Effect of Muscle Energy Techniques on Functional Abilities in Patients With Discogenic Unilateral Sciatica

NCT04918238 | Completed

• 1 other identifier: Basem_MSc
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study to investigate the effect of muscle energy techniques on functional abilities of patients with chronic discogenic unilateral sciatica and to explain it from a physiological and functional point of view

Conditions

Sciatica; Low Back Pain

Outcome Measures

Primary Outcomes (2)

• Visual analogue scale (VAS)

  Change from baseline Pain and at 2 months

  "through study completion, an average of 2 months"

• Oswestry disability index scale

  Change from baseline disability and at 2 months

  "through study completion, an average of 2 months"

Study Arms (2)

conventional treatment Arm

ACTIVE COMPARATOR

All the participants will receive the conventional physical therapy protocol per session as following: Infrared radiation on the low back area for 15 minutes, Ultrasound waves (Digi sonic device) for 10 minutes on the trigger areas of the low back, Myofascial release of the thoracolumbar fascia, Stretching of the Paraspinal muscles and the hamstrings, Mobilization of the lumbar and thoracic spine from a prone lying position and strengthening of abdominal muscles, multifidus and transversal's abdominal muscle.

Other: Conventional program

muscle energy technique arm

EXPERIMENTAL

Group A received muscle energy technique with lateral recumbent positioning along with Conventional Physiotherapy Program

Other: Conventional program; Other: Muscle energy technique

Interventions

Conventional program OTHER

All the participants will receive the conventional physical therapy protocol per session as following: Infrared radiation on the low back area for 15 minutes, Ultrasound waves (Digi sonic device) for 10 minutes on the trigger areas of the low back, Myofascial release of the thoracolumbar fascia, Stretching of the Paraspinal muscles and the hamstrings, Mobilization of the lumbar and thoracic spine from a prone lying position and strengthening of abdominal muscles, multifidus and transversal's abdominal muscle.

conventional treatment Arm; muscle energy technique arm

Muscle energy technique OTHER

The patient was in the lateral recumbent position on the side opposite to his, her side-bending dysfunction while the physiotherapist stood facing the subject. The physiotherapist monitored the lumbar area with one hand while with the other hand flexed the subject's knees and hips until the barrier was engaged at the vertebral segment being treated.

muscle energy technique arm

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• History of sciatica for more than 12 weeks or has at least 3 episodes of intermittent sciatica, each last for morethan 1 week eitheraccompanied with low back pain during the 3 months before thestudy. Medically and radiologically diagnosed as discogenic chronic sciatica with mild to moderate disability according to modified Rolland and Morris scale.
• Both males and females, aged from 25 to 40 years old.
• Be able to understand and follow the instructions during testing and treatment procedures

You may not qualify if:

• Fracture of pelvis, spine or lower extremities.
• Hospitalization for severe trauma.
• Peripheral neuropathy of diabetes or any other autoimmune disease.
• Systematic autoimmune disease such as rheumatoid arthritis, systematic lupus
• People with red flags such as cancer or severe osteoporosis.
• Symptoms provoked while doing active hip joint extension and abduction.
• Previous surgery to the lumbar spine, abdomen, pelvis, or hip.
• Any contraindication for exercise therapy (e.g. uncontrolled hypertension, previous myocardial infarction, cardiovascular disease, peripheral vascular disease, respiratory disorders).
• Any pain originated because of SI pathology.
• Menstruation during testing days.
• Individuals incapable of understanding and answering the Questionnaire.

Sponsors & Collaborators

• Horus University: lead

Study Sites (1)

Outpatient clinic - Faculty of Physical Therapy - Horus University

Damietta, 34518, Egypt

Location

MeSH Terms

Conditions

Sciatica; Low Back Pain

Condition Hierarchy (Ancestors)

Sciatic Neuropathy; Mononeuropathies; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Neuralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Back Pain

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 2, 2021
• First Posted: June 8, 2021
• Study Start: February 1, 2021
• Primary Completion: May 15, 2021
• Study Completion: June 1, 2021
• Last Updated: June 8, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)