radicular low back pain. Radiculopathy, lumbar region
Conditions
Interventions
Intervention 1: Intervention group: The intervention group will receive HILT laser therapy (3 sessions per week for a total of 10 sessions) and exercise therapy (isometric and static exercises to stre
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: age between 18 and 65 years having MRI , lumbar discopathy and radicular low back pain confirmed with MR minimum pain intensity of 4 according to the NRS scale BMI between 20 and 35 ability to perform the intended interventions (such as not having a pacemaker or activity limitations due to underlying disease)
Exclusion criteria
Exclusion criteria: history of trauma patients with evidence of sequestration on lumbar MRI patients with indications for disc repair surgery, performing heavy physical activities during the study period (occupational or non-occupational) history of receiving physiotherapy or injection of any treatment method, including steroids, in the area within the last 3 months a history of back pain due to inflammatory, infectious, and neoplastic causes a history of previous warning signs such as waking up from sleep due to pain, night sweats, fever ,significant weight loss within the last 6 months pregnancy history of previous spinal surgery history of spinal diseases such as cauda equina, spinal stenosis, spondylolisthesis, unstable spondylolysis Unwillingness to continue participating in the research project Incomplete treatment and evaluation program (patients who do not attend more than 2 sessions of the treatment program) Appearance of Alarm signs The occurrence of any illness that makes it impossible to perform laser therapy or exercise therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: Measurement of pain intensity at the beginning of the study (before the intervention), and at 1 and 3 months after starting laser and exercise therapy. Method of measurement: According to the Numeric rating scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Disability index. Timepoint: Measurement of the disability index at the beginning of the study (before starting the intervention) and at 1 and 3 months after starting laser and exercise therapy. Method of measurement: oswestry disability index questionnaire.;Functional ability. Timepoint: Measurement of the functional ability at the beginning of the study (before starting the intervention) and at 1 and 3 months after starting laser and exercise therapy. Method of measurement: 6 minute walk test.;Lumbar flexion range of motion. Timepoint: Measurement of the lumbar flexion range of motion at the beginning of the study (before starting the intervention) and at 1 and 3 months after starting laser and exercise therapy. Method of measurement: modified Schober test.;Quality of life. Timepoint: Measurement of the Quality of life at the beginning of the study (before starting the intervention) and at 1 and 3 months after starting laser and exercise therapy. Method of measurement: EQ-5D-3L questionnaire.;The largest diameter of anterior-posterior diameter in the site of disc herniation. Timepoint: Measurement of the largest anterior-posterior diameter of disc in the site of herniation at the beginning of the study (before starting the intervention) and at 3 months after starting laser and exercise therapy. Method of measurement: The largest diameter of anterior-posterior diameter in the site of disc herniation in MRI.;The largest cranio-caudal diameter in the site of disc herniation. Timepoint: Measurement of the largest cranio-caudal diameter of disc in the site of herniation at the beginning of the study (before starting the intervention) and 3 months after starting laser and exercise therapy. Method of measurement: The largest diameter of cranio-caudal diameter in the site of disc herniation in MRI. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNastaran Fallahpor
Iran University of Medical Sciences
Outcome results
None listed