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IRCT20190707044128N2 IRCT 2020-03-13 The University of Lahore Low Level Laser Therapy in Discogenic Lumber Radiculopathy The effectiveness of Low Level Laser Therapy in Discogenic Lumber Radiculopathy; A Double Blind Randomized Controlled Clinical Trial 2020-02-15 anticipated 140 Complete https://irct.ir/trial/46417 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The patients will be allocated into two groups i.e. an Experimental Group and a Control Group by Randomization through Sealed Envelope Method. The Experimental Group patients will be treated with Low Level Laser Therapy along with Conventional Physical Therapy while those in the Control Group will be given Conventional Physical Therapy alone, Blinding description: Participants and the outcome assessor will be kept blind. Allocation of patients into the Experimental and Control group will be random through Sealed Envelope Method. 2 Lumbar disc herniation is a displacement / protrusion of disc material (nucleus pulposus or annulus fibrosis) beyond the intervertebral disc space. The prolapsed nucleus pulposus will often come in contact with the nearby spinal nerves, results in the compression of these nerves which in turn results in severe radicular pain. Herniated discs are the common cause of lower back pain (LBP), hip and leg pain. The onset of pain may begin suddenly or gradually after injury. Typically, the pain is located bilaterally at the posterior belt line. The pain pattern is usually referred rather than radicular with a sharp, shooting pain running down the lower back, buttocks and down the thigh along with numbness or tingling sensations. The pain is aggravated by prolonged sitting, standing, forward bending or twisting movements and is relieved by walking, lying down, rest and a recumbent position.. Intervention 1: Intervention group: Group-A of 70 patients will be treated with Low level Laser Therapy (LLLT) -830nm, 0.67 W/cm2 or 300 mW/cm2 at (Lumber-4,5 and Sacral-1 area) and Conventional Physical Therapy – McKenzie technique (1 set of 5 repetitions ), Hot Pack (10 mins), Hold Relax with sustained stretch (1 set of 5 repetitions with 15 seconds hold), Sciatic nerve mobilizations in 1 set of 5 repetitions. Intervention 2: Control group: Group-B of 70 patients will be treated with Conventional Physical Therapy alone – McKenzie technique (1 set of 5 repetitions ), Hot Pack (10 mins), Hold Relax with sustained stretch (1 set of 5 repetitions with 15 seconds hold), Sciatic nerve mobilizations in 1 set of 5 repetitions. Yes - There is a plan to make this available What will be shared: Consent form, Clinical Study Report, Statistical Plan files can be shared When: 2 months after Publication To whom: People working in academic institutions or people working in businesses can also apply to receive it Conditions: Intervention Purpose Where to obtain: ishaqpt786@gmail.com How to obtain: Full description about the purpose/aim of using the documents, Insight about the disorder and Intervention of the research Comments:
public Dr. Ishaq Ahmed
6.7-Km, Japan Road, Sihala, Zone-5
Islamabad Pakistan 75500 +92 51 4486422-6 ishaqpt786@gmail.com The University of Lahore scientific Ishaq Ahmed
Japan Road, Sihala
Islamabad Pakistan 75500 +92 42 37592112 ishaqpt786@gmail.com The university of Lahore Pakistan Pakistan Pakistan Age group between 25- 50 years Both male and female patients Newly diagnosed cases of discogenic lumbar radiculopathy Patients with at least moderate score (21%-40%) in Oswestry Disability Index Patients with positive SLR or Lasegue's test 25 years 50 years Both Patients receiving treatment by other methods like vapocoolants, dry needling, laser acupuncture, subdural steroid injections etc. for the last 3 months Lumbar spine surgery within the past year Spondylolisthesis Ankylosing spondylitis Vascular, neurological or rheumatic disorders Clinical evidence of any myelopathy or joint disorders Recent fracture of the lumbar vertebral spine Cauda equina syndrome Osteoporosis Clinical evidence of any tumor or any space occupying lesion. Any co-morbid diseases M54.16 Radiculopathy, lumbar region Treatment - Other Treatment - Other Intervention group: Group-A of 70 patients will be treated with Low level Laser Therapy (LLLT) -830nm, 0.67 W/cm2 or 300 mW/cm2 at (Lumber-4,5 and Sacral-1 area) and Conventional Physical Therapy – McKenzie technique (1 set of 5 repetitions ), Hot Pack (10 mins), Hold Relax with sustained stretch (1 set of 5 repetitions with 15 seconds hold), Sciatic nerve mobilizations in 1 set of 5 repetitions. Control group: Group-B of 70 patients will be treated with Conventional Physical Therapy alone – McKenzie technique (1 set of 5 repetitions ), Hot Pack (10 mins), Hold Relax with sustained stretch (1 set of 5 repetitions with 15 seconds hold), Sciatic nerve mobilizations in 1 set of 5 repetitions. Pain Intensity. Timepoint: At the start of treatment and then after 18 treatment sessions for each patient. Method of measurement: Visual Analogue Scale (VAS). Functional Disability. Timepoint: At the start of treatment and then after 18 treatment sessions for each patient. Method of measurement: ODI (Oswestry Disability Index). Lumber Range of Motion. Timepoint: At the start of treatment and then after 18 treatment sessions for each patient. Method of measurement: Dual Inclinometer. Sciatic Nerve mobility. Timepoint: At the start of treatment and then after 18 treatment sessions for each patient. Method of measurement: Straight Leg Raise or Lasegue's Test. The University of Lahore Approved 2019-06-05 Board of Advanced Studies and Research, The University of Lahore 1-km Defence Road, Off Bhobatian Chowk Lahore Punjab Pakistan