Clinical trial NCT06796478: Tailored Egoscue Exercises in Patients With Lumbar Radiculopathy
Official title: Effects of Tailored Egoscue Exercises on Pain, Functional Performance and Sleep Quality in Patients With Lumbar Radiculopathy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lumbar Radiculopathy
Keywords: egoscue excercises
lumbar radiculopathy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-01-28
Enrollment: 46
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Lumbar radiculopathy (LR), commonly sciatica, is characterized by inflammation of the lower back's nerve roots. It is typically caused by sensory disruptions that arise from the lumbar spine and extend downward below the knee. LR is marked by alterations in motor and sensory functions, such as Radicular discomfort,functional performance paresthesia, or tingling in the lower limb.

This research aims to explore the Effects of Tailored Egoscue Exercises on Pain, Functional Performance and Sleep Quality in Patients with Lumbar Radiculopathy

Detailed description: The study was a randomized controlled trial, total 54 patients were recruited from Rayan Medical Center, Gujrat by using probability convenience sampling technique and assigned into two equal groups .27 patients in Group A (Experimental group) did Egoscue exercises while Group B (Control group) was provided with routine rehabilitation. In this study, age group between 45 to 65 pre-diagnosed with lumbar radiculopathy by a neurophysician was included. Lasègue's test , Bragard's test and Slump test was performed as a screening tool in the study. Exercises was performed for 40 minutes per day on 3 alternate days per week for 6 weeks.Group A (Experimental Group) included 10 minutes of heat therapy and 30 minutes of Egoscue training while at Group B (Control Group) 10 minutes of heat therapy, gentle stretches \& core stabilization exercises for 30 minutes was performed. Patients was assessed at three levels pre (at baseline), mid (after 3 weeks) and post level(after 6 weeks) . Assessment tool was a Numerical pain rating Scale, Rolland-Morris Disability Questionnaire \& Insomnia Severity Index (ISI) to assess the outcome variable

Eligibility criteria: Inclusion Criteria:

* Age 45-65 years
* Both male and female
* Lumbar disc herniation /lumbar radiculopathy secondary to L4/L5 and L5/S1
* Patients diagnosed with lumbar radiculopathy by neuro physician
* Positive Lasègue's test(SLRT): Positive if pain occurs when the hip is flexed at 30 and 60 or 70 degrees from horizontal.
* Positive Bragrd's sign: Applying ankle dorsiflexion after the straight leg raise (SLR) with the knee extended causes pain.
* Positive Slump test: positive if symptoms are increased in the slumped position and decreased as the patient moves out of neck flexion

Exclusion Criteria:

* Received treatment for LBP in the past 6 months
* Practiced any kind of exercise or sports activity during the last 6 months
* spinal tumors
* infections
* pregnancy
* neoplasm

Primary outcomes:
measure: Numerical Pain Rating Scale (NPRS):
timeFrame: 6weeks
measure: The Roland Morris Disability Questionnaire (RMDQ)
timeFrame: 6weeks
measure: Insomnia Severity Index (ISI) questionnaire
timeFrame: 6weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Gujrat
country: Pakistan
facility: Rayan Medical center
state: Punjab
Study officials:
affiliation: Riphah International University
name: Aruba Saeed, PhD*
role: PRINCIPAL_INVESTIGATOR
References: