Lumbosacral Radiculopathy, McKenzie Derangement Syndrome
Conditions
Keywords
H-reflex, radiculopathy, McKenzie, Lumbar traction
Brief summary
The aim of the study is to investigate the effect of performing combined lumbar traction and repeated back extension exercise (McKenzie) on soleus H-reflex, pain, and disability in patients with lumbosacral radiculopathy. The main question that it aims to answer is: Does the combination of lumbar traction and back extension exercise (McKenzie) improves soleus H-reflex, pain, and function in patient with lumbosacral radiculopathy? participants will be randomized into 2 groups: one group will include repeated back extension exercise (McKenzie Approach) without mechanical traction and the other group will include the same but in combination with mechanical traction.
Detailed description
Repeated back extension exercises as described by McKenzie from prone position has been widely suggested for patients with lumbosacral radiculopathy (LSR). It has been reported to decrease radicular symptoms which could be due to the decompression effect of this exercise on the compromised nerve root. Moreover, mechanical traction have a debatable effect on lumbosacral patients with little evidence that supports its effectiveness. Thus, the investigators hypothesize that performing a combination of lumbar traction and repeated back extension exercise will improve the soleus H-reflex, pain, and function of lumbosacral radiculopathy patients.
Interventions
OTHERRepeated back extension exercise (McKenzie)
repetitive back extension exercises in prone position with 1 minute hold on maximal back extension. 3 sets of 10 repetitions with 1 minute break between sets. The intervention was done 3 times per week for 6 weeks.
DEVICEMechanical traction
The traction was applied using a 3D ActiveTrac table. This motorized split table applied static traction to the lumbar spine with the participant in a prone position. The intensity of the force of traction was 40% to 60% of the participant's body weight applied for 15 minutes. The intervention was done 3 times per week for 6 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
participants will be assigned to one of the 2 groups: either the control group receiving McKenzie repeated back extension exercise or the experimental group receiving combined McKenzie and Lumbar traction
Eligibility
Sex/Gender
ALL
Age
35 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Patient with chronic unilateral lumbosacral radiculopathy (more than 3 months duration) 2. Age:35- 60 years 3. Both male and female 4. People with L5-S1 postero-lateral disc herniation or protrusion. 5. people with positive straight leg raise
Exclusion criteria
1. Subjects with lumbosacral Surgery. 2. Subjects with stenosis or scoliosis. 3. Subjects with cardiac problem or cancer. 4. Subjects with peripheral neuropathy. 5. Subjects with upper motor neuron injury.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soleus H-reflex amplitude | At baseline and 6 weeks | amplitude in millivolts (mV) |
| Soleus H-reflex latency | At baseline and 6 weeks | latency in milliseconds (ms) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Intensity Scale | At baseline and 6 weeks | in numbers, the score ranges from 0 to10. |
| Oswestry Disability Index (ODI) | At baseline and 6 weeks | in numbers, the score ranges from 0 to 100. |
Countries
Egypt
Contacts
Primary ContactAhmed El Melhat, PhD
Backup ContactAseel El kawam, DPT
Outcome results
None listed