Effects of Multimodal Physical Therapy in Patients With Lumbosacral Radiculopathy

Cairo University14 enrolled

Overview

Purposes of the study To investigate the effect of Multimodal Physical Therapy on pain, daiablility H-reflex, and Diffusion Tensor Imaging (DTI) Parameters in Patients With Lumbosacral Radiculopathy.

Participants will receive Multimodal Physical Therapy program consisting of electrophysical agents, manual therapy interventions, and core stability exercises. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Lumbosacral Radiculopathy

Interventions

Multimodal Physical TherapyOTHER

Multimodal Physical Therapy program consisting of electrophysical agents, manual therapy interventions, and core stability exercises

Eligibility

Sex: ALLMin age: 20 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * chronic (≥ 3 months) unilateral Lumbosacral Radiculopathy (LSR) * The LSR is due to paracentral L4-L5 or L5-S1 Lumbar disc herniation * The LSR is confirmed radiologically by MRI * The LSR is confirmed clinically by history and physical examination * The LSR is confirmed neurophysiological by soleus H-reflex assessment * Body mass Index less than 30 * 20-45 years of age Exclusion Criteria: * systematic disease * Bilateral symptoms * Lumbar spinal stenosis * previous surgery * Steroid injection * Spinal fracture * Lumbar spinal stenosis * Spinal deformity * Spinal fracture * Radiological evidence of bilateral nerve root encroachmen * Evidence of H-reflex amplitude or latency affection on asymptomatic side

Locations (1)

Outpatient clinic, Faculty of Physical Therapy, Cairo University

Giza, Egypt

Outcomes

Primary Outcomes

Pain

Visual analog scale (VAS)

Time frame: Change from Baseline pain at 6 weaks

Disability

Roland-Morris Disability Questionnaire (RMDQ)

Time frame: Change from Baseline Disability at 6 weaks

Soleus H-reflex amplitude

by EMG unit

Time frame: Change from Baseline Soleus H-reflex amplitude at 6 weaks

Soleus H-reflex side-to-side amplitude (H/H) ratio

by EMG unit

Time frame: Change from Baseline Soleus H/H ratio at 6 weaks

Fractional anisotropy (FA) of the compressed nerve root

by MRI examination

Time frame: Change from Baseline Fractional anisotropy (FA) ratio at 6 weaks

Apparent diffusion coefficient (ADC) of the compressed nerve root

by MRI examination

Time frame: Change from Baseline Apparent diffusion coefficient (ADC) at 6 weaks

Data from ClinicalTrials.gov

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