Positional Distraction and Stabilization Exercises in Adults With Lumbar Radiculopathy.

Not Applicable

Completed

• Conditions: Lumbar Radiculopathy
• Interventions: Other: physical therapy treatment

• Registration Number: NCT04427423
• Lead Sponsor: Dow University of Health Sciences

Brief Summary

This study evaluate the addition of positional distraction to stabilization exercises in the treatment of lumbar radiculopathy in adults. Half of the patients will recieve positional distraction and stabilization exercises in combination, while the other half will recieve stabilization exercises only.

Detailed Description

In positioanl distraction making use of the body position to produce traction at an isolated spinal level to maximally open the affected neuroforamen. It is an alternative to lumbar mechanical traction.

The spinal level of vertebral level requiring traction is palpated and a soft roll is placed and the patient side lies on the unaffected side. For further distraction both hips are flexed until movement is noted at the spinal level needing traction.

Further, distraction applied by rotating upper trunk to opposite side of pain.

Stabilization exercises are mainly used for the stability of joints and for improving muscle strength.

The first step of lumbar stabilization exercises are to maintain functional back positions during all activities. The second step is to improve strength and endurance of the core muscles.

Study Timeline

• Study Start: 2020-04-10
• Study First Submitted: 2020-04-27
• Study First Submitted QC: 2020-06-10
• Study First Posted: 2020-06-11
• Primary Completion: 2020-12-12
• Study Completion: 2021-01-25
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-21
• Last Update Posted: 2021-02-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

• Clinical diagnosis of lumbar radiculopathy
• Age limit 30-50 years
• Both males and females
• Pain history more than 12 weeks but less than one year
• Patient having lumbar disc bulge at maximum two adjacent levels

Exclusion Criteria

• Any type of tumor and infection in the spine
• Spondylolisthesis at L4- L5, L5-S1
• Fracture of the lumbar spine
• Sciatica other than lumbar region (piriformis syndrome)
• Acute cardiopulmonary conditions
• Morbid obesity (BMI > 30)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Positional Distraction plus Stabilization Exercise group	physical therapy treatment	The treatment group will receive positional distraction with stabilization exercises
Stabilization Exercise group	physical therapy treatment	control group will be treated with stabilization exercises only.

Primary Outcome Measures

Name	Time	Method
Change from baseline Pain intensity at 8 weeks	All the subjects were assessed before and after 8 weeks of treatment.	The pain intensity measured on self reported Visual Analogue Scale. (0 means no pain and 10 is the high intensity of pain).
Change from baseline Disability at 8 weeks	All the subjects were assessed before and after 8 weeks of treatment.	The disability were assessed on Roland Morris Disability Questionnaire. where 0 means no disability and 24 is the high disability.

Trial Locations

Locations (1)

Dow University of Health Sciences; 🇵🇰 Karachi, Sindh, Pakistan