Strengthening Exercise and Activities of Daily Living Instructions for Patients With Lumbar Disc Herniation
NCT ID: NCT05021718
Last Updated: 2021-08-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
70 participants
INTERVENTIONAL
2018-07-01
2019-09-30
Brief Summary
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This randomized clinical trial was conducted to evaluate the effectiveness of back and hip strengthening exercises combined with activities of daily living instructions (ADLIs) to reduce pain intensity in patients with LDH.
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Detailed Description
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The straight leg raising (SLR) test and the Visual Analogue Scale (VAS) score were used to evaluate the patients' pain intensity. Outcomes were measured at baseline, at three weeks, and six weeks of the intervention. Patients were followed up after 3 months of the intervention.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Intervention group (IG)
A total of 35 patients in IG received different back and hip strengthening exercises five times a week for six weeks. They were also instructed to follow the ADLIs to perform different tasks at home and in workplaces during the intervention and at least 3 months after the intervention.
Strengthening exercises
Back and hip strengthening exercises. The intensity of exercises was based on the exercise tolerance and pain thresholds of the individual subjects.
Activities to daily living instructions
* Avoid forward bending.
* Avoid heavy weightlifting.
* Avoid prolong standing.
* Avoid prolong sitting.
* Use a plain firm bed.
* Lie down in a supine position.
Control group (CG)
The remaining 35 patients were allocated to CG. The patients in CG were treated with Naproxen (500 mg) and Baclofen (10 mg) tablet twice a day for three weeks, followed by hot moist compression for the next three weeks. Moreover, they were instructed to follow the ADLIs to perform different tasks at home and in workplaces during the intervention and at least 3 months after the intervention.
Pharmacological therapy
Naproxen (500 mg) and Baclofen (10 mg) tablet twice a day for three weeks
Hot compression
Hot moist compression from week 4 to week 6.
Activities to daily living instructions
* Avoid forward bending.
* Avoid heavy weightlifting.
* Avoid prolong standing.
* Avoid prolong sitting.
* Use a plain firm bed.
* Lie down in a supine position.
Interventions
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Strengthening exercises
Back and hip strengthening exercises. The intensity of exercises was based on the exercise tolerance and pain thresholds of the individual subjects.
Pharmacological therapy
Naproxen (500 mg) and Baclofen (10 mg) tablet twice a day for three weeks
Hot compression
Hot moist compression from week 4 to week 6.
Activities to daily living instructions
* Avoid forward bending.
* Avoid heavy weightlifting.
* Avoid prolong standing.
* Avoid prolong sitting.
* Use a plain firm bed.
* Lie down in a supine position.
Eligibility Criteria
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Inclusion Criteria
* Clinically diagnosed LDH that was confirmed by MRI.
* Duration of the pain: ≥ 3 months
Exclusion Criteria
* Cauda equina syndrome
* Progressive neurological signs and/or muscle-wasting
* History of spinal surgery, spine fracture, scoliosis, tuberculosis, and tumours.
* Treated with epidural injections.
* Pregnancy
18 Years
59 Years
ALL
No
Sponsors
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Chittagong Medical College
OTHER
Responsible Party
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MD Imam Shahriar
FCPS student
Locations
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Chittagong Medical College Hospital
Chittagong, , Bangladesh
Countries
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Other Identifiers
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LDH exercise
Identifier Type: -
Identifier Source: org_study_id
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