Clinical trial NCT04701879: Spinal Decompression Therapy in Radicular Chronic Low Back Pain
Official title: Effect of Spinal Decompression Therapy With Core Stability Exercises in Radicular Chronic Low Back Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Radiculopathy Lumbar
Keywords: Physical therapy
Spinal decompression
Core stability exercises
Radiculopathy Lumbar
Lead sponsor: Aqua Medical Services (Pvt) Ltd
Sponsor class: INDUSTRY
First posted: 2021-01-08
Enrollment: 40
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The study design was randomized control trial and sampling technique was lottery method. After inclusion and exclusion criteria, sample populations were divided into experimental (group A) and control group (group B). Spinal decompression therapy in combination with core stability exercises were given to experimental group as intervention while spinal decompression therapy given alone to the control group. Assessment was taken on after 1st session, 4th session and 8th session of physical therapy intervention. Data were entered and analyzed by SPSS version 21.

Detailed description: Lower back pain is a common disorder that include any discomfort in the lumbar area below the origin of ribs and above the area of buttocks.Lower back pain with disability is 2nd most often reason for the wastage of time \& money.Almost all people suffer from lower back pain at some age of their life .Both genders are effected equally by low back pain. The common problem of lower back pain are when you lift a heavy object prolonged unsupported sitting, accidents, sedentary life style. Sedentary life style could be the cause of low back pain usually when strenuous workout done on weekends as compared to minimal activities on week days. Lumbar area of the back hold and support the weight of the upper body and body do twisting and bending at this area. Specific or non-specific lower back pain is the classifications. Pain caused by any deformity, injury or any physical activity is called non-specific lower back pain.Non-specific lower back pain cannot be having any specific pathology, changes in behavior of movement pattern due to fear avoidance having bad postural control cause this non-specific pain.Lower back pain is one of the general health setbacks globally. It is the leading cause of people's absence from work and limits their activities.Prevalence and burden of low back pain increased with aging.Spinal decompression can create a opposite intradiscal pressure to promote led back of the herniated or bulging disc material and this oppsosity in the disc will cause influx of healing nutrients and other substances into the disc Core stability program improves functional status; reduce pain, increases quality of life and endurance of muscles in lumbar disk herniation patients.A strong core is important to the healthy spine. Abdominal muscle can help the back muscle supporting supine. If core muscle are weak, supine carry extra pressure on your back muscles. For this stabilizing and core exercises are important to strengthen back spine. By increasing endurance of these muscles core muscle should be strong. Core stability program improves functional status; reduce pain, increases quality of life and endurance of muscles in lumbar disk herniation patients.In 2008, a researcher found that stabilization exercises helpful in spinal rehabilitation to prevent from any sports injury. Another study by Hodges in 2003 stated that exercises for central muscle is an developing process; additional work necessary to purify and authenticate move forward, mainly with reference to understand the neurobiology of chronic pain.A study in 2011 on comparison between stabilization plan and Pilates technique for treating Low back pain. Their results showed that, Pereira technique is not is not helpful in get better back pain and function, in comparison with control and lumbar stabilization exercise groups.In exercise plan Mat and gym ball exercise for strength training and step box were used to develop an independent habit of exercise .these exercise plan intend to increase strength of muscle and decrease pain. As a main exercise walking is, safe, suitable and easy to decrease low back pain because it does not involve forceful and twisting forward flexion.

Eligibility criteria: Inclusion Criteria:

* Radicular low back pain with minimum 3 months of duration
* Both gender ( male and female)
* Age 20-60 years
* Limited Straight Leg Raise.

Exclusion Criteria:

* With marked bony and soft tissue disease.
* Less than 20 and more than 60 years of age.
* Patients who don't have MRI reports

Primary outcomes:
measure: The Oswestry Disability Index (ODI)
timeFrame: 0 Day
measure: The Oswestry Disability Index (ODI)
timeFrame: 4th Day
measure: The Oswestry Disability Index (ODI)
timeFrame: 8th Day
Secondary outcomes:
Other outcomes:
measure: Numeric pain rating scale
timeFrame: 0 day, 4th day, 8th day
measure: Plank test
timeFrame: 0 day, 4th day, 8th day
Locations:
city: Islamabad
country: Pakistan
facility: Aqua research Center
state: Federal
Study officials:
affiliation: Shifa Tameer e milat University
name: Dr M.Umer Iqbal, MS
role: PRINCIPAL_INVESTIGATOR
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