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Purposes of the study
To investigate the effect of pulsed magnetic therapy versus phonophoresis in discogenic lumbar radiculopathy patients
Patients will be randomized into either pulsed magnetic therapy group or phonophoresis group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pulsed electromagnetic therapy group | Experimental | Patients in this group will receive Pulsed electromagnetic therapy + Conventional physical therapy |
|
| Ultrasound phonophoresis group | Experimental | Patients in this group will receive Ultrasound phonophoresis + Conventional physical therapy |
|
| Control group | Active Comparator | Patients in this group will receive Conventional physical therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pulsed electromagnetic therapy | Other | Pulsed etromagnetic therapy (1000 gauss) on sciatic nerve in gluteal fold. ( 30 min ) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain | Visual analogue scale | Change from Baseline pain and function at 6 weeks |
| Disability | Oswestry disability index | Change from Baseline pain and function at 6 weeks |
| Sciatic nerve cross sectional area | Diagnostic Ultrasound | Change from Baseline pain and function at 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| H-reflex amplitude | by EMG unit | Change from Baseline pain and function at 6 weeks |
| H-reflex side-to-side amplitude (H/H) ratio | by EMG unit |
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Inclusion Criteria:
Patient age ranges from 20 -45
Unilateral chronic lumbosacral radiculopathy
Intervertebral disc herniation confirmed by MRI
one of the following :
3 - Side to side H- reflex latency difference more than 1 msec. 4- Prolonged H-reflex latency more than 30 msec.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed Badr Hassanein, MSc | Contact | +20 114 225 3884 | 10722016464064@pg.cu.edu.eg |
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| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| Ultrasound phonophoresis | Other | Phonophoresis using dexamethasone and topical diclofenac sodium gel on sciatic nerve in subgluteal fold and mid thigh |
|
| Conventional physical therapy | Other | Conventional physical therapy consisting of
|
|
| Change from Baseline pain and function at 6 weeks |