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Enrolling by Invitation

NCT Number: NCT06534593

Effects of Physical Therapy on Low Back Pain, Disc Height Index, Postural Stability, Disability, Gait and Function in Persons With Postero-lateral Disc Herniation

The current study aims to determine if physical therapy is significantly superior in improving postural stability, pain and function and disc height index in persons with discogenic low back pain, as compared to the standardized medical treatment.

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Key information

Conditions

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

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University Islamabad

Islamabad, Federal, 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
  • Postero-lateral lumbar disc herniation
  • Aged 18-50 years old
  • Low back pain intensity less than 80/100mm on visual analogue scale or 8/10 on numeric pain rating scale
  • Positive peripheralization and centralization phenomenon

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

Standard Medical Treatment

Other

Standard medical treatment

Lumbar Traction

Device

Lumbar traction using traction table

Mckenzie Extension Protocol

Other

Mckenzie Extension Exercises

Interferential therapy

Device

Interferential Therapy for 20 minutes

Heat therapy

Device

Heat Therapy for 20 minutes

Sustained Natural Apophyseal Glides (SNAGs)

Other

3-5 reptations of Mulligan's lumbar extension Sustained Natural Apophyseal Glides (SNAGs)

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

    Lumbar Disability will be measured via Oswestry Disability Index.

  5. Stride length

    Time frame: 2 weeks

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

  6. Gait Velocity

    Time frame: 2 weeks

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

  7. Cadence

    Time frame: 2 weeks

    Cadence during gait will be analyzed using observational gait analysis, which is number of steps per minute.

  8. Disc height index

    Time frame: 2 weeks

    Disc height index will be analyzed using Magnetic Resonance Imaging. A greater disc height index signifies better outcome

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Official study title

Effects of Physical Therapy on Low Back Pain, Disc Height Index, Postural Stability, Disability, Gait and Function in Persons With Postero-lateral Disc Herniation: The DISC-RELIEF Trial

Acronym: DISC-RELIEF

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 2, 2024
Registry last updated
Aug 2, 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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