Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-sarcal Radiculopathy

NCT05654428 | Completed

• 1 other identifier: 337
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

Lumbosacral radiculopathy (LR) is among most common disorder caused due to irritation or compression of nerve pathway leading to symptoms of pain, numbness and tingling sensations along the nerve root. Lumbosacral radiculopathy consists at any lumbar region including L1-S1. Occurrence rate of Lumbosacral radiculopathy is 3-5% distributed equally in men and women affecting more men than women. It commonly occurs in late 40s in men and late 50s-60s in females. Men are more prone to develop lumbosacral radiculopathy due to mechanical disturbance during routine work.

Conditions

Lumbosacral Radiculopathy

Outcome Measures

Primary Outcomes (4)

• Numeric Pain Rating Scale

  0 means no pain and 10 means worst pain ever felt

  4 weeks

• Flexi curve ruler

  to measure the lumber cure

  4 weeks

• Bubble inclinometer

  Measure the cure

  4 weeks

• King Health Questionnaire quality of life

  lesser score means low quality of life and higher score means better quality of life

  4 weeks

Study Arms (2)

Experimental Group

EXPERIMENTAL

55 patients Standard treatment: TENS (4-pole) + Hot pack for 15 minutes Standard treatment: TENS (4-pole) + Hot pack for 15 minutes New Intervention: Mckenzie Extension * Prone press-ups * Head life in prone * Prone on elbow * Prone on hands * Prone on pillow

Other: Mckenzie Extension Exercises

Control Group

ACTIVE COMPARATOR

55 patients Standard treatment: TENS (4-pole) + Hot pack for 15 minutes Standard treatment: TENS (4-pole) + Hot pack for 15 minutes New Intervention: William Flexion * Single knee to chest * Double knee to chest * Straight Leg Raise * Bridging * Pelvic tilt

Other: William Flexion Exercises

Interventions

Mckenzie Extension Exercises OTHER

The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone.

Experimental Group

William Flexion Exercises OTHER

Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).

Control Group

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Males and females with age between 40-60 years
• Patients referred from neuro and orthopedic departments with diagnosed lumbosacral radiculopathy.
• Complaint of low back pain on walk, bending and after long sitting with positive slump test.
• Complaint of low back pain, and numbness and tingling in leg with positive SLR test

You may not qualify if:

• Lumbar Trauma
• Any other orthopedic and neurological conditions of hip and lumbosacral spine.
• Hip Fracture
• Malignancy

Sponsors & Collaborators

• Neuro Counsel Hospital, Pakistan: lead
• National Institute of Rehabilitation Medicine, Islamabad, Pakistan: collaborator

Study Sites (1)

Isra niversity

Islamabad, Federal, 46030, Pakistan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Just Participants are unaware about which type of intervention they are being underwent.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal researcher

Model Details: A Randomized Control Trail with 2 Equal groups

Study Record Dates

• First Submitted: December 7, 2022
• First Posted: December 16, 2022
• Study Start: September 22, 2022
• Primary Completion: January 21, 2023
• Study Completion: February 1, 2023
• Last Updated: February 2, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)