Effect of Routine Physical Therapy With and Without Core Stability Exercises in Patients With Lumbar Radiculopathy

NCT05741138 | Completed

• 1 other identifier: hassanjavaid19
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this Randomized controlled trial was to examine the effect of routine physical therapy with and without core stability exercises in patients with lumbar radiculopathy. The main question it aims to answer is: • To examine the effect of routine physical therapy with and without core stability exercises in patients with lumbar radiculopathy Participants after reading and signing the consent form were included in study according to eligibility criteria and were allocated in to 2 groups, the Standard Physical Therapy treatment along with core strengthening exercises. Core strengthening exercises were carried out in their respective standard positions (were modified according to patient's comfortability). We measured outcome through different outcome measure tools.

Conditions

Lumbar Radiculopathy

Outcome Measures

Primary Outcomes (3)

• Lower extremity functional pain scale (change is being assessed)

  The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals.

  Change from baseline after 12 weeks

• Oswestry disability index(change is being assessed)

  The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools

  Change from baseline after 12 weeks

• visual analog scale (change is being assessed)

  A Visual Analogue Scale (VAS) is one of the pain rating scales. It measures pain at line of 10cm.

  Change from baseline after 12 weeks

Study Arms (2)

Core strengthening group

EXPERIMENTAL

Group A were given the Standard Physical Therapy Treatment along with core strengthening exercises Core strengthening exercises were carried out in their respective standard positions (were modified according to patient's comfortability)

Other: Core strengthening

Conventional treatment group

SHAM COMPARATOR

Group B were given only Standard Physical Therapy treatment.

Other: Conventional treatment

Interventions

Core strengthening OTHER

Plank 1-3 sets of 10-15 reps per side at a slow tempo Side plank Draw in and lift, holding for 5 seconds with purposeful engagement of the core and leg musculature. Keep the head, shoulders, hips, knees and feet in a straight line. Bridges - Lie supine with your knees bent and the feet flat on the floor. Lift your pelvis off the ground while supporting on your feet and shoulders. The bridge can be progressed by lifting one foot off the ground end extending the knee Leg rises - Lie on your back with your legs straight and your arms by your sides. Then lift one leg 4 inches of the ground. Your back has to stay flat on the floor. Don't allow it to arch. Alternate. The exercise can be progressed by lifting both legs at the same time.

Core strengthening group

Conventional treatment OTHER

Hot pack and TENS for 10 minutes (lumbar region and calf muscles) Ultrasound for 10 mins (lumbar region and calf muscles) Gentle passive stretching (calf muscles) Isometric exercises (lumbar region)

Conventional treatment group

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years
• Both genders
• Low back pain radiating towards calf for more than 2 months (diagnosed by the orthopedic surgeon)

You may not qualify if:

• Patients with Inflammatory, infectious, malign or metabolic diseases
• Patients with osteoporosis, neurological defects, calf muscle hypertrophy, cardiovascular disorders any spinal or leg operations
• Pregnancy
• Any traumatic History

Sponsors & Collaborators

• Sehat Medical Complex: lead

Study Sites (1)

Sehat medical Complex

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Hassan Javaid

  University of Lahore

  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: PRINCIPAL INVESTIGATOR
• PI Title: Project Director

Study Record Dates

• First Submitted: February 14, 2023
• First Posted: February 23, 2023
• Study Start: February 4, 2023
• Primary Completion: July 28, 2023
• Study Completion: August 16, 2023
• Last Updated: September 5, 2023

Record last verified: 2023-08

Locations

PA (1)