Lumbosciatic Syndrome: Vojta Therapy vs. TENS

NCT03034681 | Completed

• 1 other identifier: 280920168216
• Study Type: interventional
• Target: 12
• Locations: 0 countries
• Sites: N/A

Brief Summary

This pilot "pre-post" quasi-experimental study evaluates for the first time the effectiveness of Vojta Therapy in treating lumbosciatic and compares it with the transcutaneous electrical nerve stimulation (TENS) procedure. Patients who agree will be distributed alternately in order of arrival to a Physiotherapy Unit, in such a way that half of the sample will be treated using TENS and the other half with Vojta.

Conditions

Lumbosciatic Syndrome; Pain; Functional Limitation; Vojta Therapy; Transcutaneous Electrical Nerve Stimulation

Outcome Measures

Primary Outcomes (1)

• Pain

  To quantify pain, the investigators used two aggregated measures coming independently from the Visual Analogical Scale (VAS) and the Oswestry questionnaire. The Oswestry questionnaire has a scale both for back pain and for lower leg pain. VAS measures the intensity of pain subjectively described by the patient, with maximum reproducibility amongst observers. It consists in a graduated scale from 0 cm (extreme "no pain") to 10 cm (extreme "unbearable pain"), in which the patient establishes the point on the scale that best describes the intensity of the pain. It is universally used and relates well to descriptive scales, with good sensitivity and reliability

  1 year

Secondary Outcomes (3)

• Disability

  1 year

• Flexibility

  1 year

• Radiculopathy

  1 year

Study Arms (2)

Vojta

OTHER

Vojta therapy consists in activating certain overall and innate locomotion patterns or complexes: reflex creeping and reflex rolling, which provokes the contraction of striated muscle in the entire body in a determined coordination with the central nervous system (CNS). These patterns are triggered from different positions (prone, supine and side lying) and only with certain stimulation. They contain all the locomotion components: automatic postural control, uprighting and phase movements. This therapy allows for the changing from pathological patterns to painless and cheaper patterns. This group received 15 sessions of treatment. Treatment lasted 30 minutes per sesion.

Other: Physiotherapy technique: Vojta Therapy

TENS

ACTIVE COMPARATOR

TENS procedure used at our unit consists in applying a high frequency current (80Hz), which is the most effective way to combat pain, for a phase duration of 60-200 microseconds at a comfortable range. Electrodes are placed on the skin over the sciatic nerve path, the (-) cathode on the most painful area as it is the most stimulating and the (+) another is placed distal. This group received 15 sessions of treatment. Treatment lasted 30 minutes per sesion.

Other: Physiotherapy technique: TENS

Interventions

Physiotherapy technique: TENS OTHER

TENS

Physiotherapy technique: Vojta Therapy OTHER

Vojta

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with acute, sub-acute or chronic lumbosciatic by a rehabilitation doctor were referred by said doctor to the Physiotherapy Unit, as candidates for either of the therapeutical procedures.

You may not qualify if:

• Patients with lumbosciatic resulting from a specific pathology (infection, metastasis, neoplasia, osteoporosis, fracture or inflammatory arthropathy).

Sponsors & Collaborators

• Universidad Rey Juan Carlos: lead
• Research Support Unit at Hospital General Mancha Centro: collaborator

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Lidia Juarez

  SESCAM

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist and clinical profesor

Model Details: The patients were recruited as follows: the rehabilitation doctor evaluated and diagnosed the patient and referred them to the Physiotherapy Unit (PTU) with a prescription for "TENS or Vojta" treatment. It was at the PTU of the health centre where the patient was informed of the possibility of taking part in the study. Patients who agree were allocated alternately in order of arrival to the PTU, in such a way that half of the sample was treated using TENS and the other half with Vojta therapy .

Study Record Dates

• First Submitted: January 16, 2017
• First Posted: January 27, 2017
• Study Start: January 1, 2011
• Primary Completion: June 1, 2011
• Study Completion: December 1, 2011
• Last Updated: February 1, 2017

Record last verified: 2017-01