Effects of Decompression in Patient With Acute vs Chronic Lumbar Radiculopathy

Study Overview
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Brief Summary
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The study will be done to evaluate the effectiveness of Lumbar Spinal Decompression in patients with acute vs chronic lumbar radiculopathy. Study design will be Randomized control trial and sample size will be 30. Duration of study was of 6 month, convenient sampling was done. Data will be collected from DHQ Daska were randomly allocated in three groups via lottery method, baseline assessment was done. Patients of both gender (male and female) from 18 to 50 years with lumbar radiculopathy diagnosed through X-ray and physical examination will be included. Patients with systemic soft tissue and bony diseases will be excluded. Intervention duration of 4 weeks, 3 sessions in a week. Decompression of lumbar spine will be given once in a week. Whole procedure of treatment program will given to patients and written informed consent will be taken. Basic tools will be Visual analog scale (VAS), SLR, ODI, Inclinometer. Data was analyzed by using SPSS version 21

Detailed Description
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Low back pain (LBP) is one of the most common musculoskeletal conditions treated by physical therapists. Although lumbar traction is frequently used by physical therapists in the treatment of patients with LBP. We will use Manual Lumber Spinal Traction on patients with acute vs chronic lumber radiculopathy. The current study will determine the effect of decompression in relieving pain, increase range of motion and improving function in patients of acute and chronic lumbar radiculopathy. Lumbar traction (LT) is routinely used on its own or in conjunction with other treatments for the management of lumbar sciatica. We will use Manual lumbar traction along with hot pack, tens, mobilization and exercise therapy. Intervention duration of 4 weeks, 3 sessions in a week. Decompression of lumbar spine will be given once in a week.

Official Title
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Effects of Decompression on Pain, Range of Motion and Function in Patient With Acute vs Chronic Lumbar Radiculopathy

Conditions
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Lumbar Radiculopathy

Intervention / Treatment
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* Other: Decompression + Hot pack, TENS, Mobilization, Exercise Therapy
* Other: Decompression + Hot pack , TENS , Mobilization , Exercise Therapy
* Other: Hot pack , TENS, Mobilization, Exercise therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: history of radicular pain with straight leg raise (SLR). Patients in the acute phase of (up to 6 weeks) included in group A Patients in chronic phase of (more than 6 weeks) included in group B Exclusion Criteria: Any systemic soft tissue and bony disease. Patient with spinal tuberculosis, spinal fractures, pregnancy, cancer. Any recent surgery. Patient with any cervical or thoracic problem. Patients with any other serious pathology/red flags

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Decompression + Hot pack, TENS, Mobilization, Exercise Therapy | Other: Decompression + Hot pack, TENS, Mobilization, Exercise Therapy<br>* Group A which includes the acute group to study the effects of decompression we will apply the three main basic treatments along with decompression which is our main goal.. The basic treatments are Hot Pack TENSE Mobilization ( on lumbar L1 toL5 ) Our first modality which is hot pack will be given to the patients for a duration of 15 minutes The next modality TENSE will be given for 10 minutes The third treatment which is mobilization will be given 1 time on each joint of lumbar spine All these treatments must given in combination with the decompression.<br>|
| Experimental: Group B<br>Decompression + Hot pack, TENS, Mobilization, Exercise Therapy | Other: Decompression + Hot pack , TENS , Mobilization , Exercise Therapy<br>* Group B which includes the chronic group to study the effects of decompression we will apply the three main basic treatments along with decompression which is our main goal.. The basic treatments are Hot Pack TENSE Mobilization ( on lumbar L1 toL5 ) Our first modality which is hot pack will be given to the patients for a duration of 15 minutes The next modality TENSE will be given for 10 minutes The third treatment which is mobilization will be given 1 time on each joint of lumbar spine All these treatments must given in combination with the decompression.<br>|
| Other: Group C<br>Hot pack , TENS, Mobilization, Exercise therapy | Other: Hot pack , TENS, Mobilization, Exercise therapy<br>* Group C which is our control group to compare it with the groups A and B to study the effects of decompression on lumbar radiculopathy The basic treatments are Hot Pack TENSE Mobilization ( on lumbar L1 toL5 ) Our first modality which is hot pack will be given to the patients for a duration of 15 minutes The next modality TENSE will be given for 10 minutes The third treatment which is mobilization will be given 1 time on each joint of lumbar spine It is kept in mind that in this group we will not apply the decompression along with the above treatments.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale | A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured | 4th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MODIFIED OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE | 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 | 4th Week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Decompression, radiculopathy, acute, chronic