Comparative effectiveness of self management over clinician guided management techniques in the management of lumbar radiculopathy.

Maryam Abdulhadi0 个研究点目标入组 120 人开始时间: 2022年1月20日最近更新: 2023年5月29日

适应症

试验速览

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•Participants are those with complaint of pain and/or paresthesia in the lumbar spine with a distribution of
•symptoms that has extended distal to the gluteal fold on at least one lower extremity within the past 24 hours
•based on the patient's self-report.
•Age at least 18 to 65 years.
•At least one of the following signs of nerve root compression:
•Positive ipsilateral or contralateral straight leg raise test (reproduction of leg symptoms with straight leg raise
•< 70 degrees)
•Sensory impairment to pinprick on the ipsilateral lower extremity
•Diminished strength of a myotome (hip flexion, knee extension, ankle dorsiflexion, great toe extension, or ankle
•eversion) of the ipsilateral lower extremity.
•Diminished lower extremity reflex (Quadriceps or Achilles) of the symptomatic lower extremity

•Red flags noted in the patient's general medical screening questionnaire (i.e., tumor, metabolic diseases, RA,
•osteoporosis, spinal compression fracture, prolonged history of steroid use, etc.)
•Evidence of central nervous system involvement, including symptoms of cauda equina syndrome (i.e., loss of
•bowel/bladder control or saddle region paresthesia) or the presence of pathological reflexes (i.e., positive
•Patient reports of complete absence of low back and leg symptoms when seated
•Recent surgery (< 6 months) to the lumbar spine or buttocks, or any fusion surgery of the lumbar spine or
•Recent (< 2 weeks) epidural steroid injection for low back and/or leg pain
•Current pregnancy
•Inability to comply with the treatment schedule

发起方

Maryam Abdulhadi