Clinical trial NCT06558383: Augmented Posterior Oblique Sling Activation on Lumbopelvic Recruitment Pattern in Lumbosacral Radiculopathy
Official title: Augmented Posterior Oblique Sling Activation on Lumbopelvic Recruitment Pattern and Functional Outcomes in Lumbosacral Radiculopathy Patients
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Lumbosacral Radiculopathy
Keywords: posterior oblique sling
recruitment pattern
lumbar radiculopathy
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-08-16
Enrollment: 40
Sex: ALL
Minimum age (years): 25
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial. True experimental research design study
Primary purpose: TREATMENT

Brief summary: The current study aims to determine the impact of augmented posterior oblique sling activation on lumbopelvic recruitment pattern and functional outcomes in patients with unilateral lumbosacral radiculopathy.

Detailed description: Low back pain is now the leading cause of disability worldwide. Back pain and its related disability have a huge impact on individuals, communities, and healthcare systems. It reduces an individual's ability to participate in work which in turn negatively affects their quality of life. Also, it has major economic consequences through increasing the cost of health care and work absenteeism. Among the many differentials of low back pain, the most common cause is lumbosacral radiculopathy. Patients with low back pain showed uncontrolled lumbopelvic mobility while performing hip extension movement in functional activities. In patients with back pain, there is over-activation of the hamstrings and erector spinae and delayed or absent contraction of the gluteus maximus. Clinically, this pattern is observed as an anterior pelvic tilt with increased extension in the lumbar spine as the patient lifts the leg into extension. So, repetition of this abnormal pattern in patients with lumbosacral radiculopathy may result in mechanical and compressive stresses in the lumbar spine and magnify the patient's symptoms. Despite the role of POSM in improving spinal mobility and stability. And stabilizing the lumbopelvic joint, there are no previous studies investigating the impact of activation posterior oblique activation on this abnormal lumbopelvic recruitment and functional outcomes in patients with lumbosacral radiculopathy.

Eligibility criteria: Inclusion Criteria:

* Age ranges from 25 to 40
* L4/5 and L5/S1 disc herniation.
* Duration of pain will be more than three months.
* Normal body mass index (18.5 - 24.99Kg/m2)

Exclusion Criteria:

* 1. Red flags: spinal tumors, cauda equina syndrome, spinal fractures, osteoporosis, infection.

  2. Bilateral symptoms. 3. Spondylolisthesis, spondylitis, and spinal canal stenosis. 4. Previous lumbopelvic or hip surgery or injection 5. Any hip structural abnormality such as malformations, impingements and degeneration.

  6. Postural deviations such as scoliosis, kyphosis, lateral shift. 7. True leg length discrepancy. 8. Pregnancy and Gynecological problems.

Primary outcomes:
measure: surface EMG unit
timeFrame: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
measure: Pressure biofeedback unit
timeFrame: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
Secondary outcomes:
measure: pressure algometry
timeFrame: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
measure: Arabic version of Oswestry Low Back Pain Disability Questionnaire
timeFrame: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
measure: back pain intensity using the Visual analogue scale
timeFrame: measurements will be done 3 days before the start of the treatment program and will be done after 3 days post intervention
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: faculty of physical therapy Cairo university
Study officials:
affiliation: Cairo University
name: Hoda M Zakaria, professor
role: STUDY_CHAIR
affiliation: Cairo University
name: Ebtesam M Fahmy, professor
role: STUDY_CHAIR
affiliation: Cairo University
name: Nagwa M Ibrahim
role: STUDY_CHAIR
References: