The Effect of a Lumbar Rotational Spinal Mobilization Technique With Lumbar Disc Herniation

NCT05484791 | Completed

• 1 other identifier: 01/10/2019-E.13568
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to research the effect of the Lumbar Spinal Rotational Mobilization technique on radiological findings, pain, disability and joint range of motion (ROM) in patients with lumbar disc herniation

Conditions

Lumbar Disc Herniation

Keywords

Lumbar disc herniation; Manual therapy; Lumbar Spinal Rotational Mobilization

Outcome Measures

Primary Outcomes (3)

• Assessing disc height change

  Images for radiological assessment of patients were obtained with a 1.5 Tesla GE brand Magnetic Resonance (MR) device. Sagittal T2A and axial T2A sequences were used. If the same person had herniation at different levels, the level with highest degree of herniation was included in the assessment. All MR images were obtained during the day between 16:00 and 18:00 hours

  Disc height, was measured twice by a radiology expert 1 week before and 1 week after treatment

• Assessing disc herniation thickness change

  Images for radiological assessment of patients were obtained with a 1.5 Tesla GE brand Magnetic Resonance (MR) device. Sagittal T2A and axial T2A sequences were used. If the same person had herniation at different levels, the level with highest degree of herniation was included in the assessment. All MR images were obtained during the day between 16:00 and 18:00 hours

  Disc herniation thickness was measured twice by a radiology expert 1 week before and 1 week after treatment

• Assessing facet joint distance change

  Images for radiological assessment of patients were obtained with a 1.5 Tesla GE brand Magnetic Resonance (MR) device. Sagittal T2A and axial T2A sequences were used. If the same person had herniation at different levels, the level with highest degree of herniation was included in the assessment. All MR images were obtained during the day between 16:00 and 18:00 hours

  Facet joint distance was measured twice by a radiology expert 1 week before and 1 week after treatment

Secondary Outcomes (2)

• Functional capacity change assessment

  The functional capacity of patients participating in the study was assessed 1 week before, 1 week and 2 months after treatment using the Oswestry Low Back Pain Disability Questionnaire.

• Pain change assessment

  Pain assessment was recorded 1 week before, 1 week and 2 months after treatment

Other Outcomes (1)

• Evaluation of joint range of motion change

  Joint range of motion was assessed and recorded 1 week before, 1 week and 2 months after treatment

Study Arms (1)

The Lumbar Rotational Spinal Mobilization Technique

EXPERIMENTAL

Patients included in the study underwent the lumbar rotational spinal mobilization technique during two sessions per week

Other: The Lumbar Rotational Spinal Mobilization Technique

Interventions

The Lumbar Rotational Spinal Mobilization Technique OTHER

Patients included in the study underwent the lumbar rotational spinal mobilization(LRSM) technique during two sessions per week. The LRSM technique is applied while patients are lying on their side. The uppermost hip and knee are placed in 90 degree flexion, this is to assist rotational stress, and the lower leg is placed in extension. The lower shoulder is strongly pulled; thus, the upper shoulder is positioned toward the posterior and the pelvis moves anteriorly. The clinician stands in front of the patient. They stabilize the upper shoulder with one hand, and place the palm of the other hand behind the hard part of the ilium wing, with forearm horizontal and fingers turned toward the clinician. A rotational force is applied with pressure in the horizontal direction by pulling the hand on the ilium toward the clinician. In this position, 30 slow repeated movements are performed. The same practice is performed on both sides

The Lumbar Rotational Spinal Mobilization Technique

Eligibility Criteria

• Age: 19 Years - 64 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being diagnosed with LDH by MRI and physical examination
• Having pain due to LDH
• Be between the ages of 18 and 65

You may not qualify if:

• History Of Spinal Surgery
• History Of Autoimmune Disease (Ankylosing Spondylitis, Rheumatoid Arthritis Or Other Disease)
• Spondylolysis Or Spondylolisthesis
• Spinal Fracture
• Cardiac Pathology
• Stroke History
• Cauda Equina Syndrome,
• Continuous Painkiller Drug Use
• Spinal inflammation
• Spinal Tumor
• Corticosteroid Drug Use İn The Last Month
• Osteoporosis

Sponsors & Collaborators

• Muş Alparslan University: lead

Study Sites (1)

Muş Alparslan University

Muş, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Intervertebral Disc Displacement

Condition Hierarchy (Ancestors)

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

Study Officials

• İsmail Taşkent

  Muş State Hospital

  STUDY CHAIR

• Mahmut Çakıllı

  Muş State Hospital

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The research was designed as a semi-experimental study with pre-test (before implementation), post-test (after implementation) and 2-month follow-up assessments

Study Record Dates

• First Submitted: July 19, 2022
• First Posted: August 2, 2022
• Study Start: December 1, 2019
• Primary Completion: April 1, 2020
• Study Completion: August 1, 2020
• Last Updated: August 2, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)