Augmented Posterior Oblique Sling Activation on Lumbopelvic Recruitment Pattern in Lumbosacral Radiculopathy

NCT06558383 | Completed

• 1 other identifier: P.T.REC/012/005233
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The current study aims to determine the impact of augmented posterior oblique sling activation on lumbopelvic recruitment pattern and functional outcomes in patients with unilateral lumbosacral radiculopathy.

Conditions

Lumbosacral Radiculopathy

Keywords

posterior oblique sling; recruitment pattern; lumbar radiculopathy

Outcome Measures

Primary Outcomes (2)

• surface EMG unit

  The electromyographic pattern of activation of lumbopelvic musculature (sequence and level of activity) will be measured during prone hip extension testing using surface EMG unit.

  measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention

• Pressure biofeedback unit

  it will be used to assess pelvic motion. the pressure sensor of the pressure biofeedback unit will be placed anteriorly between the patients' ilium and the testing table. The amount of pressure applied by the patient on the sensor at rest will be recorded then, the amount of pressure applied by patients at prone hip extension at 10 degrees will be recorded.

  measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention

Secondary Outcomes (3)

• pressure algometry

  measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention

• Arabic version of Oswestry Low Back Pain Disability Questionnaire

  measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention

• back pain intensity using the Visual analogue scale

  measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention

Study Arms (2)

control group -

ACTIVE COMPARATOR

Control group (A): Twenty patients will receive selected physical therapy program for 18 sessions, three sessions per week for six weeks in form of soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics.

Other: selected physical therapy program

study group

ACTIVE COMPARATOR

Study group (B): Twenty patients will receive augmented activation of posterior oblique sling in addition to selected physical therapy program, 18 sessions, three sessions per week for six week

Other: augmented posterior oblique sling activation; Other: selected physical therapy program

Interventions

augmented posterior oblique sling activation OTHER

activation of posterior oblique sling program for 18 sessions, three sessions per week for six weeks in the form of: * drop and catch technique * modified prone hip extension exercises * trunk and leg dissociation task

study group

selected physical therapy program OTHER

selected physical therapy program for 18 sessions, three sessions per week for six weeks in form of soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics and stabilization exercises

control group -; study group

Eligibility Criteria

• Age: 30 Years - 46 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age ranges from 30 to 46
• L5/S1 disc herniation.
• Duration of pain is more than three months.
• body mass index less than 30 kg/cm2
• ability to perform prone hip extension task with no pain
• impaired lumbopelvic stability (\<5 mmHg pressure difference from baseline to end prone hip extension task)
• moderate to severe lumbosacral radicular pain

You may not qualify if:

• Red flags: spinal tumors, cauda equina syndrome, spinal fractures, osteoporosis, infection.
• Bilateral symptoms.
• Spondylolisthesis, spondylitis, and spinal canal stenosis.
• Previous lumbopelvic or hip surgery or injection
• Any hip structural abnormality such as malformations, impingements and degeneration.
• Postural deviations such as scoliosis, kyphosis, lateral shift.
• True leg length discrepancy.
• Pregnancy and Gynecological problems.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

faculty of physical therapy Cairo university

Giza, Egypt

Location

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Hoda M Zakaria, professor

  Cairo University

  STUDY CHAIR

• Ebtesam M Fahmy, professor

  Cairo University

  STUDY CHAIR

• Nagwa M Ibrahim

  Cairo University

  STUDY CHAIR

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: assistant lecturer of physical therapy for neurology and neurosurgery

Model Details: Randomized controlled trial. True experimental research design study

Study Record Dates

• First Submitted: August 14, 2024
• First Posted: August 16, 2024
• Study Start: September 1, 2024
• Primary Completion: September 20, 2025
• Study Completion: October 20, 2025
• Last Updated: September 16, 2026

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)