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IRCT20210516051322N2 IRCT 2024-08-24 Bagheiat-allah University of Medical Sciences Comparison of nerve mobilization and vertebral mobilization in patients with back pain Comparison of nerve tissue mobilization and Mulligan mobilization techniques in patients with lumbar radiculopathy; a randomized clinical trial 2024-08-26 anticipated 30 Complete https://irct.ir/trial/74819 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: In the discussion of Mulligan vertebral mobilization, we will use the mobilization with leg movement technique, so far there is no article that has worked on this Mulligan technique in lumbar radiculopathy, so the principle of innovation is in the implementation method. The next point is that no study has been done comparing these two manual treatments in lumbar radiculopathy with the control group that performs routine physiotherapy. Meanwhile, the results of the studies that have compared these two methods have sometimes been contradictory. It should be noted that most of the participants in this study are military personnel and it has been proven that one of the common musculoskeletal problems in military personnel is back pain Aggression is done along with the control group, Randomization description: Simple randomization is done using sealed envelopes A sealed envelope is assigned to each participant in the plan for random entry into one of the groups. After opening it, we will find out which group the participant belongs to. Of course, they don't see these envelopes and only the researcher notices. N/A Lumbar Radiculopathy. Intervention 1: Control group: routine physiotherapy (electrotherapy including the use of ultrasound devices, tennis currents, infrared rays, and therapeutic exercise including isometric contraction of paravertebral muscles, diaphragmatic, mobility, McKenzie and Williams method) and massage which is performed during 10 sessions, including 3 sessions of 1 hour each week. Intervention 2: Intervention group: Mulligan vertebral mobilization with routine physical therapy That is, only Mulligan vertebral mobilization is added to the treatment content of the control group that was mentioned with the same conditions of duration of sessions and treatment program. Mulligan Vertebral Mobilization is a method under manual therapy that manipulates the vertebrae of the spine with or without movement of the lower limbs, where the method of manipulating the vertebrae in the appropriate direction of flexion or extension using the movement of the lower limbs is about 15 minutes. It will be added to the routine treatment in each session. Intervention 3: Intervention group: Nerve mobilization along with routine physiotherapy That is, to the treatment content of the control group that was mentioned, with the same conditions of the duration of the sessions and treatment program, only nerve mobilization is added.Nerve mobilization is a method of manual therapy that uses the movement of the joints, the body is placed in positions that cause shortening and lengthening of the nerves branched from nerve networks such as femoral and sciatic, etc., which have anti-inflammatory effects and It has pain relief and in this group, 15 minutes will be added to the routine treatment for each session. Yes - There is a plan to make this available What will be shared: The information related to the three questionnaires, the individual data of the participants in the study are coded and do not include names. All information from these questionnaires can be published after the end of the patient recruitment process and the end of the trial sessions. Questionnaires include VAS-Oswestry Disability Index-Quebec Low Back Pain Disability Scale When: The access period starts 6 months after the results are published. To whom: Researchers of relevant topics such as medical science groups Conditions: Medical science researchers who are working under the name of research institutes and educational centers. There will be no obstacle for using the documents by mentioning the source of the documents and the name of the researchers of this trial. Where to obtain: 1. Dr. Vahid Sobhani, faculty member of Baqiyatullah University via email sobhani518@gmail.com 2. Amir Dodangeh, Master of Physiotherapy, via email amirdodangeh76@gmail.com How to obtain: After emailing the mentioned people and providing scientific research information, these statements will be verified and the requester will receive the confirmation, then the documents will be emailed to them within 10 days after the confirmation of the documents. Comments:
public Amir Dodangeh
South Sheikh Bahai Street, Vanak Street
Tehran Iran (Islamic Republic of) 1435915392 +98 21 8804 0060 Amirdodangeh76@gmail.com Bagheiat-allah University of Medical Sciences scientific Dr Vahid Sobhani
South Sheikh Bahai Street, Vanak Street
Tehran Iran (Islamic Republic of) 1435915392 +98 21 8804 0060 sobhani518@gmail.com Bagheiat-allah University of Medical Sciences Iran (Islamic Republic of) Confirmation of multi-root chronic lumbar radiculopathy by the diagnosis of the relevant specialist Male and female sufferers between 30 and 50 years old Body Mass Index (BMI) between 25 and 30 30 years 50 years Both Contraindications to the use of joint and nerve tissue mobilizations include severe osteoarthritis and other rheumatic diseases and blood circulation problems in the lumbar region, as well as damage to the nerves branching from the lumbar vertebrae such as severe sciatica (neurotmesis or axonotmesis). Have a history of vertebral fracture in the lumbar region. Have a history of Fixation and Laminectomy surgeries. A patient with spondylolisthesis, malignancy, metabolic and internal problems having cognitive problems and not being able to learn and perform physical therapy exercises Patients with spinal deformities such as scoliosis, etc. should not be Reluctance of people to continue testing. M51.1 Neuritis or radiculitis:brachial NOSlumbar NOSlumbosacral NOSthoracic NOSRadiculitis NOSlumbar and other intervertebral disc disorder Rehabilitation Rehabilitation Rehabilitation Control group: routine physiotherapy (electrotherapy including the use of ultrasound devices, tennis currents, infrared rays, and therapeutic exercise including isometric contraction of paravertebral muscles, diaphragmatic, mobility, McKenzie and Williams method) and massage which is performed during 10 sessions, including 3 sessions of 1 hour each week Intervention group: Mulligan vertebral mobilization with routine physical therapy That is, only Mulligan vertebral mobilization is added to the treatment content of the control group that was mentioned with the same conditions of duration of sessions and treatment program. Mulligan Vertebral Mobilization is a method under manual therapy that manipulates the vertebrae of the spine with or without movement of the lower limbs, where the method of manipulating the vertebrae in the appropriate direction of flexion or extension using the movement of the lower limbs is about 15 minutes. It will be added to the routine treatment in each session. Intervention group: Nerve mobilization along with routine physiotherapy That is, to the treatment content of the control group that was mentioned, with the same conditions of the duration of the sessions and treatment program, only nerve mobilization is added.Nerve mobilization is a method of manual therapy that uses the movement of the joints, the body is placed in positions that cause shortening and lengthening of the nerves branched from nerve networks such as femoral and sciatic, etc., which have anti-inflammatory effects and It has pain relief and in this group, 15 minutes will be added to the routine treatment for each session. Disability score in Oswestry questionnaire. Timepoint: The beginning of the study and the end of 10 physiotherapy sessions (20 days after the start of the study). Method of measurement: Questionnaire of oswestry disability index. Disability score in Quebec questionnaire. Timepoint: The beginning of the study and the end of 10 physiotherapy sessions (20 days after the start of the study). Method of measurement: Questionnaire of Quebec back pain disability scale. Pain score. Timepoint: The beginning of the study and the end of 10 physiotherapy sessions (20 days after the start of the study). Method of measurement: Visual Analogue Scale. Bagheiat-allah University of Medical Sciences Approved 2024-06-29 Baqiyatullah-ul-Azam Medical Education Center (Ethics in Research Committee) Floor 13, Block A, Ministry of Health & Medical Education Headquarters, Between Zarafashan & South Falamak, Qods Town, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)