Effect of Thoracic Spine Mobilization on Pain, Functional Disability and Proprioception in Patients With Lumbosacral Radiculopathy.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- pain level
研究概览
简要总结
The purpose of the study will be to:
- To investigate the effect of thoracic mobilization on back and leg pain in patients with lumbosacral radiculopathy.
- To investigate the effect of thoracic mobilization on functional disability in patients with lumbosacral radiculopathy.
- To investigate the effect of thoracic mobilization on proprioception in patients with lumbosacral radiculopathy.
详细描述
To investigate the effect of thoracic mobilization on back and leg pain, functional disability and proprioception in patients with lumbosacral radiculopathy.
1-Thirty four patients of both sexes with unilateral chronic lumbar radiculopathy at L4-L5 or/ and L5-S1 levels will participate in this study. The patients will be diagnosed as having lumbar radiculopathy based on careful clinical examination by neurologist . The diagnosis will be confirmed by CT scan or MRI.
Patients will be recruited from the outpatient clinic of Faculty of Physical Therapy, Cairo University and private clinics. Patients in this study will be randomly divided into two groups.
- Group (I) which will include 17 patients who will receive manual mobilization exercises in addition to selected physical therapy .
- Group (II) which will include 17 patients who will receive selected physical therapy.
The treatment will conducted 3 sessions per week for 6 weeks.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with unilateral chronic lumbosacral radiculopathy at L4- L5 or / and L5-S1 levels confirmed by MRI.
- •The age of patients will be ranged from 30 to 45 years.
- •Duration of pain will be more than 12 weeks.
- •Patients with a positive straight leg raising (SLR) test.
- •Patients with sufficient cognitive abilities that enables them to understand and follow instructions .
- •Patients had to report an average pain level of more than five on the Visual Analogue Scale (VAS) and a lumbar spine range of motion (ROM) of at least 50% of the accepted normal range.
- •Patients with body mass index< 30kg/m2
排除标准
- •Cauda equina syndrome.
- •Ankylosing spondylitis, thoracic deformities (pectus carinatum, excavatum), spina bifida, fractures, postoperative spinal conditions, diabetes, inflammatory processes.
- •Previous inner ear infection or vestibular disorder with unresolved balance disturbance, history of head trauma with residual neurological deficits.
- •Spinal tumor.
- •Previous lumbar surgery.
- •Sever musculoskeletal disease.
- •Peripheral mononeuropathies or polyneuropathy.
结局指标
主要结局
pain level
时间窗: baseline
we will use Visual analogue scale (VAS)
lumbar proprioception
时间窗: baseline
we will use The Biodex System 3 pro isokinetic dynamometer
functional disability
时间窗: baseline
we will use Oswestry Disability Index (ODI)
次要结局
未报告次要终点
研究者
aya abd elmohsen salah eldeen
aya abd elmohsen salah eldeen
Cairo University