lumbar discopathy. Radiculopathy
Conditions
Interventions
Intervention 1: Intervention group: Participants in the intervention group will undergo a treatment program consisting of conventional physiotherapy combined with the Mulligan Sustained Natural Apophy
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
25 Years to 50 Years
Inclusion criteria
Inclusion criteria: Pain intensity between 3 and 7 on the Visual Analog Scale (between 3 and 7 inclusive) MRI or CT scan findings indicating disc protrusion at L4-L5-S1 levels Patients most have a directional preference for lumbar spine extension Low back pain that is aggravated by prolonged sitting or repeated flexion of the lumbar spine A positive result in at least one of the SLR or SLUMP tests The duration of pain and related symptoms between 6 weeks and 6 months
Exclusion criteria
Exclusion criteria: Presence of neurological signs such as altred reflexes, dermatomal sensory deficits, or myotomal weakness A pathoanatomic cause of radiculopathy other than disc herniation(on MRI) Spinal stenosis Spinal tumor Spondylolisthesis Serious pathologies such as malignancy, cauda equina syndrom, and foot drop Pregnancy or childbirth within the previous 6 month History of corticostroid injection within the last 6 weeks History of spinal injury Presence of significant hamstring tightness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain: according to the definition by the International Association for the Study of Pain, pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. There is no fully objective method for measuring pain, and it is often assessed through subjective approaches. Timepoint: Before the intervention, after the completion of ten intervention sessions, and one month after the end of the intervention. Method of measurement: In this study, the intensity of patients' pain will be measured using the Visual Analogue Scale (VAS).;Disability: is defined as the inability or limitation in performing tasks and engaging in activities that are expected from an individual in specific social roles. These may include personal care, household chores, employment, and social interaction. Timepoint: Before the intervention, after the completion of ten intervention sessions, and one month after the end of the intervention. Method of measurement: The Persian-translated and culturally adapted version of the Oswestry Disability Index (ODI) was used to assess disability. | — |
Secondary
| Measure | Time frame |
|---|---|
| Range of motion: is defined as the extent of relative movement or positional change occurring between two or more anatomically connected body segments. Timepoint: Assessments were conducted before the start and after the completion of 10 intervention sessions. Method of measurement: This study will measure the degree of flexion and the displacement of the lumbar spine segments and the hip joint using a three-dimensional motion analysis device.;Continuous Relative Phase: represents the phase difference between two angular signals—such as those of the hip and lumbar joints—over time. It is derived from the combination of joint angle and angular velocity, ultimately reflecting the dynamic coordination pattern between two joints or body segments. Timepoint: Assessments were conducted before the start and after the completion of 10 intervention sessions. Method of measurement: It is calculated based on joint angle and angular velocity, which are assessed using a 3D motion analysis system.;Lumbo-pelvic rhythm: refers to the relative pattern of contribution between the lumbar spine and the pelvis during trunk movement in the sagittal plane. Timepoint: Assessments were conducted before the start and after the completion of 10 intervention sessions. Method of measurement: In the present study, this value will be obtained by calculating the amount of lumbar spine movement relative to the movement of the right hip joint during the sit-to-stand and stand-to-sit tasks. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactElham Jannati
Iran University of Medical Sciences
Outcome results
None listed