Effectiveness of Physical Therapy As an Adjunct to a Selective Nerve Root Block in the Treatment of Lumbar Radicular Pain from Disk Herniation
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Modified Oswestry Disability Index
研究概览
简要总结
The purpose of this study is to determine if participation in physical therapy in conjunction with a selective nerve root block in the lumbar spine is more effective than just receiving the injection alone for patients with low back and leg pain from a disk herniation (sciatica).
详细描述
Recent reviews report moderate to strong evidence for short-term relief but limited evidence for long-term improvement. Anecdotal reports and case studies suggest good outcomes with various physical therapy interventions however well-designed research studies examining treatments in combination are lacking. The management of lumbar radicular pain often includes the combination of physical therapy and therapeutic selective nerve root blocks with the rationale that reducing inflammation and pain will permit greater participation in physical therapy. The effectiveness of this combination of treatment has not been studied and is the purpose of this pilot study.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •MRI evidence of disk herniation in the lumbar spine consistent with clinical presentation
- •Pain and/or paresthesia in the lumbar spine and a distribution extending distal to the gluteal fold within 24 hours of enrollment
- •Scheduled to receive a therapeutic selective nerve root block
排除标准
- •Any lumbar surgery within six months of the baseline examination
- •Any prior lumbar surgery involving fusion
- •Medical red flags indicating a serious pathology such as neoplasm, infection, or fracture
结局指标
主要结局
Modified Oswestry Disability Index
时间窗: Baseline (pre-injection), 8 weeks (post-injection), 6 months post-injection
次要结局
- Global Rating of Change(8 weeks (post-injection) and 6 months (post-injection))