Effects of Mechanical Versus Manual Traction in the Management of Low Back Pain.

NCT05059249 | Completed

• 1 other identifier: FUI/CTR/2021/5
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

This study compared the effects of mechanical and manual traction on pain, disability and lumbar spinal curvature in patients with discogenic low back pain

Conditions

Low Back Pain; Low Back Pain, Mechanical; Disc Degeneration; Disc Prolapse; Disc Prolapse With Radiculopathy; Lumbar Radiculopathy

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale

  Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. Where 0 indicate no pain and 10 indicate severe pain.

  6 weeks

• Oswestry disability index

  Changes from base line The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. Each topic category is followed by 6 statements describing different potential scenarios in the patient's life relating to the topic. The patient then checks the statement which most closely resembles their situation. Each question is scored on a scale of 0-5 with the first statement being zero and indicating the least amount of disability and the last statement is scored 5 indicating most severe disability. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.

  6 weeks

Study Arms (2)

Manual Traction

EXPERIMENTAL

Moist heat packs \& TENS for ten minutes followed by Manual Traction and 3 sets of slow gentle segmental mobilizations (unilateral and posterior-anterior) with at least 10 to 15 repetitions firstly but modified as per the response of the patient.

Procedure: Hot Pack; Procedure: Manual Traction; Procedure: Joint Mobilization; Procedure: TENS

Mechanical traction

EXPERIMENTAL

Moist heat packs \& TENS for ten minutes followed by Mechanical Traction and 3 sets of slow gentle segmental mobilizations (unilateral and posterior-anterior) with at least 10 to 15 repetitions firstly but modified as per the response of the patient

Procedure: Hot Pack; Procedure: Mechanical Traction; Procedure: Joint Mobilization; Procedure: TENS

Interventions

Hot Pack PROCEDURE

Superficial Heating

Manual Traction; Mechanical traction

Manual Traction PROCEDURE

Manual Traction for 10 minutes

Manual Traction

Mechanical Traction PROCEDURE

Mechanical Traction for 10 minutes

Mechanical traction

Joint Mobilization PROCEDURE

3 sets of slow gentle segmental mobilizations (unilateral and posterior-anterior) with at least 10 to 15 repetitions

Manual Traction; Mechanical traction

TENS PROCEDURE

TENS for 10 minutes with hot pack

Manual Traction; Mechanical traction

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with discogenic low back pain,
• Patients of both genders
• Age ranges from 20 to 60 years
• NPRS \> 5

You may not qualify if:

• Patients with non-mechanical back pain
• Patients with known metabolic diseases,
• Osteoporotic patients,
• Recent history of spinal trauma or surgery,
• Lumbar myelopathy,
• Cauda equine syndrome.

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University Institute of Rehabilitation Sciences.

Islamabad, Federal, 46000, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain; Intervertebral Disc Degeneration; Intervertebral Disc Displacement; Radiculopathy

Interventions

Transcutaneous Electric Nerve Stimulation

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Electric Stimulation Therapy; Therapeutics; Physical Therapy Modalities; Rehabilitation; Analgesia; Anesthesia and Analgesia

Study Officials

• Furqan Yaqoob, PhD*

  Foundation University Islamabad

  PRINCIPAL INVESTIGATOR

• Muhammad Osama, PhD*

  Foundation University Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 17, 2021
• First Posted: September 28, 2021
• Study Start: March 1, 2019
• Primary Completion: December 30, 2019
• Study Completion: January 30, 2020
• Last Updated: September 28, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)