Lumbar Disc Herniation
Conditions
Keywords
non surgical spinal decompression therapy, deep friction massage, exercise
Brief summary
This study was conducted with the aim of determining whether or not Non surgical spinal decompression therapy was effective in remission of herniation, decreasing pain and improving functional status.
Detailed description
Both groups received combination of electrotherapy, deep friction massage and stabilization exercise for fifteen session. Combine group received non surgical spinal decompression therapy (NSDT) different from conventional physiotherapy group. Numeric Analog Scale, Straight leg raise (SLR) test, Oswestry Disability Index (ODI) were applied at baseline and after treatment. Disc height and herniation thickness were measured on Magnetic Resonance Imagination (MRI) which performed at baseline and three months after therapy.
Interventions
DEVICEDRX 9000, Axiom Worldwide, Tampa, Florida
non-surgical spinal decompression therapy consist 18 traction cycles. Traction force applied herniation levels according to Magnetic Resonance Imaging (MRI).
OTHERphysiotherapy
electrotherapy was used. electrotherapy consisted of 20 minutes of hot-pack, 20 minutes of TENS and 5 minutes of ultrasound.
spinal stabilization exercises started elementary exercises. According to patient tolerance, exercise program reestablished.
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
diagnosed as lumbar disc herniation suffering from low back pain at least 8 weeks
Exclusion criteria
undergone any spinal surgery clinical diagnosis of osteoporosis clinical diagnosis of scoliosis and spondylolisthesis any neurological disease causes sensorial loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| herniation thickness | change from baseline in herniation thickness and disc height at three months | herniation thickness were measured on MRI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| function | up to 3 months | Oswestry Disability Index was used.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 |
| mobility | up to 3 months | straight leg raise test was used. Pain free angle of straight leg raise was measured with goniometer. |
| pain severity | change form baseline in pain severity at 15 sessions of treatment | numeric analog scale was used. 0 described no pain, 10 described unbearable pain. |
Outcome results
None listed