Syndrome, Manganese Neurotoxicity
Conditions
Keywords
Decompression, Core stability, Lumbosacral plexus, Traction, Thoracic vertebrae, Lumbar vertebrae
Brief summary
The study was conducted to compare the effect of thoracolumbar stabilization exercises versus spinal decompression exercises on pain, range of motion, disability and posture in patients with maigne's syndrome.
Interventions
OTHERLumbothoracic stabilization exercises
Each exercise session was performed for 30 minutes, with 3 sessions per week. 1. st Week, Isolated contraction of transverse abdominis and lumbar multifidus training was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min. 2. nd week, co-contraction of transverse abdominis and multifidus in sitting and lying position was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min. 3. rd week, co-contraction of transverse abdominis and multifidus in quadruped and standing position was performed with 2 sets of 10 repetition, 10 second hold each time and rest period of 5 min.
OTHERSpinal decompression exercises
The exercise session was performed for 30 minutes, with 3 sessions per week In 1st week , patient performed pelvic tilt (lying), cat-cow stretch, thoracic extension on folded towel, child pose and plank . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec In 2nd week, patient performed pelvic tilt (sitting) , cat cow stretch, thoracic extension on foam roller, child pose with side stretch and plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec. In 3rd week, patient performed pelvic tilt ( standing ), cat cow stretch, thoracic extension on gym ball, child pose with passive stretch and side plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec.
OTHERStandardized physical therapy treatment
Electric hot pack for 7 minutes. TENS 120 Hz at low intensity and 50-200μs pulse duration with electrodes placed in a crisscross pattern at T9 - L1 for 10 min Grade I \& II Maitland posteroanterior central (PAC) glide and unilateral posterior anterior glide (UPA) in 3 sets of 1 minute each with 1 minute interval at T9-L2
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age 20-45, Male/ Female NPRS \> 4 Pain at T12-L1 and ipsilateral gluteal and/or groin pain. Local Tenderness on palpation at TLJ Sharp pain on palpation at posterior iliac crest • Positive KIBLER Skin fold Test on affected side. Allodynia or Hyperalgesia observed at sensory testing (pinprick and light touch) on ipsilateral side Negative Radiological Imaging for any bony deformity
Exclusion criteria
* Any structural abnormalities like fractures/spondylosis History of any neurological or musculoskeletal problems History of cervical or thoracic surgery Psychological disorders. Cauda equina syndrome History of abdominal or groin pain Patients with positive FABER test, SLR test, Hip score test and SIJ compression test (30) Patients with positive Slump test, QL tightness, FAIR test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Revised Oswestry Low Back Pain Disability Questionnaire | From enrollment to the end of 3 week treatment | The Revised Oswestry Low Back Pain Disability Questionnaire (ODI) is a commonly used self-reported measure consisting of 10 sections that evaluate the impact of low back pain on everyday activities. It assesses areas such as pain severity, personal care, lifting, walking, sitting, standing, sleep, social activities, travel, and sexual function. The resulting score reflects the level of disability from minimal to severe and helps guide management of individuals with low back pain. In the current study it is used to measure the disability caused by thoracolumbar syndrome (Maigne's syndrome) |
| Numeric pain rating scale | From enrollment to the end of 3 week treatment | Numeric pain rating scale is used to evaluate pain. It consists of 11 points, having an overall score ranging from 0 and 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain and 7-10 represents severe pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Thoracolumbar extension | From enrollment to the end of 3 week treatment | Changes in thoracolumbar extension ROM at baseline and 3rd week of intervention were measured using bubble inclinometer |
| Thoracolumbar rotation | From enrollment to the end of 3 week treatment | Changes in thoracolumbar rotation ROM at baseline and 3rd week of intervention were measured using bubble inclinometer |
| Thoracic Cobb's angle | From enrollment to the end of 3 week treatment | Thoracic Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray |
| Lumbar Cobb's angle | From enrollment to the end of 3 week treatment | Lumbar Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORNaila Kanwal
Riphah International University
Outcome results
None listed