tumors, cauda equina syndrome, spinal fractures, osteoporosis, infection.
- •Bilateral symptoms.
- •Spondylolisthesis, spondylitis, and spinal canal stenosis.
- •Previous lumbopelvic or hip surgery or injection
- •Any hip structural abnormality such as malformations, impingements and degeneration.
- •Postural deviations such as scoliosis, kyphosis, lateral shift.
- •True leg length discrepancy.
- •Pregnancy and Gynecological problems.
研究组 & 干预措施
control group -
Control group (A):
Twenty patients will receive selected physical therapy program for 18 sessions, three sessions per week for six weeks in form of soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics.
干预措施: selected physical therapy program (Other)
study group
Study group (B):
Twenty patients will receive augmented activation of posterior oblique sling in addition to selected physical therapy program, 18 sessions, three sessions per week for six week
干预措施: augmented posterior oblique sling activation (Other)
study group
Study group (B):
Twenty patients will receive augmented activation of posterior oblique sling in addition to selected physical therapy program, 18 sessions, three sessions per week for six week
干预措施: selected physical therapy program (Other)
结局指标
主要结局
surface EMG unit
时间窗: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
The electromyographic pattern of activation of lumbopelvic musculature (sequence and level of activity) will be measured during prone hip extension testing using surface EMG unit.
Pressure biofeedback unit
时间窗: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
it will be used to assess pelvic motion. the pressure sensor of the pressure biofeedback unit will be placed anteriorly between the patients' ilium and the testing table. The amount of pressure applied by the patient on the sensor at rest will be recorded then, the amount of pressure applied by patients at prone hip extension at 10 degrees will be recorded.
次要结局
- pressure algometry(measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention)
- Arabic version of Oswestry Low Back Pain Disability Questionnaire(measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention)
- back pain intensity using the Visual analogue scale(measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention)
研究者
Hend Refaat Kamal
assistant lecturer of physical therapy for neurology and neurosurgery
Cairo University