Augmented Posterior Oblique Sling Activation on Lumbopelvic Recruitment Pattern in Lumbosacral Radiculopathy

NCT ID: NCT06558383

Last Updated: 2024-08-29

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-01
• Study Completion Date: 2025-02-28

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.

Conditions

Lumbosacral Radiculopathy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

control group -

Control group (A):

Twenty patients will receive selected physical therapy program for 18 sessions, three sessions per week for six weeks in form hot packs, soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics.

Group Type: ACTIVE_COMPARATOR

selected physical therapy program

Intervention Type: OTHER

selected physical therapy program for 18 sessions, three sessions per week for six weeks in form hot packs, soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics and stabilization exercises

study group

Study group (B):

Twenty patients will receive augmented activation of posterior oblique sling in addition to selected physical therapy program, 18 sessions, three sessions per week for six week

Group Type: ACTIVE_COMPARATOR

augmented posterior oblique sling activation

Intervention Type: OTHER

activation of posterior oblique sling for 18 sessions, three sessions per week for six weeks

selected physical therapy program

Intervention Type: OTHER

selected physical therapy program for 18 sessions, three sessions per week for six weeks in form hot packs, soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics and stabilization exercises

Interventions

augmented posterior oblique sling activation

activation of posterior oblique sling for 18 sessions, three sessions per week for six weeks

Intervention Type: OTHER

selected physical therapy program

selected physical therapy program for 18 sessions, three sessions per week for six weeks in form hot packs, soft tissue techniques, mobilization and manipulation of lumbar spine, and neurodynamics and stabilization exercises

Intervention Type: OTHER

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.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Hend Refaat Kamal

assistant lecturer of physical therapy for neurology and neurosurgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hoda M Zakaria, professor

Role: STUDY_CHAIR

Cairo University

Ebtesam M Fahmy, professor

Role: STUDY_CHAIR

Cairo University

Nagwa M Ibrahim

Role: STUDY_CHAIR

Cairo University

Locations

faculty of physical therapy Cairo university

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/005233

Identifier Type: -

Identifier Source: org_study_id