Pains of disc bulging (L4/5). Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement
Conditions
Interventions
Intervention 1: Intervention group 1: Receives massage using type 1 balm. 20 minutes of massage with application in a very quiet environment by a person proficient in massage techniques will be given
Sponsors
Razi University
Eligibility
Sex/Gender
Female
Age
35 Years to 60 Years
Inclusion criteria
Inclusion criteria: women in the age range between 35 and 60 years who have a pain intensity higher than 3 on the VAS scale Three months have passed since their pain Have symptoms of pain spreading to the back and hips
Exclusion criteria
Exclusion criteria: Patients with diabetes, HIV, diseases and problems of the immune system and with a history of disc surgery are not included in the study. Pregnant, lactating women or those who intend to become pregnant are excluded from the study. People who use corticosteroids or topical pain relievers locally or systemically will be excluded from the study. Patients who have had a history of allergic reaction to vegetable oils are not included in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain: To measure the intensity of pain, VAS visual pain scale will be applied, which is a sensitive scale and has validity and reliability of 0.94 to 0.97. This scale is a 10 cm long graduated line on which the patient must self-assess his perception of the pain intensity in the back area on this graduated ruler from 0 (no pain) to 10 (the worst pain).In addition to VAS, pain assessment will also be evaluated with the McGill questionnaire. This questionnaire has 78 statements in 20 sets to describe the quality of pain, and its purpose is to measure people's understanding of different dimensions of pain, including four dimensions: sensory pain, affective pain, evaluative pain, and various pains (Miscellaneous pain). Collection 1 to 10 is related to sensory perception, collection 11 to 15 is related to emotional perception, collection 16 is related to evaluation perception, and collection 17 to 20 is related to various pains. In each set, a minimum of two and a maximum of six expressions are specified to describe the pain, and the participant receives the score for that set by choosing only one expression that best describes her pain. These expressions are arranged in order of intensity from weak to severe in each set, and the score of each expression is from 1 to 6, corresponding to its position in each set. If the respondent does not find any of the statements to describe her pain, that set is given a score of 0. The score related to each dimension is obtained from the sum of each set related to that dimension, which is a maximum of 42 points for the sensory perception dimension, a maximum of 14 points for the emotional perception dimension, a maximum of 5 points for the evaluation perception dimension, and a maximum of 17 points for the various pains dimension. It is different. The overall score of the questionnaire will be obtained from the sum of the scores of each set (maximum 78 points). Necessary explanations for completing the McGill questionnaire is in Farsi | — |
Secondary
| Measure | Time frame |
|---|---|
| Physical performance (UGT test, 40-meter walking test): To evaluate the functional capacity of the subjects before/after the study interventions, the Time Up and Go tests is applied. The length of time takes the patient to stand up unaided from a chair with handles (without using the handles) and walk a distance of three-meter and then come back and sit on the chair will be recorded. Also, the walking test in a distance of 40 meters will be used to measure the functional capacity of the patients, in which the time taken by the patient to cover a distance of 40 meters is recorded by a stopwatch. Timepoint: After receiving 12 treatment sessions - after two months of the completion of the treatment period. Method of measurement: UGT test, 40-meter walking test.;Level of anxiety: It will be determined based on Spielberger's state-trait anxiety questionnaire. This questionnaire is widely used to measure anxiety in clinical studies and has a correlation coefficient of 0.91-0.85. This questionnaire contains 20 items and is prepared based on a four-point Likert scale, which ranges from very little to very much. Since each item is given 1-4 points, the total score of anxiety varied between 20 and 80: mild anxiety (20-40), moderate anxiety (41-60) and severe anxiety (61-80). Timepoint: After receiving 12 treatment sessions - after two months of the completion of the treatment period. Method of measurement: Spielberger's state-trait anxiety questionnaire.;Lumbar spine range of motion (flexion): Lumbar flexion range of motion was measured with the modified Schuber test. First, indentation points below the waist will be marked as a reference point, and then 5 cm below and 10 cm above it will be determined with a marker. The patient will be asked to bend forward and then back as far as possible with a straight knee, the distance between these two points will be measured with a tape measure and will be considered as the range of motion of flexion and extension of the back. Timepoi | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarzaneh Gandomi
Razi University
Outcome results
None listed