Discogenic Lumbosacral Radiculopathy, Lumbar Radiculopathy
Conditions
Brief summary
Purposes of the study To investigate the effect of adding Trans-spinal Electromagnetic Neuromodulation to conventional physical therapy in patients with Discogenic Lumbosacral Radiculopathy
Detailed description
Patients will be randomized into either Trans-spinal Electromagnetic Neuromodulation group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.
Interventions
OTHERTrans-spinal Electromagnetic Neuromodulation
Trans-spinal electromagnetic neuromodulation will be applied for 15 minutes on the affected segment
OTHERConventional physical therapy
Conventional physical therapy consisting of: Hot pack on lumbar spine. Neurodynamic mobilization. Rotatory mobilization and rotatory manipulation for lumbar spine. Core stability exercises.
Sponsors
Yara Aboelazm Abd Elaziz Mohamed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. patient age range from 20 -40 from both sexes. 2. Unilateral chronic lumbosacral radiculopathy confirmed by neurosurgeon for more than 3 months. 3. Unilateral paracentral or lateral intervertebral disc herniation confirmed by MRI . 4. one of the following: 1. H- reflex amplitude side to side difference 67% in absence of latency difference. 2. H- reflex amplitude side to side difference smaller than 50% in presence of latency difference. c - Side to side H- reflex latency difference more than 1 msec. d- Prolonged H-reflex latency more than 30 msec.
Exclusion criteria
1. Hypertension 2. Diabetes. 3. Lumbar canal stenosis 4. Pervious surgeries 5. Scoliosis 6. Kyphosis 7. Spinal fracture 8. Bilateral symptoms.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | Change from Baseline pain at 6 weeks | Numeric Pain Rating Scale (0-10) |
| Disability | Change from Baseline disability at 6 weeks | Oswestry disability index (0-100%) |
| Straight leg raise test | Change from Baseline straight leg raise test at 6 weeks | Straight leg raise test |
| H-reflex side-to-side amplitude (H/H) ratio | Change from Baseline H-reflex side-to-side amplitude (H/H) ratio at 6 weeks | by EMG unit |
| Sensory tactile threshold | Change from Baseline Sensory tactile threshold at 6 weeks | by EMG unit |
| Motor evoked potential | Change from Baseline motor evoked potential at 6 weeks | by EMG unit |
Countries
Egypt
Outcome results
None listed