Lumbar Disc Herniation
Conditions
Keywords
Lumbar Disc Protrusion, ELDOA, Oswestry Disability Index
Brief summary
The aim of this randomized controlled trial will be to determine the effectiveness of ELDOA for treating lumbar disc protrusion. Two randomized groups of patients with lumbar disc protrusion will be treated with conservative physical therapy and the experimental group will be given ELDOA, in addition. Both, male and female patients meeting the inclusion criteria will be included. Patients having concurrent malignancy, infection, trauma or any bony deformity will be excluded
Detailed description
The study is aimed at determining the effects of ELDOA in treating disc protrusion at lumbar region and is being conducted in Max Rehab & Physical Therapy Centre Islamabad and Pakistan Railway General Hospital, Rawalpindi (March 2019-June 2019). Sample size of the study is 34 with confidence interval of 95% and power of 0.8. 30 patients were screened and 29 were included in the study on the basis of inclusion criteria. Sealed envelope contained total 34 questionnaires, 17 for each group. Patients were allocated randomly on the basis of group mentioned on the Performa. Similar conservative rehabilitation protocol was designed for both control and experimental group except for experimental group had ELDOA Exercises in addition. Patients were examined at 1st visit before administration of any treatment and at 4th visit which was also the last one (after completing 4 sessions at alternate days). Baseline evaluation for demographics and symptomatology was taken. Self-reported questionnaire, ODI, NPRS, lumbar ROM and SLR were recorded at first and fourth visit for comparison. 26 patients completed the study while 1 patient from control group and 2 patients from experiment group were lost to follow up and were considered drop outs.
Interventions
OTHERConservative physical therapy management
Tens and hot pack for at least 10 minutes at low back Soft tissue mobilization (Myofascial Release Technique) Maitland's Lumbar segmental mobilization (Grade I & II for pain, Grade III & IV for ROM) Traction (Manual general traction) Neurodynamics (Tensioner technique) Home plan after session (Guided low back exercises):Active Stretching (5-10 repetition with 15-20 second hold), Hamstring, Piriformis McKenzie Prone Extension Exercises
OTHERELDOA
ELDOA positions (hold for 1 minute,4 alternate days a week) under supervision during session Conservative physical therapy management Tens and hot pack for at least 10 minutes at low back Soft tissue mobilization (Myofascial Release Technique) Maitland's Lumbar segmental mobilization (Grade I & II for pain, Grade III & IV for ROM) Traction (Manual general traction) Neurodynamics (Tensioner technique) Home plan after session (Guided low back exercises):Active Stretching (5-10 repetition with 15-20 second hold),Hamstring,Piriformis
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Limited ROM (hip/lumbar spine) * Pain more than 3 on NPRS * Pain ≥ 3 months
Exclusion criteria
* Recurrent disc protrusion * Spondylolisthesis * Spondylosis * Malignancy * Infection * Trauma * Marked bony deformities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry disability index | 4th day | Changes from the Baseline, Oswestry disability index (ODI) was developed in order to assess disability related to pain in individuals with acute, sub-acute, or chronic LBP. The total score of ODI range from 0 (no disability) to 100 (maximum disability). Scores from 0-20 to indicate minimal disability, 20-40 to indicate moderate disability, 40-60 to indicate severe disability, 60-80 to indicate housebound, and 80-100 to indicate bedbound. The ODI score is recommended as a back pain-specific measure of disability. |
| Numeric Pain rating scale | 4th day | Changes from the Baseline, Numeric Pain rating scale (NPRS) is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain. |
| Range of Motion (ROM) Lumbar Spine (Flexion) | 4th day | Changes from the Baseline, ROM of lumbar spine flexion was taken with the help of inclinometer |
| ROM Lumbar Spine (extension) | 4th day | ROM of Lumbar spine extension was taken with the help of inclinometer |
| ROM Lumbar Spine (Right side flexion) | 4th day | ROM of Lumbar spine right side flexion was taken with the help of inclinometer |
| ROM Lumbar Spine (left side Flexion) | 4th day | ROM of Lumbar spine left side flexion was taken with the help of inclinometer |
| Straight Leg Raising (SLR) | 4th day | Straight Leg Raising range was taken with the help of inclinometer |
Countries
Pakistan
Outcome results
None listed