Positional Distraction and Stabilization Exercises in Adults With Lumbar Radiculopathy.

Study Overview
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Brief Summary
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This study evaluate the addition of positional distraction to stabilization exercises in the treatment of lumbar radiculopathy in adults. Half of the patients will recieve positional distraction and stabilization exercises in combination, while the other half will recieve stabilization exercises only.

Detailed Description
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In positioanl distraction making use of the body position to produce traction at an isolated spinal level to maximally open the affected neuroforamen. It is an alternative to lumbar mechanical traction. The spinal level of vertebral level requiring traction is palpated and a soft roll is placed and the patient side lies on the unaffected side. For further distraction both hips are flexed until movement is noted at the spinal level needing traction. Further, distraction applied by rotating upper trunk to opposite side of pain. Stabilization exercises are mainly used for the stability of joints and for improving muscle strength. The first step of lumbar stabilization exercises are to maintain functional back positions during all activities. The second step is to improve strength and endurance of the core muscles.

Official Title
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Experimental-controlled, Randomized, Single Blind Trial of Effectiveness of Positional Distraction With Stabilization Exercises Versus Stabilization Exercises Alone in the Management of Lumbar Radiculopathy.

Conditions
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Lumbar Radiculopathy

Intervention / Treatment
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* Other: physical therapy treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of lumbar radiculopathy Age limit 30-50 years Both males and females Pain history more than 12 weeks but less than one year Patient having lumbar disc bulge at maximum two adjacent levels Exclusion Criteria: Any type of tumor and infection in the spine Spondylolisthesis at L4- L5, L5-S1 Fracture of the lumbar spine Sciatica other than lumbar region (piriformis syndrome) Acute cardiopulmonary conditions Morbid obesity (BMI &gt; 30)

Ages Eligible for Study
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Minimum Age: 30 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: All the patients will be randomly allocated into treatment and control groups 50 in experimental and 50 in control group. The treatment group will receive positional with stabilization exercises while the control group will be treated with stabilization exercises only.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Positional Distraction plus Stabilization Exercise group<br>The treatment group will receive positional distraction with stabilization exercises | Other: physical therapy treatment<br>* the experimental group received positional distraction plus stabilization exercises and the control group received stabilization exercises only.<br>|
| Active Comparator: Stabilization Exercise group<br>control group will be treated with stabilization exercises only. | Other: physical therapy treatment<br>* the experimental group received positional distraction plus stabilization exercises and the control group received stabilization exercises only.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline Pain intensity at 8 weeks | The pain intensity measured on self reported Visual Analogue Scale. (0 means no pain and 10 is the high intensity of pain). | All the subjects were assessed before and after 8 weeks of treatment. | 
| Change from baseline Disability at 8 weeks | The disability were assessed on Roland Morris Disability Questionnaire. where 0 means no disability and 24 is the high disability. | All the subjects were assessed before and after 8 weeks of treatment. |