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REC/RCR&AHS/23/1102

Multimodal pt with and without proprioceptive training in lumber fjs
Source : Import from center

clinicaltrials.gov reference: NCT05931653
Low back pain
Facet joint
Range of motion
Balance
Fatigue
Lordosis
Source : Import from center
Recruiment partially open
Last modification : 2024/01/18
Study type

Interventional


Target population

Medical condition (targeted specialty)

Data not available

Participants profils

Participants gender(s)

ALL

Source : Import from center

Selection criterias

Inclusion criteria

Inclusion Criteria:

* Patients with facet joint syndrome diagnosed by standard criteria. This criterion includes:

* One point tenderness under X-ray radiography
* Kemp sign.
* Catching pain.
* Pain increases with lumbar extension.
* Pain with bilateral SLR.
* Or pain diminishes with Medial branch block or Facet joint block.
* Provocation Maneuver. Acevedo sign (Facet stress sign) Unilateral facet palpation Percussion spinal test Impaired range of motion Jump test
* Revel's criteria 05 out of 07- 1. age greater than 65 years and pain that was not exacerbated by coughing, not worsened by hyperextension, not worsened by forward flexion, not worsened when rising from flexion, not worsened by extension-rotation, and well-relieved by recumbency.

Standing flexion, returning from standing flexion, standing extension, the extension rotation test.

* On Biodex balance system (BBS), overall stability index between 0.7-2.8.
* On Biodex balance system (BBS) Limits of stability Anterior: less than 80, posterior: less than 40 and lateral: less than 160 (80 on each side) 75% LOS (moderate level).
* NPRS ratings greater than 4
* Constant or Intermittent pain worsening on repeated movements

Exclusion Criteria:

* T-score of -2.5 or lower.
* BMI is 30.0 or higher.
* Patients with Lumbar Postural Syndrome
* Patients with Lumbar Instability
* Post laminectomy/discectomy
* Spondylolisthesis
* Osteoporosis/Fractures
* Cauda equine syndrome
* Recent history of spinal trauma or surgery
* Lumbar myelopathy
* Patients with known metabolic diseases
* Participants having less than 20% ODI scoring

Source : Import from center

Proposed Therapy or Intervention

Cohorts
Name Medical condition Treatment Recruitment status
Multimodal Physical Therapy Multimodal Physical therapy/Traditional Physical therapy Data not available
  • Unknown
  • Proprioceptive training along with Multimodal Physical Therapy Proprioceptive training along with Multimodal Physical Therapy Data not available
  • Unknown
  • Multimodal Physical Therapy
    Recruitment status
    unknown
    Proprioceptive training along with Multimodal Physical Therapy
    Recruitment status
    unknown
    Current data since : January 18, 2024 19:00

    Study description

    Study summary

    This will be a randomized clinical trial. The study will be conducted at Pakistan Railways General Hospital Rawalpindi and Riphah International Hospital Islamabad. Patients with FJS will be included. The aim of this study is to find the comparative effects of multimodal physical therapy treatment and proprioceptive training along with multimodal physical therapy treatment on pain, lumbar ranges of motion, disability, fatigue, lumbar lordosis curvature and balance.

    Participants will be assessed for pain, lumbar range of motions, lumbar lordosis, disability, fatigue and balance before treatment. The intervention duration is 06 weeks, 03 sessions per week will be given to all participants. Pain and lumbar ranges of motion will be measured on every visit. At the end of 06th week final readings for functional status, fatigue level, lumbar lordosis angle, fall risk and limits of stability will also be recorded. Data will be analyzed by SPSS v.23.

    Source : Import from center

    Locations

    Participating centers


    Last modification : January 18, 2024
    Current data since : 29 Jun 05:10
    Data source : clinicaltrials.gov
    clinicaltrials.gov reference: NCT05931653