Lumbar Disc Prolapse With Radiculopathy
Conditions
Brief summary
A single blinded clinical randomized trial. A single blinded trained investigator examined all patients and collect all data to eliminate inter- investigator error. Patients will be divided according to the treatment procedure into two groups equal in numbers to investigate a comparative effect of hybrid tele-rehabilitation to clinic- based therapy in patients with lumbar radiculopathy.
Detailed description
All patients will sign an informed consent form after receiving information on the purpose of the study, procedure, and possible benefits and risks, privacy and use of data. All patients will be evaluated before training and at the end of the six-week training period with the handheld dynamometry unit for the trunk flexor and extensor muscle strength, Numeric Pain Rating Scale (NPRS) for pain, Oswestry disability index (ODI) for function, Fear avoidance beliefs questionnaire (FABQ) for psychological status and Straight leg raise test (SLR) for sciatic nerve sensitivity.
Interventions
OTHERExercise
lumbar stabilisation exercises, Mackenzie exercises and neural mobilisation exercises
OTHERtelemedicine
Tele-rehabilitation will be achieved through a video conference (VC) via the internet platform Zoom at the time and day decided upon with the therapist and the patient
Sponsors
Ahmed Adel Eid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
\- 1\) Both genders will be involved, 2) Symptoms started within more than 4 weeks (Ghasabmahaleh et al., 2021). 3) Patients' age ranges from 25-45 years (Karthick et al., 2024). 4) All patients will be referred by the physician after confirmed diagnosis of lumbar radiculopathy at L4/5 or L5/S1 level through clinical assessment and imaging studies. 5\) Patients have sufficient education level. 6) Body mass index for patients will be from 18.5 to 29.9.
Exclusion criteria
* 1\) History of pelvic, hips, or spine surgery, 2) Any unstable lumbar condition such as spinal fractures, tumor, cauda equina syndrome and spondylolisthesis (Ghasabmahaleh et al., 2021). History of neurological disorders causing radicular pain, 4) Any preexisting injury that may become exacerbated or made worse with participation (Zainab et al., 2022). 5\) Cardiovascular problems (unstable angina, recent myocardial infarction within the last three months, congestive heart failure, significant heart valve dysfunction, or unstable hypertension) or pulmonary disorders (Vijayaraj., 2018).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| numeric pain rating scale (NPRS) | 5 minutes | The NPRS is frequently employed to measure pain intensity, in which patients are asked to select a number (from 0 to 10) to represent their pain severity before and after medical consultation |
| Oswestry disability index (ODI) | 5 minuets | used to measure the functional status of patients with spinal disorders. It is comprised of 10 dimensions with 6 levels being set in each dimension. |
| MUSCLE STRENGTH | 15 MIN | trunk extensor and flexor muscle strength by the handheld dynamometry unit |
| Sciatic nerve sensitivity | 5 MIN | Assessment of Sciatic nerve sensitivity by the Straight Leg Raise test (SLR) with the goniometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| fear avoidance beliefs questionnaire (FABQ) | 5 minutes | The questionnaire consists of 16 items in which a patient rates their agreement with each statement on a 7-point Likert scale, where 0= completely disagree, 6=completely agree. |
Countries
Egypt
Outcome results
None listed