Impact of Pelvic Asymmetry on Hip Joint Proprioception in Patients With Lumbar Radiculopathy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Hip joint proprioception
研究概览
简要总结
This observational study aims to investigate the impact of pelvic asymmetry on hip joint proprioception in patients with lumbar radiculopathy. Proprioception, or the body's sense of joint position and movement, plays an essential role in posture and stability. People with lumbar radiculopathy often suffer from back and leg pain and may experience changes in posture and balance. This study aims to examine the relationship between pelvic asymmetry, hip joint proprioception and low back pain which may help improve physical therapy approaches for such patients.
详细描述
In this study, participants with confirmed lumbar radiculopathy will undergo clinical and biomechanical assessment. Pelvic alignment will be assessed in both the frontal plane and the sagittal plane using Kinovea software for image-based angle measurements. Hip joint proprioception will be evaluated using an isokinetic dynamometer to assess joint position sense (JPS) under controlled conditions. Additionally, the Numerical Pain Rating Scale (NPRS) will be used to quantify subjective pain levels.
The goal is to identify whether a correlation exists between pelvic asymmetry and deficits in hip joint proprioception and low back pain in this patient group. The findings may contribute to improving targeted rehabilitation strategies and clinical decision-making in the management of patients with lumbar radiculopathy.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with unilateral lumbar radiculopathy secondary to lumbar disc herniation at the level of L4-L5 and L5-S1 suffering from low back pain with radiating pain to the lower extremity from both sex.
- •Lumbar radiculopathy presented by sensory manifestations only.
- •The duration of the disease was 3 months or more.
- •The age ranged from 25 to 45 years old.
- •Body Mass Index (BMI) ranging from ( 18.5 to 24.9 kg/m² ) .
排除标准
- •Lumbar canal stenosis.
- •Cauda Equina lesions.
- •Lumbar radiculopathy with motor manifestations.
- •Acute lumbar radiculopathy ( symptoms duration less than 3 months ).
- •Diabetic neuropathy.
- •Previous lumbar surgery.
- •Lumbar trauma.
- •Deformities in the lumbar spine.
- •Rheumatoid arthritis.
- •Tumors and infections involving the lumbar spine.
- •Patients with Hip Joint Pathologies ( Osteoarthritis, labral tears, or previous hip surgeries ).
研究组 & 干预措施
Pelvic Asymmetry Group
Participants in this group are patients diagnosed with lumbar radiculopathy who present with frontal plane and sagittal plane pelvic asymmetry. Pelvic asymmetry is assessed using Kinovea software . Hip joint proprioception will be evaluated using an isokinetic dynamometer. Pain levels will also be recorded using the Numerical Pain Rating Scale (NPRS).
No Pelvic Asymmetry Group
Participants in this group are patients diagnosed with lumbar radiculopathy who do not exhibit measurable pelvic asymmetry by kinovea software in the frontal plane or the sagittal plane . The same assessment procedures will be applied, including hip joint proprioception using an isokinetic dynamometer and pain assessment using the NPRS
结局指标
主要结局
Hip joint proprioception
时间窗: single measurement session
Assessment of hip joint proprioception using an isokinetic dynamometer to measure the Absolute Error (AE) of Joint Position Sense (JPS). Participants will be asked to actively reproduce three specific target hip angles (Flexion, Abduction, and Internal Rotation). For each angle, the mean deviation of three consecutive trials (in degrees) from the target position will be recorded. The entire test will be conducted in a single session to evaluate baseline proprioceptive accuracy.
次要结局
未报告次要终点
研究者
Noura ahmed ibrahim hendy
Principal Investigator , Faculty of Physical Therapy, Cairo University
Cairo University