Does Improvement Towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy
Condition: Cervical Lordosis Rehabilitation
MeSH terms: Lordosis; Radiculopathy; Swayback
Study type: Interventional

Summary: 
      A randomized controlled study with six months follow-up will be conducted to investigate the
      effects of sagittal head posture correction on 3D spinal posture parameters, back and leg
      pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral
      radiculopathy . Participants will include 80 patients between 40 and 55 years experiencing
      chronic discogenic lumbosacral radiculopathy with a definite hypolordotic cervical spine and
      forward head posture and will be randomly assigned a comparative treatment control group and
      a study group. Both groups will receive TENS therapy and hot packs, additionally, the study
      group will receive the Denneroll cervical traction orthotic.
    

Detailed description: 
      Despite the fact that there is some evidence of a link between low back pain and head posture
      , there is limited experimental data to support a cause-and-effect relationship and
      interventional outcomes. Accordingly, a prospective, randomized, controlled study will be
      conducted at a research laboratory of our university to investigate if cervical curve
      restoration and forward head posture correction will have short and long term effects on
      three dimensional spinal posture parameters as well as lumbar radiculopathy management
      outcomes such as symptoms, disability, and neurophysiological findings .In this study we will
      use an orthotic cervical traction termed the Denneroll to help restore normal sagittal spinal
      configuration based on principles of 3-point bending traction methods. Interventions will be
      applied at a frequency of 3 times per week for 10 weeks and groups will be followed for an
      additional 6-months.
    

Intervention name(s): Deneroll cervical extension traction; Traditional treatment
Intervention type(s): Other; Other
Intervention description(s): Participants will lie flat on their back on the ground with their legs extended and arms by their sides. The denneroll will placed on the ground and positioned in the posterior aspect of the neck depending on the area to be addressed . The apex of the Denneroll orthotic will be placed in one of three regions based on lateral cervical radiographic displacements:
In the upper cervical region (C2-C4) region.
The apex of the Denneroll orthotic is placed in the mid-cervical region (C4-C6) region.
The apex of the Denneroll orthotic is placed in the upper thoracic lower-cervical region (C6-T1) region.; The participants will receive hot packs (15 minutes) and TENS therapy .During TENS application. Patients will be asked to adopt a prone position. The TENS therapy will be delivered at the lumbosacral region for 20 min. The frequency will set to 80 Hz and pulse width to 50 µs due to its analgesic effect . These conventional treatments will be repeated three times per week over the course of 10 weeks for 30 total sessions
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A prospective, randomized, controlled study will be conducted at a research laboratory of our university. Participants will be randomly assigned to to either the treatment group or the control group
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: lumbosacral radiculopathy; Disc herniation; Cervical lordosis