Chronic Low Back Pain. Intervertebral disc disorders with radiculopathy, lumbosacral region
Conditions
Interventions
Intervention 1: Intervention group: In this group, participants receive sensory-motor training and tDCS in real time for 4 weeks and 3 times a week (12 sessions). To apply electric current, tDCS devic
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 55 Years
Inclusion criteria
Inclusion criteria: Suffering from LBP for more than 6 (m) or experience LBP in 3 courses for more than 1 (w) in past 12 (w) Unilateral radicular pain secondary to disc herniation L4/L5 and L5/S1 diagnosed with MRI Being positive of slump test or straight leg raise test or Lasegues’s test Pain from anterior lateral part of leg to back area of the leg associated with L4/L5 dermatome to the posterior part of the leg and heel and lateral part of the foot Average pain score = 4 Oswestry disability index = 4 Age range between 20 and 55 years Both genders
Exclusion criteria
Exclusion criteria: Having history of brain tumor, brain injury or brain stroke Having a history of cognitive disorders based on Mini-Mental Status Examination Scale (Mental Status Examination Scale < 24) Having history of spondylolysis and spondylolisthesis Having history of structural disorders or deformities such as scoliosis or kyphosis and hyper lordosis Having history of spinal cord fractures Having history of neurological disease such as Parkinson, Alzheimer or cerebellum disorders Having history of scratches or cut on the scalp Having sensory disorders or lack of sense Having history of seizure Being pregnant Having implantation or pulse maker Having history of dermal infection Having history of surgical procedure Having history of visual disorders Having history of vestibular disorders Having history of depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Levels below N80 and N150 as the mean of sensory evoked potential amplitude. Timepoint: Before the first session and 48 hours after the 12th session. Method of measurement: By recording sensory evoked potential using EMG / NCV / EP5000 Q.;Active motor threshold of multifidus muscle and transverse abdominis / oblique internal. Timepoint: Before the first session and 48 hours after the 12th session. Method of measurement: TMS device model MagPro X100.;Active motor evoked potential amplitude of multifidus muscle and transverse abdominis / oblique internal. Timepoint: Before the first session and 48 hours after the 12th session. Method of measurement: TMS device model MagPro X100.;Lumbar movement control. Timepoint: Before the first session and 48 hours after the 12th session. Method of measurement: Clinical test (Luomajoki index). | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Before the first session and 48 hours after the twelfth session. Method of measurement: By Visual Analogue scale.;Disability. Timepoint: Before the first session and 48 hours after the twelfth session. Method of measurement: Through the Oswestry Disability Index questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactRoya Khanmohammadi
Tehran University of Medical Sciences
Outcome results
None listed