Clinical trial NCT06707779: PNF With and Without Electrical Stimulation in Patients With Chronic Lumbar Radiculopathy
Official title: Effect of Proprioceptive Neuromuscular Facilitation With and Without Electrical Stimulation on Pain and Functional Disability in Patients With Chronic Lumbar Radiculopathy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lumbar Radiculopathy
Keywords: pain
disability
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-11-27
Enrollment: 48
Sex: ALL
Minimum age (years): 40
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Numerous researches have shown how PNF is been used to treat non specific low back pain, subacromial impingement, cervical radiculopathy and many others. In some studies different techniques like Mckenzie method, spinal mobilization and Mulligan traction other than PNF were being used to treat lumbar radiculopathy. According to researchers knowledge little literature available to see the effectiveness of PNF with electrical stimulation in patients with chronic lumbar radiculopathy. Therefore, the purpose of the current study is to examine the effects of PNF with electrical stimulation in patients with chronic lumbar radiculopathy.


Eligibility criteria: Inclusion Criteria:

* • Diagnosed cases of lumbar radiculopathy

  * Either one or both legs affected by radiating pain
  * Signs of nerve root compression like paresthesia, numbness, tingling, sharp pain
  * Impaired deep tendon reflex(knee jerk, ankle jerk)
  * Both male and female
  * Radiological evidence of lumbar spondylosis with radiculopathy
  * Age group between 40 to 70 years
  * Positive SLR test between 45° to 70°
  * All subjects with symptoms for duration of more than 6 weeks
  * Increase leg pain by coughing and sneezing

Exclusion Criteria:

* Serious spinal conditions e.g infection, tumor, osteoporosis
* Uncontrolled hypertension
* Severe cognitive impairment
* Other neurological conditions and systemic illness like kidney and visceral diseases
* Vertebral fracture and spondylolisthesis
* Pregnant women
* History of spinal surgery in previous 6 months
* Clinical conditions such as oversensitive skin, patients with cardiac pacemakers where application of TENS is contraindicated

Primary outcomes:
measure: pain numeric rating scale
timeFrame: 6th week
measure: Modified Oswestry disability index
timeFrame: 6th week
Secondary outcomes:
Other outcomes:
Locations:
city: Sialkot
country: Pakistan
facility: Amin welfare and teaching hospital , Awan center
state: Punjab
Study officials:
affiliation: Riphah International University Lahore
name: Arnab Altaf, PP DPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kaya DO, Celenay ST, Secer E, Biceroglu H. Pain intensity, spine structure, and body composition in patients with acute discogenic lumbar radiculopathy. Musculoskelet Sci Pract. 2024 Oct;73:103133. doi: 10.1016/j.msksp.2024.103133. Epub 2024 Jul 2.
citation: Moustafa IM, Diab AAM, Harrison DE. Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial. J Clin Med. 2022 Sep 29;11(19):5768. doi: 10.3390/jcm11195768.
citation: Clark R, Weber RP, Kahwati L. Surgical Management of Lumbar Radiculopathy: a Systematic Review. J Gen Intern Med. 2020 Mar;35(3):855-864. doi: 10.1007/s11606-019-05476-8. Epub 2019 Nov 11.
citation: Ghasabmahaleh SH, Rezasoltani Z, Dadarkhah A, Hamidipanah S, Mofrad RK, Najafi S. Spinal Manipulation for Subacute and Chronic Lumbar Radiculopathy: A Randomized Controlled Trial. Am J Med. 2021 Jan;134(1):135-141. doi: 10.1016/j.amjmed.2020.08.005. Epub 2020 Sep 13.
citation: Samant P, Tawde P, Tawde DN. Understanding How Patients With Lumbar Radiculopathy Make Sense of and Cope With Their Symptoms. Cureus. 2024 Mar 26;16(3):e56987. doi: 10.7759/cureus.56987. eCollection 2024 Mar.
citation: Pojskic M, Bisson E, Oertel J, Takami T, Zygourakis C, Costa F. Lumbar disc herniation: Epidemiology, clinical and radiologic diagnosis WFNS spine committee recommendations. World Neurosurg X. 2024 Feb 20;22:100279. doi: 10.1016/j.wnsx.2024.100279. eCollection 2024 Apr.