Clinical Outcomes of Prone and Supine Lumbar Traction Matched to Mechanical Bias in Flexion and Extension Subgroups With Lumbosacral Radiculopathy

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• Radiculopathy 483

Radiculopathy

483 studies on the registry are indexed under Radiculopathy; 145 are open to participants now.

This study's planned enrollment of 28 is below the median of 60 across 373 interventional studies indexed under Radiculopathy.

Lead sponsor

Al-Ahliyya Amman University is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

Study arms

• Experimental
  A) Extension bias, prone traction

  Mechanical intermittent traction will done for 15 minutes with patient in prone position, after release the patient let wrest for 2 minutes then asked to walking for 1 minutes without immediate sitting post traction period. Prone on elbow press up exercise . Infrared radiation on back before traction

  Other: group A

• Experimental
  B) Extension bias, supine traction

  Mechanical intermittent traction will done for 15 minutes with patient in supine position, after release the patient let wrest for 2 minutes then asked to walking for 1 minutes without immediate sitting post traction period. Infrared on back before the traction. Press up on elbow exercise .

  Other: Group B

• Experimental
  C) Flexion bias, supine traction

  Mechanical intermittent traction will done for 15 minutes with patient in supine position(matches flexion bias), after release the patient let wrest for 2 minutes then asked to walking for 1 minutes without immediate sitting post traction period. Infrared on the back before the traction for 10 minutes. Knee to chest exercise for 2 minutes before the session .

  Other: Group C

• Experimental
  D) Flexion bias, prone traction

  Mechanical intermittent traction will done for 15 minutes with patient in prone position(mismatches flexion bias), after release the patient let wrest for 2 minutes then asked to walking for 1 minutes without immediate sitting post traction period. Infrared on the back before the traction for 10 minutes. Knee to chest exercise for 2 minutes before the session .

  Other: Group D

Interventions

• Othergroup A

  Press up on elbow exercise traction from prone.

• OtherGroup B

  Press up on elbow exercise. traction from supine

• OtherGroup C

  Traction from supine with flexion bias exercise knee to chest exercise for 2 minutes

• OtherGroup D

  Traction from prone with flexion bias exercise knee to chest exercise for 2 minutes

Primary outcomes

1. Numerical pain scale (NPRS)

   Pain (lower limb radiating pain)

   Time frame: Pain intensity was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)

2. Oswestry back scale (ODI)

   Functional questionnaire for back disability

   Time frame: Patients completed the ODI questionnaire at baseline during their initial clinical evaluation. A subsequent assessment was conducted upon completion of the 12-session intervention protocol (representing the one-month follow-up)

3. Hip flexion Angle

   Hip flexion Angle during SLR test is also used to measure neural tension improvements for extension bias groups (by digital inclinometer)

   Time frame: Hip flexion Angle was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)

4. Knee extension angle

   Knee extension angle with active knee extension during slump test was used for flexion bias groups (to measure how many degrees the knee is away from full extension when the leg pain starts).

   Time frame: Knee extension angle was assessed at baseline (during the initial assessment) and again after completion of the 12th treatment session (one-month follow-up)

Individual participant data

Plan to share: No