Low Back Pain, Disk Prolapse
Conditions
Brief summary
Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition, however there is no conclusive evidence regarding the positive effects of conservative physical therapy management in terms of radiological changes and improvement in disc height. For this reason, the current study will not only look into the positive effects of conservative physical therapy on postural stability, pain and function, but also in terms of disc height in persons with discogenic low back pain.
Interventions
PROCEDUREMckenzie Extension Protocol
Mckenzie Extension Exercise Protocol will be performed by participants in prone position
PROCEDURELumbar SNAGs
Lumbar SNAGs will be performed in lumbar flexion and extension in standing Position
DEVICEInferential therapy
4 pole inferential therapy in combination with superficial heating for 20 minutes
PROCEDUREHeat Therapy
superficial heating for 20 minutes
Sponsors
Foundation University Islamabad
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Months to 50 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female participants * Aged 18-50 years old * low back pain intensity less than 80/100mm on visual analogue scale * positive centralization phenomenon * low signal intensity of IV disc on T2 - weighted MRI * high intensity zone towards the posterior aspect of the disc on MRI
Exclusion criteria
* Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Back Pain | 2 weeks | Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome. |
| Lumbar Range of Motion | 2 weeks | Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome. |
| Postural Stability | 2 weeks | Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome. |
| Lumbar Disability | 2 weeks | Disability will be measured via Oswestry Disability Index. |
| Step length | 2 weeks | Step length during gait will be analyzed using observational gait analysis. A greater step length signifies better outcome |
| Stride length | 2 weeks | Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome |
| Gait velocity | 2 weeks | Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome |
| Disc Height | 2 weeks | Disc will be analyzed using Magnetic Resonance Imaging |
Countries
Pakistan
Outcome results
None listed