Effects of Neural Mobilization Augmented by Traditional Physical Therapy on Pain, Functional Disability and H-reflex in Patients After Lumbar Laminectomy: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
This study was conducted to evaluate the effect of addition of neural mobilization to a standard post-operative physical therapy program in patients with lumbar laminectomy.
详细描述
After Laminectomy, patients are suffering from many problems as pain, weakness. This study was conducted on two groups of patients who underwent lumbar Laminectomy as a surgical treatment for lumbar canal stenosis. The control group received TENS and strengthening exercises, while the study group received neural mobilization in addition to the program that was given to the control group. The outcome measures include pain intensity, nerve root compression and functional level which were measured pre-treatment and post-treatment through using visual analogue scale, H-reflex latency and Oswestry Disability Index (ODI) respectively.
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
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged from 35-50 years.
- •Underwent lumbar laminectomy of one or two levels.
排除标准
- •Patients who had arthritis in the joints of the lower limbs (which would limit walking).
- •Patients who had tumors, fractures or infections of the spine.
- •Patients who had diabetes mellitus.
- •Patients who had polyneuropathy.
- •Patients who had evidence of spinal cord compression.
- •Patients who had previous spinal surgery.
- •Patients who had spinal stability problems (e.g. spondilo-listhesis, spondilolysis).
- •Patients who had sensory loss.
结局指标
主要结局
Pain intensity
时间窗: Up to 6 weeks
It was evaluated through visual analogue scale (VAS). Visual analogue scale (VAS) is a 10-cm line with a "0" at the left end for "no pain" and 10 at the right end for "worst possible pain", each patient was asked to indicate on the line where his pain is in relation to the two extremes by circling the number.
Nerve root compression
时间窗: Up to 6 weeks
It was assessed through assessment of latency of H-reflex of S1. The participant was in prone-lying position. The active recording electrode was located on the soleus between the two heads of the gastrocnemius, while reference recording electrode was located on the Achilles tendon. The stimulation was applied at the midline in the popliteal fossa on the tibial nerve.
次要结局
- Functional ability(Up to 6 weeks)
研究者
Moussa Abdelfattah Youssif Sharaf
Assistant Professor
Cairo University