- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04022798
Management of LBP With Radiculopathy.
Randomized Controlled Trial of Effectiveness of Neural Mobilization in the Management of Chronic Low Back Pain With Radiculopathy.
Study Overview
Detailed Description
Randomized clinical control trail will be conducted in the North West area of Saudi Arabia.
Patients diagnosed to have CLBP with radiculopathy at three different hospitals in Saudi Arabia will be recruited for this study.
Participants will be randomly assigned into treatment or control group. Before starting of the study, the author will designe the treatment and control group treatment program and instructed the treating physiotherapists in their implementation. An ethical approval was approved by the ethics committee of the University of Tabuk- Saudi Arabia. Participants in each group will receive 12 treatment sessions of 45 minutes each, 2 days a week for 6 consecutive weeks.
For each group, a menu of a lumbar stabilization program was designed. This program included 8 levels of exercise ( single leg knee to chest stretch, double leg knee to chest, supine piriformis stretch, supine hamstring stretch, lower trunk rotation stretch, lumbar rotation stretch, pelvic tilt, pelivic tilt with alternative legs). Exercises were tailored for each individual ability and, if possible, progressed at each session which would last approximately 30 minutes. Each single exercise was repeated many times based on the patient's clinical condition. All sessions were provided by physiotherapists. After finishing of session of lumbar stabilization program, a shock wave therapy was applied for each participant in a prone position over the region of low back pain (Figure 2 ).
Only participants in the treatment group were receive neural mobilization technique. This includes the following: sciatic neural mobilization technique (Figure 3), slump neural mobilization technique (Figure 4) and self neural mobilization (Figure 5 ).
OUTCOME MEASUREMENT TOOLS:
There were three outcome measures as following: pain, disability and lumbar spine range of motion. Subjected were tested three times as following: at the baseline (0 week), at the mid of treatment (3 weeks) and finally at the end of treatment (6 weeks).
- Pain Pain was assessed by using NPRS, where 0 represented no pain and 10 represented the worst pain possible, to indicate the intensity of pain in the lower back (Jensen et al., 1994). Disability Disability was measured by using the Modified Oswestry Disability Questionnaire (MODQ) which is a self-rating questionnaire used to evaluate functional physical disability (Rajfur, et al., 2017).
- Lumbar flexion range of motion Lumbar flexion range of motion was measured by using modified Schober method (Philadelphia Panel Members, 2001).
DATA ANALYSIS:
A simple descriptive statistical analysis was adopted to describe the patient specific demographic characteristics with respect to outcomes parameters. Within group and between groups comparison was analyzed using ANOVA and Scheffes' post-hoc tests by using SPSS 20.0.
Work Plan:
Roles and responsibilities :
1. Principal Investigator-is responsible for the following:
1. The management and integrity of the research design 2. Approval from ethical board committee or its equivalent 3. Preparation and conduct of the study 4. Reporting of the research project 5. Managing, monitoring and ensuring the integrity of any collaborative relationships.
6. Directs and oversees compliance, financial, personnel, and other related aspects and resources of the research project 7. Coordination with department and central administration personnel to assure research in is conducted in accordance with regulations of the University and sponsoring agency policies and procedures.
8. Publication of the study, local and international. Work Flow
- The principal investigator will be responsible in check points, meetings, and coordination with the research team, regular meeting will be set on thursday every after two weeks and when necessary.
- Co-investigator will be assigned as custodian to all data and investigations from the start of the study.
- Co-investigator will be assigned to record all financial transaction according to the policies of sponsoring unit of the university.
- Co-investigator will be responsible logistic and making sure all researched needed are adequate and available when needed.
- A clear communication and coordination scheme will be established.
- Co-investigator will be required to submit status accomplish report on regular basis determined by the team.
Utilization:
The outcomes of the research will be used to:
- NM techniques enhance patient outcomes in the management of CLBP with radiculopathy when added to standard care.
- NM technique applied by experienced physical therapists combined with LSE and ESWT in a brief clinical trial might better and earlier than LST and ESWT alone for decreasing pain, reducing back disability and improving function in patients with CLBP with radiculopathy symptoms.
- The findings are interesting and motivate further studies, including long-term follow-up of large groups, randomized studies and the comparison of this treatment model with other treatment models.
