Effect of Decompression With and Without ELDOA in Lumber Disc Protrusion Patients

NCT04930523 | Completed

• 1 other identifier: Kenza Rehman 00379
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The study will be conducted to determine the effects of spinal decompression with and without ELDOA in patients of lumbar disc protrusion. A total of twenty patient with lumber disc protrusion will be taken after fulfilling the inclusion criteria. the patient will be divided in experimental group i.e. ELDOA along with decompression and control group. Both session got pre and post session along with general low back exs.home plan along with precautions was guided to every patient of control and experimental group.NPRS ,ODI is assess in first and fourth session. The data will be analyzed through IBM SPSS version 21.

Conditions

Lumbar Disc Herniation

Keywords

ELDOA; Disc herniation; Decompression; LBP

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale

  It is numeric pain rating scale for measuring pain intensity. it ranges from 0-10.In which 0 shows no pain,1-3 (mild pain),4-6(moderate pain) and 10 shows severe pain. As guided by the researcher, pain intensity was marked by the patient

  4th weeks

• Oswestry Disability Index (ODI)

  Oswestry disability index is important tool in spinal disorders patients. Disability is measured by questioner related to activities of daily living. This tool is use for every type of patient acute or chronic with severe spinal disability. Each question contain 6 items from 0 to 5 i.e. no pain, mild , moderate, severe, very severe, worst.0 to 20 is minimal disability,21 to 40 is moderate,41 to 60 is severe,61 to 80 is crippled and 81 to 100 bed bound patient

  4th weeks

• Inclinometer

  Inclinometer is an instrument to measure range of motion or angle of motion of spine. Two inclinometer is use to measure dynamic motion of spine. There is motion on both ends of spine .in order to find true angle One inclinometer is on upper spine and other is on lower spine and value of lower spine is subtracted from upper spine. The flexion,, extension and side bending towards the right and left will be checked.

  4th week

Study Arms (2)

Decompression

ACTIVE COMPARATOR

It include the pre- Physiotherapy treatment than decompression and post physiotherapy treatment.

Other: Decompression

Experimental

EXPERIMENTAL

It includes the Pre physiotherapy treatment than ELDOA positions are guided and performed by patients before decompression Low back exercises guided i.e. knee to chest, pelvic rolling, bridging, SLR, piriformis exercises is guided for home plan along with precaution and Decoarctation of (C0/C1/C2),(C4/C5),(C5,C6),(C6/C7),(T4/T5),(T6/T7),(T8,/T9),(L4/L5),(L5/S1) then Neuro-oxy motorized lumbar spinal decompression therapy for 25 minutes and at last Post physiotherapy treatment

Other: Elongation Longitudinaux Avec Decoaption Osteo Articulaire

Interventions

Elongation Longitudinaux Avec Decoaption Osteo Articulaire OTHER

Pre physiotherapy treatment Gym (treadmill ,cycling,vibrator) according to ability and condition of patient Shortwave diathermy SWD for atleast 10 mins Decompression treatment i.e. Neuro-oxy motorized lumbar spinal decompression therapy for 25 minutes. Post physiotherapy treatment Conventional Tens and infrared heat for 10 minutes at low back region. TENS is modality to reduce pain and tension,by stimulating large diameter afferent fiber .IR give superficial heat for circulation and relaxation of muscles. No exercises or walk were guided for home (till 24 hrs) Low back exs guided i.e knee to chest, pelvic rolling, bridging, SLR, pirformis exs is guided for home plan along with precautions. No exertion ,drive carefully Avoid stairs climbing ,twisting ,bending ,weight lifting

Experimental

Decompression OTHER

Pre physiotherapy treatment Gym (treadmill ,cycling, vibrator) according to ability and condition of patient Shortwave diathermy SWD for at least 10 minutes. ELDOA positions are guided and performed by patients before decompression Low back exercises guided i.e. knee to chest, pelvic rolling, bridging, SLR, piriformis exercises is guided for home plan along with precautions. Decoarctation of (C0/C1/C2),(C4/C5),(C5,C6),(C6/C7),(T4/T5),(T6/T7),(T8,/T9),(L4/L5),(L5/S1) Neuro-oxy motorized lumbar spinal decompression therapy for 25 minutes. Post physiotherapy treatment Tens and infrared heat for 10 minutes at low back region. TENS is modality to reduce pain and tension, by stimulating large diameter afferent fiber .IR give superficial heat for circulation and relaxation of muscles. ELDOA exercises(positions)are guided for home plan after session (after 24 hrs) No exertion ,drive carefully Avoid stairs climbing, twisting bending, weight lifting

Decompression

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both Gender
• Age b/w 25 to 65
• Limited ROM
• Pain more than 3 on NPRS

You may not qualify if:

• Malignancy.
• Infection.
• Trauma.

Sponsors & Collaborators

• Aqua Medical Services (Pvt) Ltd: lead

Study Sites (1)

KKT Canada Orthopedic & Rehabilitation Centre

Rawalpindi, Capital, 44000, Pakistan

Location

Related Publications (8)

• Cheung KM, Karppinen J, Chan D, Ho DW, Song YQ, Sham P, Cheah KS, Leong JC, Luk KD. Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine (Phila Pa 1976). 2009 Apr 20;34(9):934-40. doi: 10.1097/BRS.0b013e3181a01b3f.

  PMID: 19532001 BACKGROUND

• Battie MC, Videman T, Parent E. Lumbar disc degeneration: epidemiology and genetic influences. Spine (Phila Pa 1976). 2004 Dec 1;29(23):2679-90. doi: 10.1097/01.brs.0000146457.83240.eb.

  PMID: 15564917 BACKGROUND

• Luoma K, Riihimaki H, Luukkonen R, Raininko R, Viikari-Juntura E, Lamminen A. Low back pain in relation to lumbar disc degeneration. Spine (Phila Pa 1976). 2000 Feb 15;25(4):487-92. doi: 10.1097/00007632-200002150-00016.

  PMID: 10707396 BACKGROUND

• Lee Y, Lee C-R, Cho M. Effect of decompression therapy combined with joint mobilization on patients with lumbar herniated nucleus pulposus. Journal of Physical Therapy Science. 2012;24(9):829-32.

  BACKGROUND

• Rathod AK, Dhake RP. Radiographic Incidence of Lumbar Spinal Instability in Patients with Non-spondylolisthetic Low Backache. Cureus. 2018 Apr 4;10(4):e2420. doi: 10.7759/cureus.2420.

  PMID: 29872600 BACKGROUND

• Waqqar S, Shakil-Ur-Rehman S, Ahmad S. McKenzie treatment versus mulligan sustained natural apophyseal glides for chronic mechanical low back pain. Pak J Med Sci. 2016 Mar-Apr;32(2):476-9. doi: 10.12669/pjms.322.9127.

  PMID: 27182265 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

• 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

MeSH Terms

Conditions

Intervertebral Disc Displacement

Interventions

Decompression

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics; Pressure; Mechanical Phenomena; Physical Phenomena

Study Officials

• Kanza Rehman, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Head

Model Details: Control group will be treated by decompression session while experimental group will be treated with ELDOA along with decompression.

Study Record Dates

• First Submitted: June 11, 2021
• First Posted: June 18, 2021
• Study Start: June 11, 2021
• Primary Completion: July 11, 2021
• Study Completion: July 20, 2021
• Last Updated: September 5, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)