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Effects of Shockwave Therapy Versus Ultrasound Therapy Among Patients With Chronic Sciatica

14. juli 2026 opdateret af: Rimsha Imtiaz, University of Lahore

Comparative Effects of Shockwave Therapy Versus Ultrasound Therapy Combined With Conventional Physiotherapy on Pain Intensity, Hamstring Range of Motion, Sleep Quality, and Quality of Life Among Patients With Chronic Sciatica: A Randomized Controlled Trial

Sciatica is characterized by radiating pain, functional limitations, reduced flexibility, disturbed sleep, and impaired quality of life. Extracorporeal Shockwave Therapy (ESWT) and Therapeutic Ultrasound are commonly used physiotherapy modalities for pain relief and tissue healing; however, evidence directly comparing their effectiveness remains limited. This randomized controlled trial compares the effects of Shockwave Therapy and Ultrasound Therapy, each combined with conventional physiotherapy, on pain intensity, hamstring range of motion, sleep quality, and quality of life in patients with chronic sciatica.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This randomized controlled trial compares two physiotherapy interventions for chronic sciatica. Sixty-six participants will be randomly allocated to either Shockwave Therapy plus Conventional Physiotherapy or Ultrasound Therapy plus Conventional Physiotherapy. Both groups will receive identical conventional physiotherapy consisting of heat therapy, myofascial release, stretching, and strengthening exercises. Treatment will be administered four sessions per week for eight weeks. Outcomes including pain intensity, hamstring range of motion, sleep quality, and quality of life will be measured at baseline, Week 4, and Week 8 by a blinded outcome assessor.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

66

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Adults aged 20-45 years.
  • Clinically diagnosed chronic sciatica.
  • Radiating pain below the knee.
  • Positive Straight Leg Raise test (30°-70°).
  • Pain intensity ≥4/10 on the Numeric Pain Rating Scale.
  • Symptoms persisting for at least 3 months.
  • Presence of tingling, numbness, lumbar radiculopathy, or piriformis syndrome.

Exclusion Criteria:

  • Lumbar disc herniation.
  • Progressive neurological disorders.
  • Ankylosing spondylitis.
  • Paget disease.
  • Tuberculosis.
  • Malignancy.
  • Rheumatoid arthritis or other inflammatory disorders.
  • Previous spinal surgery or fracture.
  • Fever, unexplained weight loss, or systemic illness.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Shockwave Therapy + Conventional Physiotherapy
Participants will receive radial extracorporeal shockwave therapy in addition to standardized conventional physiotherapy four times per week for eight weeks.
Enhed: Extracorporeal Shockwave Therapy
Radial extracorporeal shockwave therapy will be applied to the sciatic nerve origin and piriformis region using standardized treatment parameters for approximately 10 minutes during each treatment session.
Andre navne:
  • ESWT
  • Radial Shockwave Therapy
Andet: Conventional Physiotherapy
Conventional physiotherapy will include moist heat therapy, myofascial release, stretching exercises, and strengthening exercises administered during every treatment session.
Aktiv komparator: Ultrasound Therapy + Conventional Physiotherapy
Participants will receive therapeutic ultrasound in addition to standardized conventional physiotherapy four times per week for eight weeks.
Andet: Conventional Physiotherapy
Conventional physiotherapy will include moist heat therapy, myofascial release, stretching exercises, and strengthening exercises administered during every treatment session.
Enhed: Therapeutic Ultrasound
Therapeutic ultrasound will be applied to the gluteal and lumbar regions using standardized frequency and intensity parameters for approximately 10 minutes during each treatment session.
Andre navne:
  • Ultralyd
  • Ultrasound Therapy

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain Intensity
Tidsramme: Baseline, Week 4, Week 8
Numeric Pain Rating Scale (0-10). Higher scores indicate greater pain.
Baseline, Week 4, Week 8
Hamstring Range of Motion
Tidsramme: Baseline, Week 4, Week 8
Hip flexion measured with a universal goniometer during the Straight Leg Raise test.
Baseline, Week 4, Week 8

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Sleep Quality
Tidsramme: Baseline, Week 4, Week 8
Sleep Quality Scale. Higher scores indicate poorer sleep quality.
Baseline, Week 4, Week 8

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Lahore

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

30. juni 2025

Primær færdiggørelse (Faktiske)

10. marts 2026

Studieafslutning (Faktiske)

12. april 2026

Datoer for studieregistrering

Først indsendt

14. juli 2026

Først indsendt, der opfyldte QC-kriterier

14. juli 2026

Først opslået (Faktiske)

17. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • UOL/IREB/25/09/0054

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be shared because this study was conducted as an academic research project. The informed consent obtained from participants did not include provisions for public data sharing, and the dataset contains sensitive personal health information. Data will be stored securely and used only for academic and research purposes in accordance with institutional ethics approval.

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