- A faster program with fewer hospital visits not only enables the patients to proceed with most of their daily activities but also decreases the costs of the treatment.
- A NM technique might also be an alternative to conventional physiotherapy in the treatment of the CLBP patients with radiculopathy symptoms.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Salem F Alatawi, PhD
- Phone Number: 0549638301
- Email: sfalatawi@ut.edu.sa
Study Locations
-
-
-
Tabuk, Saudi Arabia, 71491
- Recruiting
- Salem F Alatawi
-
Contact:
- Salem F Alatawi, Phd
- Phone Number: 549638301
- Email: sfalatawi@ut.edu.sa
-
Contact:
- Ahmad S Almasoudi, PhD
- Phone Number: 00966503579505
- Email: aelmasoudy@ut.edu.sa
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Lower back pain should be Lower than 5 on the Visual Analogue Scale,
- > 18 years,
- Not taken physical therapy treatment in the past 6 months period,
- No previous surgery, such as structural anomalies, spinal cord compressions, severe instabilities, severe osteoporosis, acute infections, severe cardiovascular or metabolic diseases,
- A body mass index less than 30kg/m2.
Exclusion Criteria:
- Pain with a score above 5 on the Visual Analogue Scale (VAS),
- ≤ 18 years,
- Had physical therapy treatment in the past 6 months period,
- Had undergone previous surgery, such as structural anomalies, spinal cord compressions, severe instabilities, severe osteoporosis, acute infections, severe cardiovascular or metabolic diseases,
- pregnant
- A body mass index above 30kg/m2.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Experimental group
Neural mobilization (NM), lumbar stabilization exercise (LSE) and Radial Extracorporeal Shock Wave Therapy (rESWT)
|
Participants were randomly assigned into treatment (n=15) or control group (n=15). Participants in each group received 12 treatment sessions of 45 minutes each, 2 days a week for 6 consecutive weeks. For each group, a menu of a lumbar stabilization program was designed. This program included 8 levels of exercise ( single leg knee to chest stretch, double leg knee to chest, supine piriformis stretch, supine hamstring stretch, lower trunk rotation stretch, lumbar rotation stretch, pelvic tilt, pelivic tilt with alternative legs). Exercises were tailored for each individual ability and, if possible, progressed at each session which would last approximately 30 minutes. Each single exercise was repeated many times based on the patient's clinical condition. All sessions were provided by physiotherapists. |
ACTIVE_COMPARATOR: Control group
lumbar stabilization exercise (LSE) and Radial Extracorporeal Shock Wave Therapy (rESWT)
|
Participants were randomly assigned into treatment (n=15) or control group (n=15). Participants in each group received 12 treatment sessions of 45 minutes each, 2 days a week for 6 consecutive weeks. For each group, a menu of a lumbar stabilization program was designed. This program included 8 levels of exercise ( single leg knee to chest stretch, double leg knee to chest, supine piriformis stretch, supine hamstring stretch, lower trunk rotation stretch, lumbar rotation stretch, pelvic tilt, pelivic tilt with alternative legs). Exercises were tailored for each individual ability and, if possible, progressed at each session which would last approximately 30 minutes. Each single exercise was repeated many times based on the patient's clinical condition. All sessions were provided by physiotherapists. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain is being assessed using NPRS
Time Frame: baseline, 3 weeks and 6 weeks
|
Pain was assessed by using NPRS, where 0 represented no pain and 10 represented the worst pain possible, to indicate the intensity of pain in the lower back (Jensen et al., 1994).
|
baseline, 3 weeks and 6 weeks
|
Change in Disability is being assessed using the Modified Oswestry Disability Questionnaire
Time Frame: baseline, 3 weeks and 6 weeks
|
Disability was measured by using the Modified Oswestry Disability Questionnaire (MODQ) which is a self-rating questionnaire used to evaluate functional physical disability (Rajfur, et al., 2017).
|
baseline, 3 weeks and 6 weeks
|
Change in Lumbar flexion range of motion is being assessed using modified Schober method
Time Frame: baseline, 3 weeks and 6 weeks
|
Lumbar flexion range of motion was measured by using modified Schober method (Philadelphia Panel Members, 2001).
|
baseline, 3 weeks and 6 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Salem F Alatawi, PhD, University of Tabuk
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UTabuk
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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