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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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Active Comparator | The Control group will receive standard treatment for the management of discogenic low back pain. |
|
| Experimental Group | Experimental | The Physical Therapy group will receive Physical Therapy for the management of discogenic low back pain. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard medical treatment | Other | Standard medical treatment |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Back Pain | Pain will be measured via Visual Analogue Scale. A higher score signifies poor outcome. | 2 weeks |
| Lumbar Range of Motion | Lumbar Range of Motion will be measured via inclinometer. A higher score signifies good outcome. | 2 weeks |
| Postural Stability | Postural Stability will be measured via Biodex Balance System. A higher score signifies poor outcome. | 2 weeks |
| Lumbar Disability | Lumbar Disability will be measured via Oswestry Disability Index. | 2 weeks |
| Stride length | Stride length during gait will be analyzed using observational gait analysis. A greater stride length signifies better outcome | 2 weeks |
| Gait Velocity | Velocity during gait will be analyzed using observational gait analysis. A greater gait velocity signifies better outcome | 2 weeks |
| Cadence | Cadence during gait will be analyzed using observational gait analysis, which is number of steps per minute. | 2 weeks |
| Disc height index | Disc height index will be analyzed using Magnetic Resonance Imaging. A greater disc height index signifies better outcome |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Osama, PhD* | Foundation University Islamabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University Islamabad | Islamabad | Federal | Pakistan |
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the study will consist of 2 arms.
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| 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) |
|
| 2 weeks |
| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| D003972 | Diathermy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D006979 | Hyperthermia, Induced |
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