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The study was conducted to compare the effect of thoracolumbar stabilization exercises versus spinal decompression exercises on pain, range of motion, disability and posture in patients with maigne's syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thoracolumbar stabilization exercises | Experimental |
| |
| Spinal decompression exercises | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lumbothoracic stabilization exercises | Other | Each exercise session was performed for 30 minutes, with 3 sessions per week.
|
| Measure | Description | Time Frame |
|---|---|---|
| Revised Oswestry Low Back Pain Disability Questionnaire | The Revised Oswestry Low Back Pain Disability Questionnaire (ODI) is a commonly used self-reported measure consisting of 10 sections that evaluate the impact of low back pain on everyday activities. It assesses areas such as pain severity, personal care, lifting, walking, sitting, standing, sleep, social activities, travel, and sexual function. The resulting score reflects the level of disability from minimal to severe and helps guide management of individuals with low back pain. In the current study it is used to measure the disability caused by thoracolumbar syndrome (Maigne's syndrome) | From enrollment to the end of 3 week treatment |
| Numeric pain rating scale | Numeric pain rating scale is used to evaluate pain. It consists of 11 points, having an overall score ranging from 0 and 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain and 7-10 represents severe pain. | From enrollment to the end of 3 week treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Thoracolumbar extension | Changes in thoracolumbar extension ROM at baseline and 3rd week of intervention were measured using bubble inclinometer | From enrollment to the end of 3 week treatment |
| Thoracolumbar rotation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Naila Kanwal | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bahria nasheman medical center | Lahore | Punjab Province | 5400 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29276466 | Background | DiMond ME. Rehabilitative Principles in the Management of Thoracolumbar Syndrome: A Case Report. J Chiropr Med. 2017 Dec;16(4):331-339. doi: 10.1016/j.jcm.2017.10.003. Epub 2017 Dec 7. | |
| 31810405 | Background | Fisher LR, Alvar BA, Maher SF, Cleland JA. Short-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2020 Jan;50(1):24-32. doi: 10.2519/jospt.2020.8928. Epub 2019 Dec 6. |
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|
| Spinal decompression exercises | Other | The exercise session was performed for 30 minutes, with 3 sessions per week In 1st week , patient performed pelvic tilt (lying), cat-cow stretch, thoracic extension on folded towel, child pose and plank . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec In 2nd week, patient performed pelvic tilt (sitting) , cat cow stretch, thoracic extension on foam roller, child pose with side stretch and plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec. In 3rd week, patient performed pelvic tilt ( standing ), cat cow stretch, thoracic extension on gym ball, child pose with passive stretch and side plank. . Each exercise was performed with 3 sets of 12 reps with 5-6 sec hold, with a rest of 30 sec. |
|
| Standardized physical therapy treatment | Other | Electric hot pack for 7 minutes. TENS 120 Hz at low intensity and 50-200μs pulse duration with electrodes placed in a crisscross pattern at T9 - L1 for 10 min Grade I & II Maitland posteroanterior central (PAC) glide and unilateral posterior anterior glide (UPA) in 3 sets of 1 minute each with 1 minute interval at T9-L2 |
|
Changes in thoracolumbar rotation ROM at baseline and 3rd week of intervention were measured using bubble inclinometer
| From enrollment to the end of 3 week treatment |
| Thoracic Cobb's angle | Thoracic Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray | From enrollment to the end of 3 week treatment |
| Lumbar Cobb's angle | Lumbar Cobb's angle at the baseline and 3rd week of intervention were measured using standing thoracolumbar x-ray | From enrollment to the end of 3 week treatment |
| 30863144 | Background | Maatman RC, Boelens OB, Scheltinga MRM, Roumen RMH. Chronic localized back pain due to entrapment of cutaneous branches of posterior rami of the thoracic nerves (POCNES): a case series on diagnosis and management. J Pain Res. 2019 Feb 19;12:715-723. doi: 10.2147/JPR.S178492. eCollection 2019. |
| 31282394 | Background | Gaowgzeh RAM, Chevidikunnan MF, BinMulayh EA, Khan F. Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(2):225-231. doi: 10.3233/BMR-171099. |
| 33714512 | Background | Segui Y, Ramirez-Moreno J. Global physiotherapy approach to thoracolumbar junction syndrome. A case report. J Bodyw Mov Ther. 2021 Jan;25:6-15. doi: 10.1016/j.jbmt.2020.10.003. Epub 2020 Oct 7. |
| Background | Singh T, Kumar PJBoFoPT. Pelvic pain in Maigne's syndrome-a multi-segmental approach. 2022;27(1):4. |
| 37335654 | Background | Lee H, Chae H, Ryu M, Yang C, Kim S. Acupuncture for patients with Maigne's syndrome: A case series. Medicine (Baltimore). 2023 Jun 9;102(23):e33999. doi: 10.1097/MD.0000000000033999. |
| Background | Riaz V, Qamar S. Effects of Thoracic Extension versus Thoracic Stabilization Exercises on Pain, Stiffness, Range of Motion, Disability and Posture in patients with Maigne's Thoracic Pain |
| 28694884 | Background | Alptekin K, Ornek NI, Aydin T, Alkan M, Toprak M, A Balci L, Oncu Alptekin J. Effectiveness of Exercise and Local Steroid Injections for the Thoracolumbar Junction Syndrome (The Maigne's Syndrome) Treatment. Open Orthop J. 2017 May 31;11:467-477. doi: 10.2174/1874325001711010467. eCollection 2017. |
| ID | Term |
|---|---|
| D020149 | Manganese Poisoning |
| ID | Term |
|---|---|
| D020260 | Heavy Metal Poisoning, Nervous System |
| D020258 | Neurotoxicity Syndromes |
| D009422 | Nervous System Diseases |
| D000075322 | Heavy Metal Poisoning |
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
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