Effect of Transfer of Energy Capacitive and Resistive on Chronic Discogenic Sciatica
Effect of Capacitive and Resistive Energy Transfer on Pain, Functional Outcome and Electrophysiological Parameters in Patients With Chronic Discogenic Sciatica
The goal of this clinical trial is to evaluate the effect of Transfer of Energy Capacitive and Resistive (TECAR) on pain, functional disability and electrophysiological parameters in adults with chronic discogenic sciatica . The main questions it aims to answer are:
• Is there significant effect of TECAR therapy on pain, functional disability and Electrophysiological parameters (H-reflex latency and amplitude) ? Researchers will compare effect of adding TECAR therapy to conventional physical therapy program (TENS, hot pack, stretching exercises and core stability exercises) Vs conventional physical therapy program alone to see if there is a beneficial effect of adding TECAR therapy to physical therapy program Participants in study group will receive TECAR therapy in addition to conventional PT program while participants in control group will receive conventional PT program
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: OMAR ABDELAZIZ MOSTAFA, bachelor
- Phone Number: +201063019924
- Email: omarabdelaziz708@gmail.com
Study Locations
-
-
-
Giza, Egypt
- Recruiting
- Faculty of Physical Therapy Cairo University
-
Contact:
- Shaimaa Mohamed Abdelmageed, Assistant Professor
- Phone Number: 0201028202856
- Email: shaimaa.abdelmageed@pt.cu.edu.eg
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 30-50 years
- Unilateral chronic discogenic sciatica at L5-S1, MRI confirmed
- Symptom duration more than 3 months
- Pain score ≥ 4 on the Visual Analogue Scale (VAS)
- Ability to participate in outpatient physiotherapy
Exclusion Criteria:
- Previous lumbar spine surgery
- Pacemaker or metallic implants
- Peripheral neuropathy or systemic neurological disorders
- Severe sensory loss
- Skin lesions at the treatment site
- Recent corticosteroid injection (< 3 weeks)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Study (TECAR) Group
|
Other Names:
conventional physical therapy program will include TENS, hot pack, stretching exercises and core stabilization exercises for 3 sessions per week for four weeks. |
|
Active Comparator: Control (Conventional treatment) Group
|
conventional physical therapy program will include TENS, hot pack, stretching exercises and core stabilization exercises for 3 sessions per week for four weeks. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain intensity
Time Frame: from enrollment to the end of treatment at 4 weeks
|
lower back pain will be assessed though Visual Analogue Scale (VAS) which is used to measure the severity of pain. It is a straight line with one end representing no pain and the other end representing the worst imaginable pain. The subject will mark a point on the line that corresponds to the current level of pain he or she experiences. Higher values indicate higher levels of pain while lower values indicate lower levels of pain |
from enrollment to the end of treatment at 4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hoffmann reflex (H-reflex)
Time Frame: from enrollment to the end of treatment at 4 weeks
|
H-reflex has been measured in the soleus muscle by stimulating the tibial nerve with a one-millisecond pulse at 0.2pps of H-max. The peak-to-peak amplitude of the highest recorded H-reflex and the latencies of four spaced traces for both lower extremities will be averaged for each participant. lower amplitudes and delayed latencies indicate more damage to nerve root, while higher amplitudes and shorter latencies indicate less damage |
from enrollment to the end of treatment at 4 weeks
|
|
functional disability
Time Frame: from enrollment to the end of treatment at 4 weeks
|
Functional disability will be evaluated using the Oswestry Disability Index (ODI), which is considered the gold standard for assessing disability in low back pain and radiculopathy. The ODI consists of 10 sections evaluating daily activities such as lifting, walking, sitting, and personal care. It is scored from 0% to 100%, where higher percentages represent more severe functional impairment |
from enrollment to the end of treatment at 4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- P.T.REC/012/006312
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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