Non-specific Low Back Pain, Lumbar Traction
Conditions
Brief summary
Our primary purpose for this study is to investigate the effect of different positions during traction on pain, function, and range of motion in adults with non-specific low back pain.
Interventions
Participants will receive traction therapy as follows: force will start at 25% of Body weight, gradually increasing until the tolerance for pulling is reached with maximum of 50% of body weight. The session will be 15 minutes long (1min for acceleration, 13 min application, 1min deceleration); it will be intermittent with ratio of 30 s on and 10s off
Sponsors
Study design
Intervention model description
It will be a triple-armed Randomized control trial, 30 subject will be recruited and randomly allocated into the three groups (supine, prone, and side-lying) using sealed envelope method, same treatment will be delivered with difference in positioning only, Supine Participants will lie in supine position with legs supported on a stool adjusted for hip and knee flexion to be at 90°, Prone Participants will lie in prone position with a pillow underneath their abdomen and a harness attached to the chest, and pelvis. Side-lying Participants will lie on the contralateral side of pain, with his hip flexed at 80°, and a pillow between his knees.
Eligibility
Inclusion criteria
* Adult 18-65 years of age * Non specific LBP persisted for more than 12 weeks * At least 4/10 on NPRS
Exclusion criteria
* Vertebral fractures * Axial spondylarthritis * Aauda equina syndrome * Radicular pain * Radiculopathy * Spinal stenosis * Spinal surgeries * Malignancy * Pregnancy * Inflammatory or infectious cases of LBP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability Index (ODI) Arabic version | from baseline to the end of the 6th week | assesses the impact of back pain on daily life across 10 sections. Each section covers different activities and aspects of daily living. The responses are scored from 0 (no impact) to 5 (maximum impact), with higher scores indicating greater disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| International Physical Activity Questionnaire (IPAQ) arabic version | from baseline to the end of the 6th week | the questionnaire includes questions about various domains of activity, such as job-related activity, transportation, housework, and leisure-time physical activity |
| Numerical pain rating scale (NPRS) | from baseline to the end of the 6th week | An 11-point scale that start at 0 (no pain) to 10 (worst imaginable pain) |
| Finger-to-floor test (FFT) | from baseline to the end of the 6th week | Participants will be asked to bend forward as much as possible, the distance between the tip of the middle finger and the platform is measured in Cm using a measurement tape. |