Radicular low back pain. Radiculopathy, lumbosacral region
Conditions
Interventions
Intervention 1: Intervention group: high-intensity laser therapy as the patient sleeps prone and a pillow will be placed under the abdomen and he wears a protective blindfold, the laser scanner is pla
The final indication for a therapeutic dose is 16 joules per square centimeter and the treatment of motor control exercises is the basic treatment for all patients: The transverse abdominis and multif
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
25 Years to 60 Years
Inclusion criteria
Inclusion criteria: Age between 25-60 years Diagnosis of radicular low back pain from the origin of the intervertebral disc herniation of the fourth lumbar to the first sacral vertebra by a neurosurgeon At least 12 weeks have passed since the symptoms Persistent pain or paraesthesia (numbness and/or tingling) in the lower back or both limbs due to herniation of the lumbar intervertebral disc in the path of the nerve root dermatome Patients on MRI stereotypes have protrusion or extrusion disc herniation
Exclusion criteria
Exclusion criteria: Local or systemic infection, rheumatic disease, diabetes Vertebral and sacroiliac joint dysfunction (Gillette test positive) Pregnancy History of previous surgery in the area Patients with MRI of spinal canal stenosis or spondylolisthesis Patients with vascular disorders, cancer and tumors and synovial cysts History of physiotherapy for at least the last 12 weeks sciatic nerve Contusion psychiatric illnesses Active trigger point of gluteus minimus muscle (diffuse sciatica-like pain)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analog scale (VAS): Rated zero (painless) to 10 (most severe imaginable pain) of lumbar. Timepoint: The visual analog scale of pain is measured by the assessor before the intervention and every three sessions until the end of treatment, and one month after the end of treatment. Method of measurement: In this study, pain is determined on a visual analog scale with a score of zero (painless) to 10 (the most severe pain imaginable for patients). The average pain in the last 7 days is the number of VAS. | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional disability. Timepoint: Before the start of treatment by the assessor and the end of treatment and one month after the end of treatment. Method of measurement: In this study, the functional disability of the score obtained from the localized and Persianized Oswestry questionnaire, which was validated by Mousavi et al. In 2006.;Pressure pain threshold. Timepoint: Before the start of treatment by the assessor and the end of treatment and one month after the end of treatment. Method of measurement: In this study, an algorithm will be used to measure the pressure threshold of pain. The algometer will record each point three times and an average of numbers per point will be written finally. 2 and 5 cm outside the first lumbar vertebra, 2 and 5 cm outside of the third lumbar vertebra,2 cm outside of the fifth lumbar vertebra bilaterally, on the common peroneal nerve (which comes from behind the fibula bone and reaches the front of the neck bone) and tibial nerve (outside the tibial artery) and the sciatic nerve (between the ischial tuberosity and the large trochanter deep in the gluteus maximus muscle), obtained at the moment of pain onset by participants, by algometer, in Newtons per square centimeter.;Range of motion. Timepoint: Before the start of treatment by the assessor and the end of treatment and one month after the end of treatment. Method of measurement: In this study, the range of motion is the active movement of the lumbar region forward (using Schubert test) and the SLR range of motion of the affected lower limb (using a goniometer). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Reza Pourahmadi
Iran University of Medical Sciences
Outcome results
None listed