An investigation of a clinical intervention of sustained side-lying to correct lumbo-sacral scoliotic list and restore unilateral loss of ankle dorsiflexion strength due to lumbar radiculopathy caused by disc herniatio
- Conditions
- Physical Medicine / Rehabilitation - Physiotherapylumbo-sacral radiculopathylow back pain lumbo-sacral radiculopathyMusculoskeletal - Other muscular and skeletal disorderssciaticalow back pain
- Registration Number
- ACTRN12617000014358
- Lead Sponsor
- Kate Haswell
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 38
Clinical diagnosis of lumbo-sacral radiculopathy
Unilateral ankle dorsiflexor weakness, manual muscle test Grade 4
Observable lumbo-sacral scoliotic list in standing
Severe pain, Characteristic Pain Intensity, score >50/100
Major neurological deficit, manual muscle test grade < 4 and/ or progressive muscle weakness
Major functional disability, Modified Roland Morris Functional Status Score 22 or 23/23
Significant depressive disorder that requires referral, Zung Self-Rating Depression Scale > 49/100
History of previous injury or disease to the affected or unaffected lower limb
History of cardiovascular disease, diabetes, primary or metastatic cancer, spinal infection, inflammatory joint disease, spondylolisthesis, spinal stenosis, osteoporosis, osteomalacia, aortic aneurysm or bleeding disorder such as haemophilia
History of spinal surgery
Major surgery within the last six months
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Peak force isometric mid-thigh pull measurement [Within second session, pre- and post- intervention];Peak force hand-held dynamometric measurement of ankle dorsiflexors [Within second session, pre- and post- intervention];Leg pain intensity on a 0-10 verbal numeric scale[Within second session, pre and post- intervention ]
- Secondary Outcome Measures
Name Time Method A frontal plane plumbline measurement of spine will be taken. A plumb bob will be dropped from the spinous process of the seventh cervical vertebra on a plumbline to the sacrum. A rigid rule will be used to measure the distance from the midline at the lumbo-sacral junction. This method has been found to provide a reliable and valid measurement. . [Within second session, pre- and post- intervention]