Laminectomy
Conditions
Brief summary
This study was conducted to evaluate the effect of addition of neural mobilization to a standard post-operative physical therapy program in patients with lumbar laminectomy.
Detailed description
After Laminectomy, patients are suffering from many problems as pain, weakness. This study was conducted on two groups of patients who underwent lumbar Laminectomy as a surgical treatment for lumbar canal stenosis. The control group received TENS and strengthening exercises, while the study group received neural mobilization in addition to the program that was given to the control group. The outcome measures include pain intensity, nerve root compression and functional level which were measured pre-treatment and post-treatment through using visual analogue scale, H-reflex latency and Oswestry Disability Index (ODI) respectively.
Interventions
OTHERNeural mobilization combined with conventional physical therapy program
Neural mobilization of sciatic nerve combined with TENs and exercise program applied 3 times/week for successive 6 weeks.
OTHERConventional physical therapy program
TENs and exercise program applied 3 times/week for successive 6 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Aged from 35-50 years. * Underwent lumbar laminectomy of one or two levels.
Exclusion criteria
* Patients who had arthritis in the joints of the lower limbs (which would limit walking). * Patients who had tumors, fractures or infections of the spine. * Patients who had diabetes mellitus. * Patients who had polyneuropathy. * Patients who had evidence of spinal cord compression. * Patients who had previous spinal surgery. * Patients who had spinal stability problems (e.g. spondilo-listhesis, spondilolysis). * Patients who had sensory loss.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Up to 6 weeks | It was evaluated through visual analogue scale (VAS). Visual analogue scale (VAS) is a 10-cm line with a 0 at the left end for no pain and 10 at the right end for worst possible pain, each patient was asked to indicate on the line where his pain is in relation to the two extremes by circling the number. |
| Nerve root compression | Up to 6 weeks | It was assessed through assessment of latency of H-reflex of S1. The participant was in prone-lying position. The active recording electrode was located on the soleus between the two heads of the gastrocnemius, while reference recording electrode was located on the Achilles tendon. The stimulation was applied at the midline in the popliteal fossa on the tibial nerve. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional ability | Up to 6 weeks | The functional ability was evaluated by Oswestery disability index (ODI). Oswestery disability index (ODI) is a valid and reliable tool for assessment of functional ability. The minimum value of this scale is 0. The maximum value of this scale is 100. The higher scores mean worse outcome. |
Countries
Egypt
Outcome results
None listed