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OpenTrials
Completed

NCT Number: NCT05326594

Effects of Physical Therapy on Improving Disc Height, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain

Lumbar degenerative disc disease and discogenic low back pain is comparatively common and disabling musculoskeletal condition, however there is no conclusive evidence regarding the positive effects of conservative physical therapy management in terms of radiological changes and improvement in disc height. For this reason, the current study will not only look into the positive effects of conservative physical therapy on postural stability, pain and function, but also in terms of disc height in persons with discogenic low back pain.

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Key information

Conditions

Low Back Pain Back Pain Bone Diseases Disk Prolapse Hernia Intervertebral Disc Displacement Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Signs and Symptoms Spinal Diseases

Age range

18 month–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University Islamabad

Islamabad, 66000, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both male and female participants
  • Aged 18-50 years old
  • low back pain intensity less than 80/100mm on visual analogue scale
  • positive centralization phenomenon
  • low signal intensity of IV disc on T2 - weighted MRI
  • high intensity zone towards the posterior aspect of the disc on MRI

Exclusion criteria

  • Individuals with and any musculoskeletal, metabolic, or neurological disorders that may impair gait, postural stability or sensory integrity will be excluded from the study.

Treatment and study plan

Mckenzie Extension Protocol

Procedure

Mckenzie Extension Exercise Protocol will be performed by participants in prone position

Lumbar SNAGs

Procedure

Lumbar SNAGs will be performed in lumbar flexion and extension in standing Position

Inferential therapy

Device

4 pole inferential therapy in combination with superficial heating for 20 minutes

Heat therapy

Procedure

superficial heating for 20 minutes

Primary outcomes

  1. Back Pain

    Time frame: 2 weeks

    Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome.

  2. Lumbar Range of Motion

    Time frame: 2 weeks

    Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome.

  3. Postural Stability

    Time frame: 2 weeks

    Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome.

  4. Lumbar Disability

    Time frame: 2 weeks

    Disability will be measured via Oswestry Disability Index.

  5. Step length

    Time frame: 2 weeks

    Step length during gait will be analyzed using observational gait analysis. A greater step length signifies better outcome

  6. Stride length

    Time frame: 2 weeks

    Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome

  7. Gait velocity

    Time frame: 2 weeks

    Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome

  8. Disc Height

    Time frame: 2 weeks

    Disc will be analyzed using Magnetic Resonance Imaging

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Official study title

Effects of Physical Therapy on Improving Disc Height Index, Postural Stability, Pain and Function in Persons With Discogenic Low Back Pain

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Apr 13, 2022
Registry last updated
Feb 28, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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