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Effect of Transfer of Energy Capacitive and Resistive on Chronic Discogenic Sciatica

2026年10月27日 更新者:Omar Abdelaziz、Cairo University

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

研究概览

研究类型

介入性

注册 (估计的)

34

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

      • Giza、埃及
        • 招聘中
        • Faculty of Physical Therapy Cairo University
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

35年 至 50年 (成人)

接受健康志愿者

不

有资格学习的性别

男性

描述

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)

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的:Study (TECAR) Group
  • The participant lies prone or side-lying depending on comfort.
  • Conductive cream is applied to the lumbar region (L4-S1) and gluteal area.
  • Capacitive mode (CET) will be applied first to target superficial soft tissues.
  • Resistive mode (RET) will follow to target deeper structures including paraspinal muscles, facet joints, and nerve root pathway.
  • Each mode will be applied for a predetermined duration (e.g., 10 minutes CET + 10 minutes RET).
  • Intensity adjusted to produce a deep warm sensation without discomfort.
  • Total session duration: ~20 minutes treatment program will be delivered in manner of 3 sessions per week for four weeks.
其他名称:
  • TECAR Device (INDIBA® 448 kHz)

conventional physical therapy program will include TENS, hot pack, stretching exercises and core stabilization exercises for 3 sessions per week for four weeks.

有源比较器: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.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Pain intensity
大体时间: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

次要结果测量

结果测量
措施说明
大体时间
Hoffmann reflex (H-reflex)
大体时间: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
大体时间: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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年9月21日

初级完成 (估计的)

2027年1月21日

研究完成 (估计的)

2027年1月21日

研究注册日期

首次提交

2026年9月20日

首先提交符合 QC 标准的

2026年9月20日

首次发布 (实际的)

2026年9月25日

研究记录更新

最后更新发布 (实际的)

2026年10月29日

上次提交的符合 QC 标准的更新

2026年10月27日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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