Comparison of ELDOA and Mechanical Traction Technique on Pain and Disability in Patients With Lumbar Disc Herniation

Study Overview
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Brief Summary
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To compare the effect of ELDOA and Mechanical traction technique on pain in patients with lumbar disc herniation. To compare the effect of ELDOA and Mechanical traction technique on disability in patients with lumbar disc herniation.

Official Title
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Comparison of ELDOA and Mechanical Traction Technique on Pain and Disability in Patients With Lumbar Disc Herniation

Conditions
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Lumbar Disc Herniation

Intervention / Treatment
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* Other: ELDOA Technique
* Other: Mechanical Lumbar Traction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age: 20-65 years Both gender Male & Female Patients having Lumbar radiculopathy diagnosed with lumbar disc herniation. Exclusion Criteria: Patients presented with motor deficit, Qauda equina syndrome, lumbar fracture spinal stenosis, osteophyte formation facet joint pathology spondylolisthesis. malignancy, degenerative disorders recent back surgery and patient whom surgery for lumbar disc herniation/prolapse intervertebral disc already advised by neurosurgeon

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ELDOA Technique<br>ELDOA positions (hold for 1 minute, 3 alternative days for 4 weeks). Hot pack (10-15 minutes) McKenzie extension Exercises | Other: ELDOA Technique<br>* the patients treated with ELDOA technique, followed for 3 alternative days for 4 weeks. the ELDOA techniques for level L4/L5 and L5/S1 were applied. the ELDOA positions hold for one minute, 3 alternative days for 4 weeks under supervision. Hot pack (10-15 minutes) McKenzie Extension Exercises<br>|
| Experimental: Mechanical Lumbar Traction<br>Mechanical Lumbar Traction (50% of body weight was applied, in supine position, the hip and knee at 90- degree flexion, and the legs were supported. Hot pack (10-15 minutes) McKenzie extension Exercises | Other: Mechanical Lumbar Traction<br>* Mechanical Traction Technique: traction unit, 50% of body weight was applied with the patients lying in supine position, with the hip and knee at 90 degree flexion, and legs were supported. Traction were applied for 3 alternative days for 4 weeks. Hot pack (10-15 minutes) McKenzie Extension Exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lumbar ROM by inclinometer. | Flexion 60 Extension 25 Left Lat Flex 25 Right Lat Flex 25 | 4 weeks | 
| pain on Numeric pain rating scale | Changes from baseline, Pain was measured through Numeric pain rating scale.It comprises of a continuous scale of 10cm line.0 to 1 represent no pain, 1 to 3 represent mild pain ,4 to 6 represent moderate pain, 7 to 10 represent severe pain | 4 Weeks | 
| Modified Oswestry low back pain disability questionnaire | 0% to 20%: minimal disability: The patient can cope with most living activities. Usually no treatment is indicated apart from advice on lifting sitting and exercise. 21%-40%: moderate disability: The patient experiences more pain and difficulty with sitting, lifting and standing. Travel and social life are more difficult and they may be disabled from work. Personal care, sexual activity and sleeping are not grossly affected and the patient can usually be managed by conservative means. 41%-60%: severe disability: Pain remains the main problem in this group but activities of daily living are affected. These patients require a detailed investigation. 61%-80%: crippled: Back pain impinges on all aspects of the patient's life. Positive intervention is required. 81%-100%:These patients are either bed-bound or exaggerating their symptoms | 4th Week |