Thoracic Lymphatic Pump Technique Exercises Chronic Mechanical Low Back Pain

NCT05568758 | Unknown

• 1 other identifier: Thorac lymph exercises back
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to compare between the combined effect of thoracic lymphatic pump technique with exercises and exercises alone on pain intensity using Visual Analogue Scale (VAS), lumbar spine mobility using Modified-Modified Schober test (MMST) and functional disability level using Oswestary Disability Index (ODI) on patients with CMLBP.

Conditions

Low Back Pain, Mechanical

Outcome Measures

Primary Outcomes (1)

• Pain intensity

  Arabic version of the Visual analogue scale (VAS) will be used, the subject will mark on a 0-10 graphic rating scale in which the (0) value indicating no pain, and (10) indicating the most severe pain experienced. Then a ruler will be used to measure the distance from zero, the recorded number will be rounded to the closest value

  4 weeks

Secondary Outcomes (1)

• Functional disability level

  4 weeks

Other Outcomes (1)

• Lumbar spine mobility

  4 weeks

Study Arms (2)

Thoracic lymphatic pump technique

EXPERIMENTAL

The subject lies in the supine position; the therapist stands at the patient's head, facing the subject. The therapist then, places the thenar eminence of each hand to the pectoral region inferior to the clavicle and the other fingers are spread around the thoracic cage and angled toward the body's side to create a consistent, compressive force across the thoracic cage. The subject is then asked to breathe in deeply and breathe out. While breathing out, rhythmic oscillatory compression in the posterior and caudal direction is applied to the chest wall. By the end of the expiratory phase, the compressive force is maintained, and the subject is asked to take another deep breath. In this way, the subject encountered some resistance equivalent to the chest-wall movement during inspiration. The maneuver is repeated for five respiratory cycles, after that the therapist slowly reduces the compressive force and withdraws his hands.

Other: Thoracic lymphatic pump technique; Other: Exercises (stretching and strenghtening )

exercises

EXPERIMENTAL

Stretching exercises (hamstring stretch-lower back stretch) Strenghening exercises(abdominal curl up-supine bridging-trunk extension)

Other: Exercises (stretching and strenghtening )

Interventions

Thoracic lymphatic pump technique OTHER

The subject lies in the supine position; the therapist stands at the patient's head, facing the subject. The therapist then, places the thenar eminence of each hand to the pectoral region inferior to the clavicle and the other fingers are spread around the thoracic cage and angled toward the body's side to create a consistent, compressive force across the thoracic cage. The subject is then asked to breathe in deeply and breathe out. While breathing out, rhythmic oscillatory compression in the posterior and caudal direction is applied to the chest wall. By the end of the expiratory phase, the compressive force is maintained, and the subject is asked to take another deep breath. In this way, the subject encountered some resistance equivalent to the chest-wall movement during inspiration. The maneuver is repeated for five respiratory cycles, after that the therapist slowly reduces the compressive force and withdraws his hands.

Thoracic lymphatic pump technique

Exercises (stretching and strenghtening ) OTHER

stretching exercises include: Hamstring stretching exercises Lower back stretching exercises : strenghtening exercises include: Abdominal curl up exercises : Supine bridging exercises. Trunk extension exercises

Thoracic lymphatic pump technique; exercises

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients (both genders) with a chief complain of Chronic mechanical low back pain without leg pain (Al Sulaimy et al., 2018).
• Age of the patient 20- 45 years old (Al Sulaimy et al., 2018).
• Pain more than three months

You may not qualify if:

• Patient with Spondylolysis (Steele et al., 2016).
• Patient with tumor, infection (Ulger et al., 2017).
• Patient with cauda equina syndrome who need urgent surgery (Ulger et al., 2017).
• Patients with previous lumber surgery (Amundsen et al., 2018).
• Patient with Deep venous thrombosis (DVT) (Alves et al., 2020).
• Patient with Congestive heart failure (Alves et al., 2020).
• Patient with Renal failure (Forner-Cordero et al., 2021).
• Patient with uncontrolled hypertension (Forner-Cordero et al., 2021).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Basma Hesham

Giza, 12111, Egypt

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Basma Hesham, Doctoral

CONTACT

01001609596; basmahesham44@gmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: physical therapist

Study Record Dates

• First Submitted: October 1, 2022
• First Posted: October 6, 2022
• Study Start: October 1, 2022
• Primary Completion: October 1, 2024
• Study Completion: October 1, 2024
• Last Updated: November 8, 2022

Record last verified: 2022-10

Locations

EG (1)