Comparison of Different Treatment Methods in Lumbal Disc Herniation Treatment

NCT02572622 | Completed

• 1 other identifier: HacettepeUN
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to determine the effectiveness of three different treatment methods which consists spinal decompression, deep friction massage and exercise. The patients were separated three groups Group one received non-surgical spinal decompression therapy, group two received non-surgical spinal decompression, lumbar stabilization exercises and manual therapy, group three received manual therapy and lumbar stabilization exercises. All groups completed 15 sessions of therapy. In each session, pain severity was assessed with numeric analog scale, straight leg raise test applied and the degree of the hip flexion where the patient reported pain were recorded, respectively. Static, dynamic muscle strength-endurance tests were applied before the treatment sessions started, after the treatment sessions ended, six weeks after and three months after the study. Oswestry Disability Scale (ODI), Back Performance Scale (BPS), Lanss Neuropathic pain Questionnaire, Fear-Avoidance-Beliefs Questionnaire (FABQ) and McGill Pain Questionnaire were applied before the treatment sessions started, after the treatment sessions ended and three months after the study. Gradient of disc height and thickness of the herniation were assessed segmentally with magnetic resonance imagination (MRI) before the study and three months after the study.

Conditions

Lumbar Disc Herniation

Keywords

exercise; deep friction massage; spinal decompression; non-surgical spinal decompression

Outcome Measures

Primary Outcomes (1)

• magnetic resonance imaging changes

  changes recorded in micrometrical measurements.

  change from baseline in disc height and size of herniation at 3 months.

Secondary Outcomes (6)

• disability

  up to 3 months.

• performance

  up to 3 months.

• pain

  up to 3 months.

• straight leg raise test for mobility

  up to 3 months

• neuropathic pain

  up to 3 months.

Study Arms (3)

spinal decompression group

EXPERIMENTAL

only 15 sessions of spinal decompression therapy were applied.

Other: non -surgical spinal decompression therapy

combine group

EXPERIMENTAL

10 patients participated in this group. for two weeks electrotherapy, deep friction massage and traction and last two weeks electrotherapy and exercise totally 15 session of treatment were applied.

Other: non -surgical spinal decompression therapy; Other: deep friction massage,; Other: electrotherapy; Other: exercise

exercise group

EXPERIMENTAL

10 patients participated in this group. for two weeks electrotherapy, deep friction massage and last two weeks electrotherapy and exercise totally 15 session of treatment were applied whi

Other: deep friction massage,; Other: electrotherapy; Other: exercise

Interventions

non -surgical spinal decompression therapy OTHER

it is a kind of traction therapy, it has an special traction design which can provide intermittent traction as to herniation levels.

combine group; spinal decompression group

deep friction massage, OTHER

deep friction massage is a kind of massage targeting deep muscles for decreasing pain and increasing function

combine group; exercise group

electrotherapy OTHER

electrotherapy is consist of hot pack, ultrasound and TENS. electrotherapy agents were help decreasing pain, increasing metabolism of tissues.

combine group; exercise group

exercise OTHER

special lumbar stabilization exercises were applied in advanced protocol.

combine group; exercise group

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• clinical diagnosis of lumbar disc herniation without strengthening loss

You may not qualify if:

• clinical diagnosis of osteoporosis
• have scoliosis and spondylolisthesis
• any surgery related spine
• any neurological diseases causes sensory loss

Sponsors & Collaborators

• Hacettepe University: lead

Related Publications (8)

• Apfel CC, Cakmakkaya OS, Martin W, Richmond C, Macario A, George E, Schaefer M, Pergolizzi JV. Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study. BMC Musculoskelet Disord. 2010 Jul 8;11:155. doi: 10.1186/1471-2474-11-155.

  PMID: 20615252 BACKGROUND

• Daniel DM. Non-surgical spinal decompression therapy: does the scientific literature support efficacy claims made in the advertising media? Chiropr Osteopat. 2007 May 18;15:7. doi: 10.1186/1746-1340-15-7.

  PMID: 17511872 BACKGROUND

• Lundon K, Bolton K. Structure and function of the lumbar intervertebral disk in health, aging, and pathologic conditions. J Orthop Sports Phys Ther. 2001 Jun;31(6):291-303; discussion 304-6. doi: 10.2519/jospt.2001.31.6.291.

  PMID: 11411624 BACKGROUND

• Ozturk B, Gunduz OH, Ozoran K, Bostanoglu S. Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation. Rheumatol Int. 2006 May;26(7):622-6. doi: 10.1007/s00296-005-0035-x. Epub 2005 Oct 25.

  PMID: 16249899 BACKGROUND

• Choi J, Lee S, Hwangbo G. Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. J Phys Ther Sci. 2015 Feb;27(2):481-3. doi: 10.1589/jpts.27.481. Epub 2015 Feb 17.

  PMID: 25729196 BACKGROUND

• Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works? Pain. 2004 Jan;107(1-2):176-90. doi: 10.1016/j.pain.2003.10.017.

  PMID: 14715404 BACKGROUND

• Schoenfeld AJ, Weiner BK. Treatment of lumbar disc herniation: Evidence-based practice. Int J Gen Med. 2010 Jul 21;3:209-14. doi: 10.2147/ijgm.s12270.

  PMID: 20689695 BACKGROUND

• Meszaros TF, Olson R, Kulig K, Creighton D, Czarnecki E. Effect of 10%, 30%, and 60% body weight traction on the straight leg raise test of symptomatic patients with low back pain. J Orthop Sports Phys Ther. 2000 Oct;30(10):595-601. doi: 10.2519/jospt.2000.30.10.595.

  PMID: 11041196 BACKGROUND

MeSH Terms

Conditions

Intervertebral Disc Displacement; Motor Activity

Interventions

Electric Stimulation Therapy; Exercise

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• aynur demirel, PhD

  Hacettepe University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: research assistant Aynur Demirel

Study Record Dates

• First Submitted: July 15, 2015
• First Posted: October 9, 2015
• Study Start: February 1, 2014
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: February 24, 2016

Record last verified: 2016-02