Herniation, Disc, Low Back Pain
Conditions
Brief summary
The current study aims to determine if physical therapy is significantly superior in improving postural stability, pain and function and disc height index in persons with discogenic low back pain, as compared to the standardized medical treatment.
Interventions
Standard medical treatment
Lumbar traction using traction table
Mckenzie Extension Exercises
Interferential Therapy for 20 minutes
Heat Therapy for 20 minutes
3-5 reptations of Mulligan's lumbar extension Sustained Natural Apophyseal Glides (SNAGs)
Sponsors
Study design
Intervention model description
the study will consist of 2 arms.
Eligibility
Inclusion criteria
* Both male and female participants * Postero-lateral lumbar disc herniation * Aged 18-50 years old * Low back pain intensity less than 80/100mm on visual analogue scale or 8/10 on numeric pain rating scale * Positive peripheralization and centralization phenomenon
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 | Lumbar Disability will be measured via Oswestry Disability Index. |
| 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 |
| Cadence | 2 weeks | Cadence during gait will be analyzed using observational gait analysis, which is number of steps per minute. |
| Disc height index | 2 weeks | Disc height index will be analyzed using Magnetic Resonance Imaging. A greater disc height index signifies better outcome |
Countries
Pakistan