Remission of Lumbar Disc Herniation by Physiotherapy

Hacettepe University20 enrolled

Overview

This study was conducted with the aim of determining whether or not Non surgical spinal decompression therapy was effective in remission of herniation, decreasing pain and improving functional status.

Both groups received combination of electrotherapy, deep friction massage and stabilization exercise for fifteen session. Combine group received non surgical spinal decompression therapy (NSDT) different from conventional physiotherapy group. Numeric Analog Scale, Straight leg raise (SLR) test, Oswestry Disability Index (ODI) were applied at baseline and after treatment. Disc height and herniation thickness were measured on Magnetic Resonance Imagination (MRI) which performed at baseline and three months after therapy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Lumbar Disc Herniation

Interventions

DRX 9000, Axiom Worldwide, Tampa, FloridaDEVICE

non-surgical spinal decompression therapy consist 18 traction cycles. Traction force applied herniation levels according to Magnetic Resonance Imaging (MRI).

physiotherapyOTHER

electrotherapy was used. electrotherapy consisted of 20 minutes of hot-pack, 20 minutes of TENS and 5 minutes of ultrasound.

spinal stabilization exerciseOTHER

spinal stabilization exercises started elementary exercises. According to patient tolerance, exercise program reestablished.

Eligibility

Sex: ALLMin age: 25 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: diagnosed as lumbar disc herniation suffering from low back pain at least 8 weeks Exclusion Criteria: undergone any spinal surgery clinical diagnosis of osteoporosis clinical diagnosis of scoliosis and spondylolisthesis any neurological disease causes sensorial loss

Outcomes

Primary Outcomes

herniation thickness

herniation thickness were measured on MRI.

Time frame: change from baseline in herniation thickness and disc height at three months

Secondary Outcomes

function

Oswestry Disability Index was used.Oswestry Disability Index used to assess the changes in function and disability levels. Scores range from 0 to 100. scores between 0 and 20 described as "minimal disability", scores between 21and 40 described as "moderate disability",scores between 41and 60 described as "severe disability",scores between 61 and 80 described as "crippled" and scores between 81 and 100 described as " bed bounded"

Time frame: up to 3 months

mobility

straight leg raise test was used. Pain free angle of straight leg raise was measured with goniometer.

Time frame: up to 3 months

pain severity

numeric analog scale was used. "0" described no pain, "10" described "unbearable pain".

Time frame: change form baseline in pain severity at 15 sessions of treatment

Data from ClinicalTrials.gov

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