- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05356468
PNE With Therapeutic Exercises on Pain Intensity in Lumbar Radiculopathy
Effects of Additional Pain Neuroscience Education (Pne) With Therapeutic Exercises on Pain Intensity in Patients With Lumbar Radiculopathy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Radicular pain or radiculopathy, defined as spinal nerve root dysfunction causing dermatomal discomfort and paresthesia's, myotome weakness, and/or reduced deep tendon reflexes, is frequently associated with axial spine pain. It affects both men and women and is believed to impact 3 to 5 percent of the population. Radiculopathy is pain that radiates down the legs and is described as electric, burning, and acute pain. Radiculopathy is most caused by irritation of a specific nerve, which can occur anywhere along the nerve and is most often caused by a compressive force. It could be caused by bulging or herniated discs, facet or ligamentous hypertrophy, spondylolisthesis, or even neoplastic or infectious diseases.
LR is the second leading cause of disability according to a research published by Global Burden of Disease (GBD).Pain neuroscience education (PNE), also known as therapeutic neuroscience education (TNE), is a series of instructional sessions for patients that cover the neurobiology and neurophysiology of pain, as well as how the nervous system processes pain. PNE alters the way a patient perceives pain at first. For example, a patient may have assumed that damaged tissues were the source of their pain; yet, after learning more about pain neurophysiology, the patient realises that pain may not accurately reflect tissue health and instead be caused by extra-sensitive nerves.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Misbah Ghous, MSNMPT
- Phone Number: 03086152722
- Email: misbah.ghous@riphah.edu.pk
Study Locations
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Punjab
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Rawalpindi, Punjab, Pakistan, 46000
- Misbah Ghous
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Presence of lumbar radiculopathy ( disc bulge , disc herniation , lumbar stenosis, disk dehydration(13)
- Medication. (Patient already on prescriptions, using medicines)
- Duration of low back pain as the main symptom for at least 3 months
Exclusion Criteria:
- The presence of chronic-pain-related conditions (e.g. fibromyalgia, chronic fatigue syndrome.)
- Pregnancy
- Patients on treatment with alternative therapies.
- Patients with associated pathologies that make it impossible to perform a physical exercise program (myopathies, neurological diseases with significant impairment of functionality
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Structured pain neuroscience education
Pain neuroscience education will be given to both groups.
Group A will receive Structured Pain Neuroscience Education along with therapeutic , balance exercises and Postural training.
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Structured pain neuroscience
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Active Comparator: Conventional treatment
Group B will receive Pain Neuroscience Education along with therapeutic, balance exercises. The treatment will continue for 6 weeks. Three sessions will be given in a week. Assessment would be done on baseline and at the end of every third week. Each session will be of 45 minutes. 15min electrotherapy, 15 min conventional treatment, 15 min PNE education. |
ELECTROTHERAPY MODALTIES-15 min
Therapeutic exercises
POSTURAL TRAINING
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric Pain Rating Scale
Time Frame: Change From Baseline in Pain Scores on the Numeric Pain Rating Scale to 4 weeks till 8 Weeks
|
The NPRS is used to measure pain intensity, in which patients are asked to select a number (from 0-10) to represent their pain severity.Change from Baseline , to 4Weeks, till 8 weeks
|
Change From Baseline in Pain Scores on the Numeric Pain Rating Scale to 4 weeks till 8 Weeks
|
Time Up and Go Test(TUG)
Time Frame: Change From Baseline in balance Scores on the Time Up and Go Test(TUG) to 4 weeks till 8 Weeks.
|
Timed up and go test (TUG) was used for measuring the time needed by the participants to stand up from the chair, walk 3 m to a red marker, and return to the starting position on the chair.
Change from Baseline , balance and fall prevention to 4Weeks, 8 weeks
|
Change From Baseline in balance Scores on the Time Up and Go Test(TUG) to 4 weeks till 8 Weeks.
|
Oswestry Disability Index
Time Frame: Change From Baseline in disability Scores on Oswestry Disability Index to 4 weeks till 8 Weeks.
|
Change from Baseline , to 4Weeks, to 8 weeks
|
Change From Baseline in disability Scores on Oswestry Disability Index to 4 weeks till 8 Weeks.
|
Fear avoidance belief questionnaire
Time Frame: Change From Baseline in fear Scores on Fear avoidance belief questionnaire to 4 weeks till 8 weeks.
|
Fear avoidance belief questionnaire he FABQ comprises two subscales; one measures the potential influence of fear-avoidance beliefs on general physical activity Change from Baseline , to 4Weeks, to 8 weeks
|
Change From Baseline in fear Scores on Fear avoidance belief questionnaire to 4 weeks till 8 weeks.
|
Beck Depression Inventory
Time Frame: Change From Baseline in depression Scores on Beck Depression Inventory to 4 weeks till 8 weeks
|
Beck Depression Inventory (BDI) is a 21-item self-reporting questionnaire for evaluating the severity of depression in normal and psychiatric populations.
Change from Baseline , to 4Weeks, to 8 weeks
|
Change From Baseline in depression Scores on Beck Depression Inventory to 4 weeks till 8 weeks
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The Pittsburgh Sleep Quality Index
Time Frame: Change From Baseline in sleep quality Scores to 4 weeks till 8 weeks.
|
The PSQI is a self-rating questionnaire resulting in a global score between 0 and 21 which consist of seven sub scores.
Change from Baseline , to 4Weeks, to 8 weeks
|
Change From Baseline in sleep quality Scores to 4 weeks till 8 weeks.
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/01231 Hira hassan
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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