Balance and Gait on Neuropathic Pain Due to Lumbar Disc Degeneration

NCT ID: NCT05223439

Last Updated: 2024-04-02

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

42 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-05

Study Completion Date

2024-02-01

Brief Summary

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Chronic lumbar neuropathic pain, characterized by pain, numbness, tingling and muscle weakness in the lower extremities, is one of the most common neuropathic pain syndromes. It is expected that balance and gait disturbances will occur as a result of motor and sensory problems in patients with neuropathic pain due to lumbar disc degeneration. However, as far as the investigators know, there is no study in the literature describing the effects of neuropathic pain due to lumbar disc degeneration on balance and gait. Therefore, the aim of our study; To examine the effects of neuropathic pain due to lumbar disc degeneration on balance and gait.

Detailed Description

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Chronic lumbar neuropathic pain, characterized by pain, numbness, tingling and muscle weakness in the lower extremities, is one of the most common neuropathic pain syndromes. Since postural balance is controlled by sensory information, central processing, and neuromuscular responses, any change in proprioception due to prolonged neuropathic pain, asymmetrical load of the lower extremities, timing of dysfunctional muscle activation, sequencing, and asymmetry in foot pressure can alter postural balance. Solid evidence for the long-term effects of lumbar neuropathic pain on postural balance is lacking and needs to be addressed in people with lumbar disc degeneration. Gait problems are seen in patients with lumbar neuropathic pain and they walk more slowly than healthy individuals. However, it is not known to what extent neuropathic pain or neurological dysfunction due to disc degeneration affects gait. In the light of this information; It is expected that balance and gait disturbances will occur as a result of motor and sensory problems in patients with neuropathic pain due to lumbar disc degeneration. However, as far as the investigators know, there is no study in the literature describing the effects of neuropathic pain due to lumbar disc degeneration on balance and gait. Therefore, the aim of our study; To examine the effects of neuropathic pain due to lumbar disc degeneration on balance and gait.

Conditions

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Neuropathic Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Individuals diagnosed with neuropathic pain due to lumbar disc degeneration

Individuals with neuropathic pain due to lumbar disc degeneration were included in this group.

No interventions assigned to this group

Individuals with lumbar disc degeneration but no neuropathic pain

Individuals without neuropathic pain due to lumbar disc degeneration were included in this group.

No interventions assigned to this group

Healthy Controls

Healthy individuals who did not have any problems that would affect gait were included.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 40-70
* Taking 4 points or more from the Douleur Neuropathique en 4 questions (DN4) questionnaire
* Taking 12 points or more from the Leeds Assessment of Neuropathic Signs and Symptoms (LANSS) scale


* Being between the ages of 40-70
* Taking below 4 points from the Douleur Neuropathique en 4 questions (DN4) questionnaire
* Taking below 12 points from the Leeds Assessment of Neuropathic Signs and Symptoms (LANSS) scale


* Being between the ages of 40-70
* Have no pain (Taking 1 point or less according to the Visual Pain Scale)

Exclusion Criteria

* Individuals with pain complaints of different etiology
* Individuals with neurological diseases that may cause central neuropathic pain such as stroke, head trauma, multiple sclerosis
* Individuals who have undergone orthopedic surgery in the last 6 months
* Individuals using any medication for neuropathic pain
* Individuals with chronic pain syndrome such as Fibromyalgia Syndrome
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Baskent University

OTHER

Sponsor Role collaborator

Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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Suleyman Korkusuz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Büşra Seçkinoğulları, MSc

Role: STUDY_CHAIR

Hacettepe University

Zeliha Özlem Yörük, Assoc. Prof.

Role: STUDY_CHAIR

Baskent University

Sibel Kibar, Assoc. Prof.

Role: STUDY_CHAIR

Atılım University

Ferdi Yavuz, Assoc.Prof.

Role: STUDY_CHAIR

European University of Lefke

Kadriye Armutlu, Prof.

Role: STUDY_DIRECTOR

Hacettepe University

Locations

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Hacettepe University

Ankara, , Turkey (Türkiye)

Site Status

Başkent University

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Al Nezari NH, Schneiders AG, Hendrick PA. Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis. Spine J. 2013 Jun;13(6):657-74. doi: 10.1016/j.spinee.2013.02.007. Epub 2013 Mar 15.

Reference Type BACKGROUND
PMID: 23499340 (View on PubMed)

Khoromi S, Patsalides A, Parada S, Salehi V, Meegan JM, Max MB. Topiramate in chronic lumbar radicular pain. J Pain. 2005 Dec;6(12):829-36. doi: 10.1016/j.jpain.2005.08.002.

Reference Type BACKGROUND
PMID: 16326371 (View on PubMed)

Frost LR, Bijman M, Strzalkowski ND, Bent LR, Brown SH. Deficits in foot skin sensation are related to alterations in balance control in chronic low back patients experiencing clinical signs of lumbar nerve root impingement. Gait Posture. 2015 May;41(4):923-8. doi: 10.1016/j.gaitpost.2015.03.345. Epub 2015 Apr 3.

Reference Type BACKGROUND
PMID: 25887249 (View on PubMed)

Bonab M, Colak TK, Toktas ZO, Konya D. Assessment of Spatiotemporal Gait Parameters in Patients with Lumbar Disc Herniation and Patients with Chronic Mechanical Low Back Pain. Turk Neurosurg. 2020;30(2):277-284. doi: 10.5137/1019-5149.JTN.27499-19.2.

Reference Type BACKGROUND
PMID: 32091127 (View on PubMed)

Other Identifiers

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KA21/489

Identifier Type: -

Identifier Source: org_study_id

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