Lumbar Disc Herniation
Conditions
Keywords
exercise, deep friction massage, spinal decompression, non-surgical spinal decompression
Brief summary
The aim of this study is to determine the effectiveness of three different treatment methods which consists spinal decompression, deep friction massage and exercise. The patients were separated three groups Group one received non-surgical spinal decompression therapy, group two received non-surgical spinal decompression, lumbar stabilization exercises and manual therapy, group three received manual therapy and lumbar stabilization exercises. All groups completed 15 sessions of therapy. In each session, pain severity was assessed with numeric analog scale, straight leg raise test applied and the degree of the hip flexion where the patient reported pain were recorded, respectively. Static, dynamic muscle strength-endurance tests were applied before the treatment sessions started, after the treatment sessions ended, six weeks after and three months after the study. Oswestry Disability Scale (ODI), Back Performance Scale (BPS), Lanss Neuropathic pain Questionnaire, Fear-Avoidance-Beliefs Questionnaire (FABQ) and McGill Pain Questionnaire were applied before the treatment sessions started, after the treatment sessions ended and three months after the study. Gradient of disc height and thickness of the herniation were assessed segmentally with magnetic resonance imagination (MRI) before the study and three months after the study.
Interventions
OTHERelectrotherapy
electrotherapy is consist of hot pack, ultrasound and TENS. electrotherapy agents were help decreasing pain, increasing metabolism of tissues.
OTHERnon -surgical spinal decompression therapy
it is a kind of traction therapy, it has an special traction design which can provide intermittent traction as to herniation levels.
OTHERdeep friction massage,
deep friction massage is a kind of massage targeting deep muscles for decreasing pain and increasing function
OTHERexercise
special lumbar stabilization exercises were applied in advanced protocol.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* clinical diagnosis of lumbar disc herniation without strengthening loss
Exclusion criteria
* clinical diagnosis of osteoporosis * have scoliosis and spondylolisthesis * any surgery related spine * any neurological diseases causes sensory loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| magnetic resonance imaging changes | change from baseline in disc height and size of herniation at 3 months. | changes recorded in micrometrical measurements. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| performance | up to 3 months. | back performance scale used to assess the changes in performance. Scores range from 0 to 15. The lower scores described good performance and higher scores described bad performance. |
| pain | up to 3 months. | McGill Pain Questionnaire used to asses the changes in pain levels. scores range from 0 to 78. The higher the pain score the greater the pain. |
| disability | up to 3 months. | Oswestry Disability Index used to assess the changes in function and disability levels. Scores range from 0 to 100. scores between 0 and 20 described as minimal disability, scores between 21and 40 described as moderate disability,scores between 41and 60 described as severe disability,scores between 61 and 80 described as crippled and scores between 81 and 100 described as bed bounded |
| neuropathic pain | up to 3 months. | The Leeds Assessment of Neuropathic Symptom and Signs (LANSS) Pain Scale used to assess neuropathic pain. Scores range from 0 to 24. scores higher from 12 described neuropathic pain. |
| fear avoidance beliefs | up to 3 months. | FABQ used to assess fear related attitudes of the patients. Scores range from 0 to 42 . Higher points described high fear avoidance beliefs. |
| straight leg raise test for mobility | up to 3 months | Therapist raised patient's leg passively and the pain felt by the patient measured with goniometer and the angle recorded. |
Outcome results
None listed