Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-sarcal Radiculopathy

Effects of Mackenzie Extension and William Flexion Exercises in Lumbo-Sarcal Radiculopathy

Lumbosacral radiculopathy (LR) is among most common disorder caused due to irritation or compression of nerve pathway leading to symptoms of pain, numbness and tingling sensations along the nerve root. Lumbosacral radiculopathy consists at any lumbar region including L1-S1. Occurrence rate of Lumbosacral radiculopathy is 3-5% distributed equally in men and women affecting more men than women. It commonly occurs in late 40s in men and late 50s-60s in females. Men are more prone to develop lumbosacral radiculopathy due to mechanical disturbance during routine work.

Study Overview

• Status: Recruiting
• Conditions: Lumbosacral Radiculopathy
• Intervention / Treatment: Other: Mckenzie Extension Exercises; Other: William Flexion Exercises

Detailed Description

• William flexion exercises: Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).
• Mckenzie extension exercises: The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone

A randomized controlled trial.

Group 1 Group 2 55 patients 55 patients

Standard treatment:

TENS (4-pole) + Hot pack for 15 minutes Standard treatment:

TENS (4-pole) + Hot pack for 15 minutes

New Intervention:

Mckenzie Extension

• Prone press-ups
• Head life in prone
• Prone on elbow
• Prone on hands
• Prone on pillow New Intervention:

William Flexion

• Single knee to chest
• Double knee to chest
• Straight Leg Raise
• Bridging
• Pelvic tilt

Each exercise will be repeated 5 minutes with 10 seconds hold and 5 sec rest. The duration of intervention will be four weeks, 3 sessions a week on alternate days and total of 12 sessions will be given. Data will be collected in three phases Pre-Treatment at end of second week and at the completion of treatment time i.e end of 4th week.

• Study Type: Interventional
• Enrollment (Anticipated): 110
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Federal
    • Islamabad, Federal, Pakistan, 46030
      • Recruiting
      • Isra niversity
      • Contact: Sohail Sheikh, M.phil*; Phone Number: +923366190401; Email: theneurocouncil401@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 40 years to 60 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• • Males and females with age between 40-60 years

  • Patients referred from neuro and orthopedic departments with diagnosed lumbosacral radiculopathy.
  • Complaint of low back pain on walk, bending and after long sitting with positive slump test.
  • Complaint of low back pain, and numbness and tingling in leg with positive SLR test

Exclusion Criteria:

• • Lumbar Trauma

  • Any other orthopedic and neurological conditions of hip and lumbosacral spine.
  • Hip Fracture
  • Malignancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Experimental Group; 55 patients Standard treatment: TENS (4-pole) + Hot pack for 15 minutes Standard treatment: TENS (4-pole) + Hot pack for 15 minutes New Intervention: Mckenzie Extension; Prone press-ups; Head life in prone; Prone on elbow; Prone on hands; Prone on pillow	Other: Mckenzie Extension Exercises; The exercises used to create space between under lying structures of lumber spine which help centralization of pain and can be performed in prone lying such as prone press ups, prone on elbow, and head lift in prone.
ACTIVE_COMPARATOR: Control Group; 55 patients Standard treatment: TENS (4-pole) + Hot pack for 15 minutes Standard treatment: TENS (4-pole) + Hot pack for 15 minutes New Intervention: William Flexion; Single knee to chest; Double knee to chest; Straight Leg Raise; Bridging; Pelvic tilt	Other: William Flexion Exercises; Exercises for strengthening of gluteal and abdominal muscles which help to reduce pressure on the nerve root by promoting flexion at lumber spine such as knee to chest, double knee to chest, bridging(Gluets bridge), and straight leg raise (SLR).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale	0 means no pain and 10 means worst pain ever felt	4 weeks
Flexi curve ruler	to measure the lumber cure	4 weeks
Bubble inclinometer	Measure the cure	4 weeks
King Health Questionnaire quality of life	lesser score means low quality of life and higher score means better quality of life	4 weeks

Collaborators and Investigators

• Sponsor: Neuro Counsel Hospital, Pakistan
• Collaborators: National Institute of Rehabilitation Medicine, Islamabad, Pakistan

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 22, 2022
• Primary Completion (ANTICIPATED): January 21, 2023
• Study Completion (ANTICIPATED): January 21, 2023

Study Registration Dates

• First Submitted: December 7, 2022
• First Submitted That Met QC Criteria: December 14, 2022
• First Posted (ACTUAL): December 16, 2022

Study Record Updates

• Last Update Posted (ACTUAL): December 16, 2022
• Last Update Submitted That Met QC Criteria: December 14, 2022
• Last Verified: December 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neuromuscular Diseases; Peripheral Nervous System Diseases; Radiculopathy
• Other Study ID Numbers: 337

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No