Post-laminectomy Syndrome
Conditions
Keywords
Sciatica, low back pain, post-laminectomy syndrome, Radial Shock Wave Therapy
Brief summary
The aim of this study is clinical trial to investigate the effect of Radial Extracorporeal Shock wave therapy in patients with sciatica and low back pain caused by post laminectomy scarring. the study will answer the following question: 1\. what is the effect of Shock Wave Therapy on low back pain and sciatica caused by post-laminectomy fibrosis? patients in the study group will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Interventions
Shock wave therapy: (BECO) S/N 16B011375
DEVICETranscutaneous Electrical Nerve Stimulation (TENS)
EME (Therapic 9400) TENS
PROCEDUREMcKenzie Back exercises
Graduated Progressive back exercise program.
DEVICEelectric heating pads
electrical conducting heat pack.
Sponsors
Cairo University
Marwa Mohamed Hany Sedeek Abousenna
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The selected patients will be allocated by computerized block randomization.
Intervention model description
A. Control group (Group A) thirty patients will receive conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises). B. Study group (Group B) thirty patients will receive radial extracorporeal shock wave therapy and conventional physical therapy program (TENS, electric heating packs, and McKenzie back exercises).
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. Recruited patients will be diagnosed by neurosurgeon as sciatic pain and low back pain caused by post laminectomy scarring. 2. Both genders will be recruited. 3. Their age will range from: 30-50 years (Sharaf, et al., 2022). 4. Recruited patients will be randomly assigned in to two equal groups. 5. Unilateral radicular sciatica. 6. Constant back pain OR aggravated by movement, 7. Restricted lumbar range of motion. 8. Tenderness at the site of incision. 9. Duration of symptoms: three weeks to six months postoperatively
Exclusion criteria
1. Past history of vertebral fracture. 2. Spinal cord compression. 3. Vertebral tuberculosis. 4. Polyneuropathy. 5. Diabetic peripheral neuropathy. 6. Spinal tumor. 7. Recurrent disc herniation after surgery. 8. Spondylolisthesis. 9. Vascular diseases, e.g., peripheral vascular diseases, coronary artery bypass graft and coagulation diseases. 10. Potential pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | 4 weeks | The VAS consisted of a 10 cm horizontal line with the description no pain on the far left and worst possible pain on the far right |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain algometry | 4 weeks | PainTest™ FPX 25 Algometer (Wagner Instruments, Greenwich, USA) |
| Lumbar Range Of Motion | 4 weeks | The BROM II |
| The Oswestry Disability Index: (ODI) | 4 weeks | The Oswestry disability index is a self-completed, valid tool with adequate reliability to identify changes in functional disability |
| Sensory Nerve Conduction Study (NCS) | 4 weeks | Sensory nerve action potentials (sensory nerve amplitude) |
Outcome results
None listed