Cyriax Manipulation in Lumbar Derangement Syndrome

NCT04082065 | Completed

• 1 other identifier: RiphahIU Sara yasin
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

the objective of the study was to determine the effect of Cyriax manipulation for Pain, range of motion and quality of life in lumbar internal derangement radiculopathy in single physical therapy session. Randomized control trails were carried out in Railway general hospital from February 2018 to July 2018 in which 43 patients with Low back pain were randomly divided by lottery method into control and experimental group. Single session of treatment was given. tools used in the study are visual analog scale, Oswestry disability index and lumber range of motion. data was analysed through SPSS (statistical package for social sciences) 21.

Conditions

Derangement; Low Back

Keywords

Conventional physical therapy(CPT); .Low back pain (LBP),; Oswestery disability index (ODI),; Quality of life (QOL),; Range of motion (ROM); Visual analogue scale (VAS)

Outcome Measures

Primary Outcomes (1)

• Owstery disability index

  ODI is self-reported tool used widely for measurement of functional disability related to. It was introduced by Fairbank et al in 1980 which gives guidelines for measuring functional disability due to LBP and considered gold standard. It is divided into 10 sections i.e. pain, personal care, sitting, walking, standing, travelling, weight lifting, sleeping, social life. Patient is guided to select one option according to their symptoms. Total score is 50.Once the individual score is calculated Percentage can be calculated by dividing it with total score i.e. 50 and then multiply it by 100.) In This study scores are calculated by filling the questionnaire before session and then filling it after two or three days after

  3rd day

Secondary Outcomes (5)

• visual analog sclae

  1st day after session

• range of motion lumber spine (flexion)

  1st day after session

• range of motion lumber spine (extension)

  1st day after session

• range of motion lumber spine (right side bending)

  1st day after session

• range of motion lumber spine (left side bending)

  1st day after session

Study Arms (2)

conventional physical therapy

ACTIVE COMPARATOR

Myofacial release Stretching of hamstring and Piriformis

Other: conventional physical therapy

cyriax lumber manipulation group

EXPERIMENTAL

Myofacial Release stretching of hamstrings and Piriformis Cyriax Lumbar Manipulation Techniques

Other: cyriax lumber manipulation group

Interventions

conventional physical therapy OTHER

hot pack for 15 minutes Myofacial release (10 minutes) and Stretching of hamstrings and Piriformis (5 reps each with 2 second hold)

conventional physical therapy

cyriax lumber manipulation group OTHER

Hot Pack, Myofacial Release, stretching of hamstrings and Piriformis (five reps each with 2 seconds hold) and Cyriax Lumbar Manipulation Techniques

cyriax lumber manipulation group

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• lumber pain, pain radiating to leg, motor deficits in legs, , dural signs and symptoms, impaired nerve root mobility(straight leg raise and L3 stretch), back pain effecting Quality of life, ODI score less than 30 and Limited range of motion .

You may not qualify if:

• Osteoporosis of hip, Bilateral sciatica, having anticoagulant medication, pregnancy, patient with impaired mental status

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International university

Islamabad, Federal, 44000, Pakistan

Location

Related Publications (14)

• WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser. 2003;919:i-x, 1-218, back cover.

  PMID: 14679827 BACKGROUND

• Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006 Apr;88 Suppl 2:21-4. doi: 10.2106/JBJS.E.01273.

  PMID: 16595438 BACKGROUND

• Punnett L, Pruss-Utun A, Nelson DI, Fingerhut MA, Leigh J, Tak S, Phillips S. Estimating the global burden of low back pain attributable to combined occupational exposures. Am J Ind Med. 2005 Dec;48(6):459-69. doi: 10.1002/ajim.20232.

  PMID: 16299708 BACKGROUND

• Lidgren L. The bone and joint decade 2000-2010. Bull World Health Organ. 2003;81(9):629. Epub 2003 Nov 14. No abstract available.

  PMID: 14710501 BACKGROUND

• Dionne CE, Dunn KM, Croft PR. Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing. 2006 May;35(3):229-34. doi: 10.1093/ageing/afj055. Epub 2006 Mar 17.

  PMID: 16547119 BACKGROUND

• Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. J R Soc Med. 2006 Apr;99(4):192-6. doi: 10.1177/014107680609900418.

  PMID: 16574972 BACKGROUND

• Ombregt L. A System of Orthopaedic Medicine-E-Book: Elsevier Health Sciences; 2013.

  BACKGROUND

• Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low back pain: an update of the cochrane review. Spine (Phila Pa 1976). 2013 Feb 1;38(3):E158-77. doi: 10.1097/BRS.0b013e31827dd89d.

  PMID: 23169072 BACKGROUND

• Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for low back pain. A meta-analysis of effectiveness relative to other therapies. Ann Intern Med. 2003 Jun 3;138(11):871-81. doi: 10.7326/0003-4819-138-11-200306030-00008.

  PMID: 12779297 BACKGROUND

• Aure OF, Nilsen JH, Vasseljen O. Manual therapy and exercise therapy in patients with chronic low back pain: a randomized, controlled trial with 1-year follow-up. Spine (Phila Pa 1976). 2003 Mar 15;28(6):525-31; discussion 531-2. doi: 10.1097/01.BRS.0000049921.04200.A6.

  PMID: 12642755 BACKGROUND

• Wand BM, Bird C, McAuley JH, Dore CJ, MacDowell M, De Souza LH. Early intervention for the management of acute low back pain: a single-blind randomized controlled trial of biopsychosocial education, manual therapy, and exercise. Spine (Phila Pa 1976). 2004 Nov 1;29(21):2350-6. doi: 10.1097/01.brs.0000143619.34308.b4.

  PMID: 15507794 BACKGROUND

• McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. J Manipulative Physiol Ther. 2010 Oct;33(8):576-84. doi: 10.1016/j.jmpt.2010.08.013.

  PMID: 21036279 BACKGROUND

• Muller R, Giles LG. Long-term follow-up of a randomized clinical trial assessing the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes. J Manipulative Physiol Ther. 2005 Jan;28(1):3-11. doi: 10.1016/j.jmpt.2004.12.004.

  PMID: 15726029 BACKGROUND

• Bialosky JE, Bishop MD, Robinson ME, Zeppieri G Jr, George SZ. Spinal manipulative therapy has an immediate effect on thermal pain sensitivity in people with low back pain: a randomized controlled trial. Phys Ther. 2009 Dec;89(12):1292-303. doi: 10.2522/ptj.20090058. Epub 2009 Oct 1.

  PMID: 19797305 BACKGROUND

MeSH Terms

Conditions

Low Back Pain; Hypotension

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Abdul Ghafoor Sajjad, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: single
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: interventional

Study Record Dates

• First Submitted: September 5, 2019
• First Posted: September 9, 2019
• Study Start: January 15, 2018
• Primary Completion: June 20, 2018
• Study Completion: June 30, 2018
• Last Updated: September 13, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)