Clinical trial NCT05484791: The Effect of a Lumbar Rotational Spinal Mobilization Technique With Lumbar Disc Herniation
Official title: Acute Effect Of The Lumbar Rotational Spinal Mobilization Technique On Pain, Disability And Radiological Findings Of Patients With Lumbar Disc Herniation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lumbar Disc Herniation
Keywords: Lumbar disc herniation
Manual therapy
Lumbar Spinal Rotational Mobilization
Lead sponsor: Muş Alparslan University
Sponsor class: OTHER
First posted: 2022-08-02
Enrollment: 26
Sex: ALL
Minimum age (years): 19
Maximum age (years): 64
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: The research was designed as a semi-experimental study with pre-test (before implementation), post-test (after implementation) and 2-month follow-up assessments
Primary purpose: TREATMENT

Brief summary: The aim of this study was to research the effect of the Lumbar Spinal Rotational Mobilization technique on radiological findings, pain, disability and joint range of motion (ROM) in patients with lumbar disc herniation

Detailed description: In our study, it was aimed to investigate the acute effect of Lumbar Rotational Spinal Mobilization Technique on radiological findings, pain, disability and range of motion in 26 patients diagnosed with lumbar disc herniation(LDH) by magnetic resonance imaging(MRI) and physical examination. Disc height, herniation distance and facet joint distance of the patients were measured with MRI. Pain was assessed with the Visual Analogue Scale. Disability was measured with the Oswestry Low Back Pain Disability Questionnaire and Lumbar range of motion(ROM) was measured with a goniometer and tape measure. Rotational Spinal Mobilization Technique was applied to the patients in 2 sessions with a one-week interval, slowly and with 30 repetitions in both directions. All assessments were repeated within 1 week after treatment. It was observed whether there was an improvement in terms of radiological, pain, disability and ROM in the patients. 2 months after the 2nd evaluation, other parameters except the radiological evaluation were reapplied and it was tried to determine whether the effect persisted.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with LDH by MRI and physical examination
* Having pain due to LDH
* Be between the ages of 18 and 65

Exclusion Criteria:

* History Of Spinal Surgery
* History Of Autoimmune Disease (Ankylosing Spondylitis, Rheumatoid Arthritis Or Other Disease)
* Spondylolysis Or Spondylolisthesis
* Spinal Fracture
* Cardiac Pathology
* Stroke History
* Cauda Equina Syndrome,
* Continuous Painkiller Drug Use
* Spinal inflammation
* Spinal Tumor
* Corticosteroid Drug Use İn The Last Month
* Osteoporosis

Primary outcomes:
measure: Assessing disc height change
timeFrame: Disc height, was measured twice by a radiology expert 1 week before and 1 week after treatment
measure: Assessing disc herniation thickness change
timeFrame: Disc herniation thickness was measured twice by a radiology expert 1 week before and 1 week after treatment
measure: Assessing facet joint distance change
timeFrame: Facet joint distance was measured twice by a radiology expert 1 week before and 1 week after treatment
Secondary outcomes:
measure: Functional capacity change assessment
timeFrame: The functional capacity of patients participating in the study was assessed 1 week before, 1 week and 2 months after treatment using the Oswestry Low Back Pain Disability Questionnaire.
measure: Pain change assessment
timeFrame: Pain assessment was recorded 1 week before, 1 week and 2 months after treatment
Other outcomes:
measure: Evaluation of joint range of motion change
timeFrame: Joint range of motion was assessed and recorded 1 week before, 1 week and 2 months after treatment
Locations:
city: Muş
country: Turkey
facility: Muş Alparslan University
Study officials:
affiliation: Muş State Hospital
name: İsmail Taşkent
role: STUDY_CHAIR
affiliation: Muş State Hospital
name: Mahmut Çakıllı
role: STUDY_CHAIR
References: